Provider Enrollment Analyst (CMS 855 required)

Broadway Ventures is seeking experienced and detail-oriented Provider Enrollment Analysts to support the enrollment process by reviewing, researching, analyzing, and processing provider applications. This role ensures provider file accuracy and compliance with established standards and guidelines.

Worksite & Schedule

This is a full-time (40-hours/week) position, Monday–Friday.

• Work hours: 8:00AM–5:00PM Eastern Standard Time (EST)


• Location: Remote


• If you live within 50 miles of Columbia, SC you will be required to work onsite 5 days a week at - 17 Technology Circle, Columbia, SC, 29203

What You’ll Do

You will support the full lifecycle of medical provider enrollment, helping ensure accurate provider data and regulatory compliance. Duties include:

• Review and validate medical provider enrollment applications (initial, re-enrollment, reactivation, or updates)


• Verify provider data via internal databases and external agencies; set up/test EFT accounts


• Enter and update provider information in enrollment databases and directories


• Communicate with providers, agencies, and internal departments to resolve discrepancies


• Supply application materials and process guidance to potential enrollees


• Assist with special projects, process improvements, provider education, and system testing


• Growth and Development

In this role, you will gain exposure to:

• Medicare program regulations, health plan operations, and enrollment systems.


• Cross-functional collaboration with compliance, IT, and provider support teams.


• System testing and process improvement initiatives—opportunities to grow your skills in operational analysis and project participation.

Required Qualifications:

Work Experience:

• At least one (1) year of experience processing CMS 855 applications/managing the enrollment process utilizing the the Medicare enrollment online system PECOS.


• Previous Provider Enrollment for Medicare is required to be considered for the role. 

Education:

• Highschool Diploma or equivalent


• Associates or Bachelors degree preferred

Skills and Abilities:

• Proficiency with word processing, spreadsheets, and databases


• Strong judgment, organization, and customer service skills


• Clear verbal and written communication


• Solid grammar, spelling, and punctuation skills


• Basic business math competency


• Analytical and critical thinking ability


• Discretion in handling confidential information

Software and Tools:

• 
  

  Microsoft Office

  
  

Pre-Hire Requirements

• Completion of an eQIP background investigation


• Successful credit check

Benefits

• 401(k) + company matching


• Medical, Dental, and Vision Insurance


• Disability and Life Insurance


• Paid Time Off 


• Paid Holidays

What to Expect Next:

After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.

Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.

Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).