Medical Records Processor
Broadway Ventures
- Columbia, SC
- Permanent
- Full-time
- Work hours: 8:00AM–5:00PM
- Location: 17 Technology Circle, Columbia, SC, 29203
- You may be required to travel between buildings.
- 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
- 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.
- None required
- Bachelor's degree
- Equivalency: Four (4) years of related work experience, or an Associate's degree plus two (2) years of related work experience
- Proficiency with word processing, spreadsheets, and databases
- 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
- Knowledge of provider certification, claims processing, pricing, and discount programs
- Familiarity with Medicare regulations and provider enrollment
- Strong presentation skills
- Completion of an eQIP background investigation
- Successful credit check
- 401(k) + company matching
- Medical, Dental, and Vision Insurance
- Disability and Life Insurance
- Paid Time Off
- Paid Holidays