GSProvider Enrollment Rep - First Coast
GuideWell Source is a leading administrative services company, and a subsidiary of GuideWell Mutual Holding Corporation, that provides full-service, end-to-end business services for health plans and government-sponsored health care programs like Medicare.
* Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire
* Short- and long-term disability benefits
* 401(k) plan with company match and immediate vesting
* Free telehealth benefits
* Free gym memberships
* Employee Incentive Plan
* Employee Assistance Program
* Rewards and Recognition Programs
* Paid Time Off and Paid Sick Leave SUMMARY STATEMENT
This position is responsible for the integrity of the Medicare Part A and or B Provider files. This position will review applications and ensure compliance with CMS regulations and internal procedures and protocols. ESSENTIAL DUTIES & RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. Process submitted provider applications (90%) * Obtain additional information via telephone or in writing.
* Research and validate information as needed to complete enrollment application.
* Determine if both state and federal regulatory requirements are met.
* Review supporting documentation for adequacy; make final determination/recommendation on application.
* Create enrollment records in applicable system(s).
* Make any updates in system as necessary.
* Establish Electronic Funds Transfer (EFT) of provider Medicare payments.
* Research and respond to application specific or general provider enrollment written inquiries. Perform other supportive activities, attend Provider Enrollment and company sponsored meetings, and attend training sessions. (10%) Performs other duties as the supervisor may, from time to time, deem necessary. REQUIRED QUALIFICATIONS
* High school diploma or GED
* 1 year work experience in a customer service role and/or one year work experience in a position where the applicant has used a computer and Microsoft Office.
* Proficiency with PC's and in Windows based environments; including Microsoft Office (Word, Excel, Outlook)
* Effective written and verbal communication skills
* Demonstrated skills in reading comprehension
* Demonstrated problem solving and research skills
* Demonstrated attention to detail
* Strong organizational/time management and interpersonal skills PREFERRED QUALIFICATIONS
* Provider enrollment experience
* Experience working in a production environment while achieving quality requirementsQualificationsThe Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive. "We are an Equal Opportunity/Protected Veteran/Disabled Employer." This opportunity is open to remote work in the following approved states: AL, FL, GA, ID, IN, IO, KS, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require additional approval. In FL and PA in-office and hybrid work may also be available.
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Job type
Full Time
Experience level
Entry-level
Location requirements
Hiring timezones
United States +/- 0 hoursAbout GuideWell Source
Learn more about GuideWell Source and their company culture.
The story of GuideWell Source is one of evolution and strategic alignment within the American healthcare landscape. Its journey began under the name Diversified Service Options, Inc., a company established in 1998 with a focus on providing crucial administrative services for government-sponsored healthcare programs. For years, it operated as a key player behind the scenes, ensuring the smooth functioning of Medicare and Medicaid by managing claims, serving beneficiaries, and supporting healthcare providers. This foundational period was marked by a commitment to operational excellence and fiscal responsibility, building deep expertise in the complexities of federal health programs and forging a strong relationship with the Centers for Medicare and Medicaid Services (CMS).
A pivotal moment in the company's narrative occurred in 2015 when Diversified Service Options underwent a significant rebranding to become GuideWell Source. This was more than just a name change; it was a strategic move to more closely align with its parent organization, GuideWell Mutual Holding Corporation, a major not-for-profit health solutions enterprise. The new identity as GuideWell Source was designed to convey its role as an expert resource and a forward-thinking partner in the broader health ecosystem. This transformation solidified its position within the GuideWell family of companies, which includes Florida Blue, the state's leading health insurer. Today, GuideWell Source continues its mission as a trusted administrator, leveraging its decades of experience and its place within an integrated health solutions powerhouse to innovate and enhance the delivery of government healthcare services to millions of Americans. Through its subsidiaries, like First Coast Service Options and Novitas Solutions, it proudly serves over 11 million beneficiaries and hundreds of thousands of healthcare providers across the United States.
Tech stack
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Employee benefits
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Paid Time Off
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Life Insurance
We also offer life insurance.
Retirement Plans
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Health and Wellness Incentives
We also offer health and wellness incentives.
GSGuideWell Source
Company size
1001-5000 employees
Founded in
1998
Chief executive officer
Harvey Dikter
Markets
Employees live in
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