Jordan Foster
Jacksonville,FL
Summary
Detail-oriented Provider Enrollment and Credentialing Analyst with over 10 years of experience in healthcare administration, Medicare enrollment processing, provider data maintenance, and regulatory compliance. Skilled in reviewing credentialing documentation, verifying provider information, maintaining accurate demographic records, and processing high-volume enrollment applications in fast-paced environments. Strong background in Medicare Part A and Part B systems, provider communication, data analysis, and records management. Proven ability to meet productivity and quality standards while collaborating effectively across teams.
Overview
13
13
years of professional experience
Work History
Provider Enrollment Analyst
Palmetto GBA
Columbia, SC
08.2022 - Current
- Reviewed provider enrollment and credentialing documentation for accuracy, completeness, and compliance with CMS regulations.
- Processed high-volume Medicare provider enrollment applications and supporting documentation.
- Verified provider credentials, licensure, and demographic information to maintain accurate records and compliance standards.
- Conducted research and validation of provider information to resolve discrepancies and complete enrollment applications efficiently.
- Maintained and updated provider demographic and contract information within administrative systems.
- Communicated with providers and internal departments regarding missing, incomplete, or inaccurate documentation.
- Assisted in meeting departmental productivity and quality assurance metrics in a fast-paced healthcare environment.
- Performed administrative support duties including document review, records management, and correspondence processing.
Provider Enrollment Analyst
First Coast Service Options
Jacksonville, FL
11.2013 - 08.2022
- Processed Medicare Part A and Part B enrollment applications including CMS-855I, 855B, 855R, 855A, 855O, CMS-588, and CMS-460 forms.
- Reviewed provider enrollment applications and supporting documentation to ensure compliance with Medicare guidelines and credentialing requirements.
- Verified provider credentials and licensure information through internal systems and external sources.
- Collaborated with credentialing and compliance teams to support timely application processing and issue resolution.
- Updated and maintained provider demographic and contract information to ensure accurate reporting and claims processing.
- Communicated with providers regarding incomplete applications, missing documentation, and enrollment status updates.
- Conducted detailed document analysis and data entry while maintaining accuracy and attention to detail.
- Supported organizational goals by consistently meeting quality and productivity expectations.
Education
Bachelor's Degree - Human Services
Florida State College at Jacksonville
Jacksonville, FL05.2025
Associate of Arts - Sociology
Contra Costa College
San Pablo, CA05.2023
Associate of Arts - Liberal Arts: Social & Behavioral Sciences
Contra Costa College
San Pablo, CA05.2023
Skills
- Provider Credentialing & Enrollment
- Medicare Part A & Part B Knowledge
- CMS-855 Application Processing
- Provider Data Maintenance
- Credential Verification
- Contract & Demographic Updates
- Data Entry & Documentation Review
- Microsoft Office Suite
- Administrative Systems & Databases
- Written & Verbal Communication
- Customer Service
- Time Management
- Organizational Skills
- Attention to Detail
- Problem Solving
Timeline
Provider Enrollment Analyst
Palmetto GBA
08.2022 - Current
Provider Enrollment Analyst
First Coast Service Options
11.2013 - 08.2022
Associate of Arts - Sociology
Contra Costa College
Associate of Arts - Liberal Arts: Social & Behavioral Sciences
Contra Costa College
Bachelor's Degree - Human Services
Florida State College at Jacksonville