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Medical Enrollment Coordinator
2 months ago
ABC Home Medical Supply, Inc is a leading urological supply provider, offering a comprehensive line of medical supplies and services. As a Provider Enrollment Specialist, you will play a critical role in ensuring compliance with Medicare, Medicaid, and private health insurance companies.
Responsibilities:- Process initial enrollment applications, manage updates, revalidation, and re-credentialing for Medicare, Medicaid, and private health insurance companies.
- Respond to requests for information from federal, state, and local agencies, as well as private insurance companies.
- Complete initial applications, manage updates, and renewal applications for city, county, state, local business, and/or DME/HME licensing agencies.
- Maintain and distribute company Liability certifications, W9s, and Accreditation certifications as required.
- Maintain and manage company Surety Bonds, Secretary of State filings, and various company-specific documentation.
- Maintain meticulous filing of all applications and provider communications.
- Review, distribute, and disposition incoming list serve emails and provider communications.
- Provide detailed communication on the status of applications and company enrollment projects.
- High school diploma required.
- Medicaid provider enrollment experience.
- Ability to interact professionally and ethically with team members, management, government agencies, and commercial payers.
- 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.
- 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 payer events.
- Variety of Medical, Dental, and Vision Insurance Plans.
- 401k Plan with Company Match.
- PTO and Paid Holidays.
- EAP.
- Employee Discounts.
ABC Medical is an equal opportunity employer and welcomes applications from diverse candidates. If you require accommodations during the application process, please contact the ABC Medical HR Department.
