PROVIDER ENROLLMENT COORDINATOR

Provider Enrollment Coordinator

This is a professional position responsible for all activities associated with the recruitment, enrollment and maintenance of iBudget waiver applicants; issuance and renewal of Medicaid Waiver Service Agreements (MWSA), processing provider expansion requests, and processing changes of ownership in APD iConnect.

The Work You Will Do:

• Review incoming Medicaid Waiver provider application packets and notify applicants of application deficiencies within 30 days.
• Close applications and send notice of closure if the complete application is not received within 45 days of notice of deficiency.
• Maintain record of all correspondence with the applicant in the provider record.
• Issue APD Initial iBudget Waiver Sign-off notice to applicants for submission to the AHCA provider enrollment portal once a complete application is received and applicant's background screening clearance, education and experience has been verified.
• Track provider progress through the AHCA application process, close out applicants who do not complete the process and notify State Office Provider Terminations team.
• Draft, route and issue the initial Medicaid Waiver Service Agreements for those who meet AHCA enrollment requirements.
• Enter and track MWSA dates in iConnect to ensure renewals are processed within designated time frames and executed agreements are in place prior to the expiration date of the current agreement.
• Prior to executing renewal agreements, ensure all Waiver enrollment requirements are met, including but not limited to ensuring the provider has current approved Level 2 background screening and has provided APD with a copy of the current Professional Business Liability Insurance policy, naming APD as the certificate holder.
• Enter new providers into APD iConnect including adding the MWSA and Business Liability Insurance expiration dates and maintain provider record in iConnect.
• Add all APD residential licensed providers in ABC for room and board payment processing in addition to other service providers only if general revenue payments will be issued to the provider.
• Process requests for access to the AHCA Clearinghouse for provider applicants.
• Once enrolled, monitor re-screening compliance and process alerts to ensure providers adhere to time frames established in the Florida laws.
• Maintain communication with the State Office Background Screening unit related to the processing of exemption packets and other screening matters.
• Provide guidance on Background Screening requirements to provider applicants and existing providers as needed.
• Provide technical assistance to providers regarding service provision requirements.
• Refer provider to the TRAIN Florida unit for user account setup.
• Respond to provider inquiries in a timely way regarding Medicaid Waiver enrollment qualifications and processes.
• Conduct technical assistance with provider applicants related to the completion of the enrollment packet, and on required documentation evidencing qualifications, training, and experience.
• Process requests for expansion with existing providers.
• Submit expansion denial action requests to State Office for their consideration.
• Communicate the expansion approval/denial to the requesting provider.
• Assist in the development and submission of Provider Agency Action Forms for providers who are being considered for termination.
• Conduct provider recruitment activities, as needed, and target the recruitment of specific types of providers needed in the Region.
• Participate in meetings, conference calls, training, workshops/workgroups, and other miscellaneous activities as needed.
• Performs other duties as assigned.
• Conducts activities related to disaster planning.

Minimum Qualifications:

• High School Diploma or equivalent.
• Valid Driver's license or other efficient means of transportation to travel for work purposes.
• Must be Proficient in Microsoft Office including Outlook, Teams, Excel, and Word.
• Must be able to multi-task.

Location: Orlando, FL, US, 32801 Wildwood, FL, US, 34785