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Provider Enrollment Analyst at Palmetto GBA, responsible for reviewing and processing provider enrollment applications, verifying provider data, and assisting in process improvements. Requires a Bachelor's degree or job-related work experience, proficiency in Microsoft Office, and good organizational and communication skills.

As a Sr. Provider Enrollment Analyst, you will act as a team lead by providing guidance, direction, and training to Provider Enrollment Analysts, processing difficult enrollment applications, and providing outstanding service to internal and external customers.

Supervise provider enrollment and quality assurance staff to ensure accurate data entry and maintenance of provider information. Manage activities related to provider file maintenance, quality assurance, credentialing, and payment processes. Ensure compliance with applicable regulations and company policies.

Responsible for provider enrollment process including reviewing, researching, and processing provider applications. Ensures provider compliance and file integrity. Handles communication with internal/external customers and resolves discrepancies. Collaborates on special projects and assists with process improvements and system testing.

The Sales Executive III is responsible for marketing, renewing, and servicing accounts within their territory. This role involves developing marketing plans, maintaining professional relationships, conducting market research, and training new sales representatives.

Manages the provider enrollment unit ensuring accurate and timely provider enrollment, compliance with regulations, and maintaining the national provider file database.

Responsible for managing the provider enrollment process by reviewing, analyzing, and processing applications. Ensures compliance and integrity of provider files, communicates with customers for inquiries, resolves discrepancies, and participates in special projects related to provider files.