Licensure & Enrollment Lead/Specialist (Facility Based)

Position Summary : The Licensure & Enrollment Supervisor will maintain responsibility for the regulatory filings required for participation/enrollment in the Medicare and Medicaid programs, state and local licensing agencies, accrediting bodies, and other regulatory and licensing agencies. Ideal candidates for this role will have previous credentialing and or provider enrollment experience, experience with Medicare & Medicaid Enrollment including PECOS experience. Ancillary facility based credentialing and contracting experience preferred.


Location: Remote

Schedule: Monday through Friday 40 hours a week

>> We offer our team the best <<

• Medical, Dental and Vision Benefits
• Continued Education
• PTO Plan
• Retirement Planning
• Life Insurance
• Employee discounts
• Company matched 401K

Essential Duties:

• Researches, completes and submits all regulatory applications and filings required by the Medicare and Medicaid programs, state and local licensing offices, and accrediting agencies
• Responsible for ensuring all deadlines for applications and revalidations are met and enrollments in all programs remain active at all times
• Communicates and corresponds with CMS, the various Fiscal Intermediaries, Medicaid programs, state and local licensing offices, and other regulatory and licensing agencies
• Develops and maintains relationships with CMS, the various Fiscal Intermediaries, Medicaid programs, state and local licensing offices, and other regulatory and licensing agencies
• Ensures that licensure applications and documentation are complete
• Maintains active database of agency contact information and filing deadlines
• Enters all updates into the agency portals in a timely manner
• Maintains current knowledge of rules, regulations and applications for each state where Company's hospice and home health agencies are located
• Assists in ensuring agency status changes (relocations, openings and closings) are properly communicated to CMS, Medicaid programs, and state and local licensure agencies
• Assist with and/or complete special reports as needed
• Follows all Medicare, Medicaid, and HIPAA regulations and requirements
• Abides by all applicable regulations, policies, procedures, and standards
• Performs other duties as assigned

Performance Responsibilities:

• Maintains positive internal and external customer service relationships
• Maintains open lines of communication
• Plans and organizes work effectively and ensures its completion
• Meets all productivity requirements
• Demonstrates team behavior and promotes a team-oriented environment
• Represents the organization professionally at all times

Position Requirements & Competencies:

• Bachelor's degree in Business, Social Services or a related field
• Experience in the following areas is considered relevant and preferred - healthcare regulatory/licensing and enrollment and project management/coordination
• Excellent communication skills (written and verbal)
• Excellent analytical, oral and written communication including prior experience in proposal development and technical writing
• Computer Proficiency - MS Office other computer skills, including scheduling software or database is desired
• Attention to detail; ability to understand and comply with program/contract policies and procedures
• Service mentality

To apply via text, text 10085 to View phone number on click.appcast.io

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Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index.