Analyst, Provider Enrollment

Summary As a Provider Enrollment Analyst, you will be responsible for reviewing, researching, analyzing, and processing provider enrollment applications. Ensures provider file integrity and compliance with established standards and guidelines. Why join BlueCross BlueShield of South Carolina? We have been part of the national landscape for over seven decades, rooted in the South Carolina community. We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate a sophisticated data processing center. Our diverse subsidiaries allow us to leverage various business strengths. We are committed to outstanding service. If you share this philosophy, consider joining us! Description Location: Full-time (40 hours/week), Monday-Friday, in an office environment. Work hours are 8:00AM-5:00PM, with possible overtime and travel between buildings. Location: 4101 Percival Rd., Columbia, SC, 29229. What You'll Do: Evaluate provider enrollment applications for acceptability, including initial, reenrollment, reactivation, or information updates. Review and verify provider data using databases and external organizations to ensure authenticity; set up/testing EFT accounts. Enter and update provider data in enrollment systems and directories. Provide quality service and communicate effectively with customers via correspondence and phone. Gather information from internal departments, providers, and agencies to resolve issues. Distribute enrollment applications and information about the process. Participate in special projects related to provider files and assist with system testing and process improvements. Support provider education and training initiatives. Qualifications: Education: Bachelor's degree or equivalent (4 years related experience) or associate's degree with 2 years related experience. Skills: Proficiency in Microsoft Office, good judgment, organizational skills, effective communication, attention to detail, basic math, analytical thinking, and discretion handling sensitive information. Tools: Microsoft Office suite. Preferred Skills: Knowledge of provider certification, claims processing, pricing, Medicare regulations, and BlueCross BlueShield enrollment processes. Benefits: We value diversity and inclusion, offering comprehensive benefits starting the first of the month after 28 days of employment, including health plans, 401(k), life insurance, PTO, on-site amenities, education assistance, and discounts. Next Steps: Post-application review may include a phone or email interview to verify qualifications and salary expectations. EEO Statement: We promote nondiscrimination and provide accommodations for individuals with disabilities, pregnancy, religious beliefs, and other protected statuses. For assistance, contact mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480. We participate in E-Verify and are an Equal Opportunity Employer. J-18808-Ljbffr

Location: provincia-di-firenze, IT

Posted Date: 5/10/2025