Remote - Provider Enrollment Analyst
At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.
As a Provider Enrollment Analyst, you will play a critical role in managing the provider enrollment process. Your responsibilities will include reviewing, researching, analyzing, and processing provider enrollment applications to ensure compliance with established guidelines. You will also maintain the integrity of provider records and ensure suppliers meet regulatory standards.
Worksite & Schedule:
This is a full-time (40 hours per week), Monday-Friday position in a standard office environment. You will work an 8-hour shift scheduled within normal business hours (8:00 AM - 5:00 PM). This role is fully remote and allows you to work from home.
Key Responsibilities:
As a Provider Enrollment Analyst, you may be responsible for the following:
- Assessing provider enrollment applications, including initial applications, re-enrollment, reactivation, and change requests.
- Conducting in-depth verification and validation of provider data to ensure accuracy and compliance.
- Utilizing various databases and external agencies to authenticate provider information.
- Setting up and testing Electronic Funds Transfer (EFT) accounts.
- Entering, updating, and maintaining provider data in enrollment databases for tracking and application processing.
- Communicating effectively with internal and external stakeholders to address inquiries via correspondence and phone.
- Collaborating with providers, internal departments, and government/private agencies to resolve discrepancies.
- Providing enrollment applications and process guidance to potential enrollees.
- Contributing to special projects related to provider files.
- Assisting technical teams with testing system changes related to provider records.
- Supporting process improvements and initiatives related to provider enrollment.
- Assisting with provider education and training initiatives.
Qualifications & Requirements:
Education:
- Associates Degree or 4 years experience in Provider Enrollment for Medicare/Medicaid.
Experience:
- Minimum 2+ years of experience in provider enrollment.
- Strong knowledge of the provider certification process, claims processing operations/systems, pricing methodologies, and discount programs.
- Deep understanding of Medicare/Medicaid program regulations related to provider enrollment.
- Experience presenting and communicating information effectively.
Skills & Competencies:
- Proficiency in Microsoft 365 (Outlook, Word, Excel, PowerPoint, etc.).
- Strong customer service and organizational skills.
- Excellent verbal and written communication abilities.
- High attention to detail, including proficiency in spelling, grammar, and punctuation.
- Strong analytical and critical thinking skills.
- Ability to manage confidential and sensitive information with discretion.
Pay:
- $20/hr.
Benefits & Perks:
We offer a comprehensive benefits package, including:
- 401(k) & 401(k) matching
- Medical, dental, and vision insurance
- Life and disability insurance
- Flexible Paid Time Off (FPTO)
- Paid holidays
Join our team and contribute to a mission-driven organization dedicated to excellence in provider enrollment!
If hired, you will be required to complete an eQIP background investigation and pass a credit check as part of the onboarding process.
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting.
Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
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