Provider Enrollment Specialist
Job Description
<div class="content-intro"><div class="et_pb_module et_pb_text et_pb_text_0 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"> <p style="text-align: justify;">At <strong>Broadway Ventures</strong>, 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.</p> </div> </div></div><p><strong>Provider Enrollment Specialist</strong></p> <p>Pay Rate (total comp)- $20/hour</p> <p>Must be willing to undergo EAU CMS Background Check</p> <p><strong>Location:</strong> Remote, USA</p> <p><strong>Job Summary</strong></p> <p>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.</p> <p><strong>Key Responsibilities</strong></p> <ul> <li>Review and validate medical provider enrollment applications (initial, re-enrollment, reactivation, or updates)</li> <li>Verify provider data via internal databases and external agencies; set up and test EFT accounts</li> <li>Enter and update provider information in enrollment databases and directories</li> <li>Communicate with providers, agencies, and internal departments to resolve discrepancies</li> <li>Supply application materials and process guidance to potential enrollees</li> <li>Assist with special projects, process improvements, provider education, and system testing</li> <li>Participate in growth and development opportunities within the role</li> </ul> <p><strong>Minimum Qualifications</strong></p> <p><em>Work Experience</em></p> <ul> <li>CMS 855 application management experience</li> <li>PECOS utilization experience</li> <li>Customer service representative (CSR) experience</li> <li>Previous provider enrollment experience for Medicare</li> </ul> <p><em>Education</em></p> <ul> <li>High school diploma or equivalent required</li> <li>Associate's or Bachelor's degree preferred</li> </ul> <p><em>Skills and Abilities</em></p> <ul> <li>Proficiency with word processing</li> <li>Strong judgment, organization, and customer service skills</li> <li>Clear verbal and written communication</li> <li>Solid grammar, spelling, and punctuation skills</li> <li>Basic business math competency</li> <li>Analytical and critical thinking ability</li> <li>Discretion in handling confidential information</li> </ul> <p><em>Software and Tools</em></p> <ul> <li>Microsoft Office</li> </ul> <p> </p> <p> </p><div class="content-conclusion"><p> </p> <p data-start="1731" data-end="1755"><strong data-start="1731" data-end="1755">What to Expect Next:</strong></p> <p data-start="1757" data-end="2185">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 conduct