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Analyst, Provider Enrollment Location: US-SC-Columbia Jobcode: 3594747 Email this job to a friend
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Immediate need for a talented Data Entry (Customer Service This is a 03+ Months contract opportunity with long-term potential and is located in Columbia, SC(Onsite Please review the job description below and contact me ASAP if you are interestednbsp;Job ID: 23-34040 Pay Range: $11- $14/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work locationNote:Candidates should be Local to Columbia, SCKey Responsibilities: Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelinesnbsp; 65% May perform any or all of the following in the enrollment of providers: determines the acceptability of provider enrollment applications (which may be used for initial full application, reenrollment, reactivation, change of information); provides in-depth review and verification/validation of provider data; verifies provider data by use of information databases and various organizations/agencies to ensure authenticity; sets up/tests EFT accounts. Processes/enters/updates provider data information/applications into appropriate enrollment database used in evaluating/tracking the processing of the application and/or updating of provider directoriesnbsp; 20% Provides quality service and communicates effectively with external/internal customers in response to inquiries (correspondence, telephone Obtains information from internal department, providers, government and/or private agencies, etc. to resolve discrepancies/problems. Supplies enrollment applications and general information on the enrollment process to interested enrollees. 10% Contributes to and participates on special projects related to provider files. Assists Technical Support staff with testing system changes related to provider files. Assists with process improvements related to Provider Enrollmentnbsp; 5% Assists with provider education and provider services training.Key Requirements and Technology Experience: Customer Service Inbound and outbound calls Data Entry Healthcare/Insurance Background Working knowledge of word processing, spreadsheet, and database software. Good judgment skills required. Effective customer service and organizational skills required. Demonstrated verbal and written communication skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Basic business math proficiency required. Analytical or critical thinking skills required. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft Office. Preferred Skills and Abilities: In-depth knowledge of provider certification process, claims processing operations/systems, and pricing methodology and discount programs. In-depth knowledge of Medicare program instructions/regulations related to provider enrollment/issuesnbsp; Bachelor39;s degree or 4 years of job related work experience, to include six months of experience working in an office environmentnbsp; Bachelor39;s degree-in Business Administration or Health Administration.Our client is a leading Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate considerationnbsp;Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local lawssan
Pyramid Consulting Inc.
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