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Anthem, Inc. SCA Provider Enrollment Rep I-Part B in Hingham, Massachusetts


SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At National Government Services (NGS), an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country, it’s a powerful combination. It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve.

The SCA Prover Enrollment Representative I is responsible for accurate and timely processing of Part B Provider Enrollment applications

Primary duties may include, but are not limited to:

  • Validates the accuracy of data submitted utilizing various electronic databases.

  • Ensures accurate entry of data into CMS' national database for all CMS providers and suppliers. Processes initial applications, changes of information for existing providers, and processes electronic funds transfers.

  • Validate the accuracy of the provider file in the claims system for accurate payment of future claims.

  • Maintains an understanding of the CMS directives and follows all processes and procedures in order to maintain the integrity of the program.

  • May participate in special projects.




Training/Work Schedule:

Training: 7-10 week training class- Monday - Friday from 8:30am - 5:00pm

Work hours: Start as early as 7:00am working an 8 hour shift

Location: This position may be located at one of the office locations below. THE PAY FOR THIS POSITION IS NON-NEGOTIABLE:

2400 Thea Drive, Harrisburg, PA 17110- $15.14 hourly (Harrisburg, PA)

2415 S Austin Ave, Suite 104, Denison, TX 75020- $14.96 hourly (Denison, TX)

8115-8125 Knue Road, Indianapolis, IN 46250- $14.91 hourly (Indianapolis, IN)

75 SGT William B Terry Way, Hingham, MA 02043-$16.58 hourly (Hingham, MA)

  • Requires a H.S. diploma or equivalent; or any combination of education and experience, which would provide an equivalent background.

  • Associate's degree preferred. 1-3 years’ experience in customer service or credentialing preferred.

  • Medicare Part B experience preferred.

  • Proficient computer skills in Microsoft Word, Excel and databases

  • Capable of meeting time-sensitive deadlines and multi-tasking

  • Strong Data entry skills

  • 1+ years of data entry experience

  • Ability to work independently and remain on task

  • Strong organization and planning skills

  • Strong interpersonal and oral communication skills including professional telephone etiquette

  • Intermediate level of research and analytical skills

  • Candidate will be required to pass a typing test

Preferred Qualifications:

  • Experience in Provider Enrollment, Provider Relations, or Credentialing preferred.

  • 855 application processing knowledge- highly preferred

  • Knowledge of CMS (Center for Medicare/Medicaid Services) regulations and guidelines - highly preferred

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS44977-2450