SCA Provider Enrollment Representative I

Anticipated End Date:

2025-07-18

Position Title:

SCA Provider Enrollment Representative I

Job Description:

SCA Provider Enrollment Representative I

Location: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs.
 

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

How you will make an impact:

• Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database.

• Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.

Minimum Requirements

• Requires a High School diploma or equivalent; or any combination of education and experience, which would provide an equivalent background. Minimum of 1 year experience in claims processing, provider relations/customer service, or credentialing preferred.

• This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years.

Preferred Experience, Skills, and Capabilities

• 1-3 years of experience in provider relations/customer service, or credentialing preferred.

• Experience with healthcare insurance provider enrollment is highly preferred.

• Strong data entry skills preferred.

• Strong attention to detail preferred.

• Prior experience with MS Office products preferred.

Job Level:

Non-Management Non-Exempt

Workshift:

Job Family:

SCA > SCA Wage Determination

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all