Provider Enrollment Specialist

Provider Enrollment Specialist

Pay Rate (total comp)- $19-$24/hour

Must be willing to undergo EAU CMS Background Check

Location: Remote, USA

Job Summary

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.

Key Responsibilities

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


• Verify provider data via internal databases and external agencies; set up and 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


• Participate in growth and development opportunities within the role

Minimum Qualifications

Work Experience

• CMS 855 application management experience


• PECOS utilization experience


• Customer service representative (CSR) experience


• Previous provider enrollment experience for Medicare

Education

• High school diploma or equivalent required


• Associate's or Bachelor's degree preferred

Skills and Abilities

• Proficiency with word processing


• 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

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).

The pay range shown is a good-faith estimate of the compensation Broadway Ventures reasonably expects to pay for this position at the time of posting. It is not a guarantee of any particular wage, salary, or total compensation. Actual pay offered depends on job-related factors, which may include skills, experience, education, certifications and licensure, geographic work location, contract funding and budget. For positions covered by the Service Contract Act, pay is also governed by the applicable Department of Labor wage determination, which the government may revise.

Some positions are posted in support of a contract proposal that has not yet been awarded. Where that is the case, the position and its final compensation are contingent upon award of the contract to Broadway Ventures and on the terms of the awarded contract, including any government-approved labor rates and the applicable wage determination.

Broadway Ventures offers a comprehensive benefits package. A general description of benefits is below.

• 401(k) and company match


• PTO that grows the longer you stay


• Health, Vision, Dental


• Company provided Life Insurance and Voluntary Life Insurance


•  Short Term Disability and Long Term Disability