Provider Enrollment Specialist

4 weeks ago

Port St Lucie, United States Hollister Incorporated Full time

ABC Home Medical Supply, Inc is one of the nation's leading urological supply providers and serves as a one-stop shop with a comprehensive line of medical supplies and service that includes: Urological, Incontinence, Wound Care, and Ostomy. ABC Medical is part of the JDS, Inc family of businesses. Our service companies possess the knowledge and expertise to deliver first-class products and personalized home healthcare services.

Location: Port Saint Lucie
Department:

Work Location: Port Saint Lucie, FL or Nashville, TN

Responsibilities:

The Provider Enrollment Specialist is responsible for assisting with all aspects of licensing, credentialing, and application enrollment for ABC Medical, a Durable Medical Equipment (DME) company. The Specialist will process applications on behalf of multiple facilities in order to ensure compliance with Medicare, Medicaid, federal, state and local licensing agencies as well as private health insurance companies.

  • Complete timely and accurately initial enrollment applications, manage all application updates, revalidation, and re-credentialing for Medicare, Medicaid and private health insurance companies.
  • Provide timely response to requests for information from federal, state, and local agencies, as well as private insurance companies regarding the Company's licensing and credentialing obligations.
  • Complete timely and accurate initial applications, manage all application updates, and renewal applications for city, county, state, local business, and/or DME/HME licensing agencies.
  • Maintain, manage and distribute company Liability certifications, W9s and Accreditation certifications as requested and required to comply with all agreements.
  • Maintain and manage company Surety Bonds, Secretary of State filings and various company specific documentation needed to complete applications.
  • Maintain meticulous filing of all applications and provider communications for the company.
  • Review, distribute and disposition all incoming list serve emails, provider communications.
  • Provide detailed communication on the status of applications, company status of enrollment and projects.
  • Other duties as assigned.
Minimum Qualifications:
  • Medicaid provider enrollment experience
  • Ability to interact professionally and ethically with team members, all levels of management, government agencies, and commercial payer personal
  • Ability to manage multiple tasks simultaneously in a fast-paced environment
  • Ability to provide clear, concise oral and written communications
  • Ability to quickly assess licensing and enrollment situations and respond appropriately
  • Ability to handle special requests in a sensitive, professional manner
  • Strong attention to detail and follow through skills
  • Meticulous organization and filing skills
Preferred Qualifications:
  • Durable Medical Equipment (DME) provider enrollment experience
  • Medicare enrollment experience (PECOS)
  • 5+ years of facility enrollment experience or relevant credentialing experience
  • Advanced Microsoft Office experience
  • Experience maintaining Liability Insurance and or Surety Bonds
  • Ability to troubleshoot complex payor events.
Here's what we have to offer:
  • Variety of Medical, Dental and Vision Insurance Plans
  • 401k Plan with Company Match
  • PTO and Paid Holidays
  • EAP
  • Employee Discounts


Job Req ID: 33364

EOE Statement:

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Accommodations Statement:

ABC Medical endeavors to make www.abc-med.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the ABC Medical HR Department at HR@abc-med.com. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

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