At Broadway Ventures, 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.
Provider Enrollment Specialist
Pay Rate (total comp)- $20/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.
Location Eligibility: Broadway Ventures cannot consider applicants who live in, or would work from, any of the following locations: California, Colorado, Connecticut, the District of Columbia, Hawaii, Illinois, Maryland, Massachusetts, New Jersey, New York, North Dakota, Ohio, Oregon, Rhode Island, Washington State, and Wyoming. Candidates must live in and work from an eligible U.S. state when they are hired and for as long as they are employed. Applications from residents of the locations listed above will not be considered.
Notice: Use of Artificial Intelligence in Our Hiring Process
Broadway Ventures uses an artificial intelligence (AI) tool to help review applications for this position.
- Who built it: Broadway Ventures developed the tool in-house.
- What it does: It compares your resume to the requirements in this job posting and gives a score from 0 to 100 showing how closely your qualifications match.
- What information it uses: The text of your resume, your name, your current or most recent job title, your location, and this job posting.
- What it cannot see: Your answers to voluntary demographic or equal employment opportunity questions, interview feedback, or offer information.
- How it is used: The score is one factor in our initial review of applications. The tool does not reject anyone. A member of our recruiting team reviews every application before any decision is made.
- Your options: If you would like your application reviewed without the AI tool, or you need a reasonable accommodation at any point in the hiring process, contact us at [email protected]. Making a request will not affect whether you are considered for this position.
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
Skills Required
- CMS 855 application management experience
- PECOS utilization experience
- Customer service representative (CSR) experience
- Previous provider enrollment experience for Medicare
- High school diploma or equivalent
- Associate's or Bachelor's degree
- Proficiency with word processing
- Microsoft Office proficiency
- Strong judgment, organization, and customer service skills
- Clear verbal and written communication skills
- Solid grammar, spelling, and punctuation skills
- Basic business math competency
- Analytical and critical thinking ability
- Discretion in handling confidential information
- Willingness to undergo EAU CMS background check (and pass background/drug tests/fingerprinting as required)
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What We Do
We deliver expert program management, cutting-edge IT, cybersecurity, and consulting solutions for government and commercial clients. Our mission is to drive efficiency and sustainable value, empowering underserved communities and ensuring a lasting impact across sectors such as defense, healthcare, and environmental sustainability. We are an 8(a) certified, HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) dedicated to excellence and innovation.
