United States Job Openings

Novitas Solutions Inc.

Provider Enrollment Rep

FULL TIME

August 29, 2024

Are you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a better health experience for all consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services.

Benefits info:

Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire
Short- and long-term disability benefits
401(k) plan with company match and immediate vesting
Free telehealth benefits
Free gym memberships
Employee Incentive Plan
Employee Assistance Program
Rewards and Recognition Programs
Paid Time Off and Paid Sick Leave

SUMMARY STATEMENT
This position is responsible for the integrity of the Medicare Part A and or B Provider files. This position will review applications and ensure compliance with CMS regulations and internal procedures and protocols.

ESSENTIAL DUTIES & RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.
Process submitted provider applications (90%)

Obtain additional information via telephone or in writing.
Research and validate information as needed to complete enrollment application.
Determine if both state and federal regulatory requirements are met.
Review supporting documentation for adequacy; make final determination/recommendation on application.
Create enrollment records in applicable system(s).
Make any updates in system as necessary.
Establish Electronic Funds Transfer (EFT) of provider Medicare payments.
Research and respond to application specific or general provider enrollment written inquiries.

Perform other supportive activities, attend Provider Enrollment and company sponsored meetings, and attend training sessions. (10%)
Performs other duties as the supervisor may, from time to time, deem necessary.

REQUIRED QUALIFICATIONS

High school diploma or GED
1 year work experience in a customer service role and/or one year work experience in a position where the applicant has used a computer and Microsoft Office.
Proficiency with PC’s and in Windows based environments; including Microsoft Office (Word, Excel, Outlook)
Effective written and verbal communication skills
Demonstrated skills in reading comprehension
Demonstrated problem solving and research skills
Demonstrated attention to detail
Strong organizational/time management and interpersonal skills

PREFERRED QUALIFICATIONS

Provider enrollment experience
Experience working in a production environment while achieving quality requirements

This opportunity is open to remote work in the following approved states: AL, AK, FL, GA, ID, IN, IO, KS, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require additional approval. In FL and PA in-office and hybrid work may also be available.
The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive.
"We are an Equal Opportunity Employer/Protected Veteran/Disabled"

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