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Medicare Enrollment Coordinator

2 months ago

Myrtle Point, Oregon, United States SCA Health Full time
Job Description Overview

At SCA Health, we are a dynamic group of physician-driven, specialty care businesses that enable us to customize solutions to meet the unique needs of our partners. As part of Optum, we participate in an integrated care delivery system that allows us to support our partners as they navigate a complex healthcare environment.

We are seeking a highly skilled Compliance Analyst - Licensure to join our Regulatory Compliance team. This individual will be responsible for providing day-to-day support for the Medicare enrollment of all SCA Health facilities, working closely with Support Services departments and interacting directly with our facilities.

Key Responsibilities:
  • Provide support to facility leadership on all aspects of Medicare enrollment
  • Assist in the maintenance and submission of Revalidations, CHOIs, and CHOWs
  • Process and monitor applications for ASCs and hospitals
  • Review and evaluate complex applications/forms/requests of all Medicare enrollment documentation for accuracy
  • Work effectively with other departments/external sources
  • Collaborate as part of a team by assisting with other healthcare regulatory related duties as needed
Qualifications:
  • Understanding of Medicare enrollment systems and processes
  • Demonstrate knowledge of specific application information, documentation, and attestations
  • Understanding of and adherence to timelines for various applications
  • Ability to maintain strict confidentiality with experience applying good judgement and discretion
  • Excellent planning, analytical, organizational, and communication skills are essential
  • Flexible attitude and open to changes in the day-to-day work schedule
  • Absolute attention to detail
  • Demonstrated ability to manage multiple projects and tight deadlines
  • Excellent teamwork and interpersonal skills
  • Strong mission and values commitment; natural cultural fit
Education and Work Experience:
  • Four-year college degree required
  • 2+ years of experience related to health care operations, licensure and enrollment roles, and/or healthcare compliance preferred, but not required
Other Considerations:
  • Licensure experience
  • Project Management experience