Provider Licensing Coordinator

7 days ago

Port Saint Lucie, Florida, United States ABC Medical, Inc. Full time

Job Summary:

The Provider Enrollment Specialist is a key member of the ABC Medical, Inc. team, responsible for ensuring compliance with licensing, credentialing, and application enrollment requirements for the company's Durable Medical Equipment (DME) business. This role involves processing applications, managing updates, and maintaining accurate records to ensure seamless interactions with Medicare, Medicaid, and private health insurance companies.

Key Responsibilities:

  • Process initial enrollment applications, manage updates, revalidation, and re-credentialing for Medicare, Medicaid, and private health insurance companies.
  • Provide timely responses 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 initial applications, manage 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 and provider communications.
  • Provide detailed communication on the status of applications, company status of enrollment, and projects.
  • Other duties as assigned.

Requirements:

  • High school diploma required.
  • Medicaid provider enrollment experience.
  • Ability to interact professionally and ethically with team members, all levels of management, government agencies, and commercial payer personnel.
  • 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:

  • Associates or Bachelor's Degree preferred.
  • 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.

What We Offer:

  • Variety of Medical, Dental, and Vision Insurance Plans.
  • 401k Plan with Company Match.
  • PTO and Paid Holidays.
  • EAP.
  • Employee Discounts.

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