Provider Enrollment Analyst (CMS 855 required)

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 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 database software