Provider Enrollment Analyst (84849)

Provider Enrollment Analyst

Regency's Provider Enrollment Department is seeking a detail-oriented and highly organized Provider Enrollment Analyst to join our corporate team in Victoria, TX. This role plays a critical part in supporting Texas-based skilled nursing facilities (SNFs) through the provider enrollment process, which allows facilities to become Medicare-certified and eligible to receive reimbursement for services rendered to Medicare beneficiaries. This process involves meeting specific federal and state requirements, completing detailed applications, and undergoing strict verification procedures. The Provider Enrollment Analyst ensures that all documentation is accurate, complete, and submitted on time, helping our facilities remain compliant and operationally efficient.

Essential Functions

• Prepare, format, and submit provider enrollment applications to government agencies and third-party payers.
• Track and monitor the status of enrollment submissions for multiple facilities, ensuring deadlines and compliance requirements are met.
• Maintain accurate and organized documentation, files, and status records for each facility.
• Retrieve and compile required documents for audits, renewals, and internal reporting.
• Provide administrative and operational support to the Provider Enrollment department.
• Coordinate with facility staff and external agencies to gather information and resolve issues.
• Stay informed on changes to provider enrollment regulations and payer guidelines.
• Other duties as assigned by the supervisor or CFO.

Qualifications

• High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
• Experience in healthcare AR, claim billing, or facility or provider enrollment is strongly preferred.
• Exceptional organizational skills, attention to detail, and customer service skills.
• Ability to manage multiple priorities and meet firm deadlines.
• Proficiency in Microsoft Office Suite (especially Excel and Outlook).
• Knowledge and understanding of Adobe PDF or Foxit Phantom PDF.
• Strong communication and interpersonal skills.