Provider Enrollment Analyst
Not Disclosed•Full-TimeOn-site
location_on398, Wayne Street, The Vista, Columbia, Richland County, South Carolina, 29201, United States
Palmetto GBA is a subsidiary of BlueCross BlueShield of South Carolina, dedicated to managing provider enrollment and ensuring the integrity of provider files. The team operates within a structured environment to support the broader mission of maintaining compliance with established standards and guidelines for healthcare providers.
This full-time position serves as the backbone of the provider enrollment process, focusing on the review, research, analysis, and processing of provider enrollment applications. The role exists to ensure that supplier files remain accurate and compliant with federal and organizational standards.
In this onsite role located at 17 Technology Circle in Columbia, SC, you will work an 8-hour shift from 8:00 AM to 5:00 PM, Monday through Friday. While the schedule is standard, occasional overtime may be required to meet business needs, and travel between buildings may be necessary. You will act as a key point of contact, communicating effectively with external and internal customers to resolve discrepancies and provide guidance on the enrollment process. The position involves deep collaboration with technical support staff to test system changes and contribute to process improvements and provider education initiatives.
After submitting your application, the recruiting team will review your resume to verify qualifications. This stage may include a brief telephone interview or email communication to confirm specific resume details and salary requirements.
BlueCross BlueShield of South Carolina and its subsidiaries are committed to a diverse and inclusive workplace where employees across all spectrums can develop their skills and advance their careers. We maintain a continuing policy of nondiscrimination in employment and comply with all applicable federal, state, and local laws.
As a federal contractor, we maintain affirmative action programs to promote opportunities for individuals with disabilities and protected veterans. We are committed to providing reasonable accommodations to individuals with disabilities, pregnancy-related conditions, or sincerely held religious beliefs. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision.
This position requires the ability to obtain a security clearance, which mandates that applicants be U.S. Citizens. Additionally, as a Service Contract Act (SCA) employee, enrollment in the company's health insurance plan is required, even if you possess other coverage. Supplemental pay for health coverage is provided until enrollment is complete.
Work model: On-site
398, Wayne Street, The Vista, Columbia, Richland County, South Carolina, 29201, United States
Columbia, South Carolina
Bachelor's degree in business administration or health administration. In-depth knowledge of provider certification process, claims processing operations/systems, and pricing methodology and discount programs. In-depth knowledge of Medicare program instructions/regulations related to provider enrollment/issues. Effective presentation skills.
CACI International Inc • Washington, District of Columbia
Cave Creek Unified School District • Scottsdale, Arizona
Texas A&M University System • College Station, Texas
Skills: Word Processing, Spreadsheet, Database Software, Microsoft Office, Provider Certification Process, Claims Processing, Medicare Program Instructions.
Education: Bachelor's degree equivalency (4 years experience) or Associate's with 2 years experience; Bachelor's degree in business administration or health administration preferred.