Healthcare Regulatory Specialist
2 days ago
C-HIT is seeking a skilled professional to join our team as a Provider Enrollment Analyst.
This role involves receiving, processing, and rendering written decisions in support of the Centers for Medicare & Medicaid Services (CMS) Appeals and Rebuttals provider enrollment administrative actions program.
Key Responsibilities- Act as an internal consultant, providing guidance and support to Appeals specialists, Project Managers, and QA Managers in the development of written decisions on appeals or rebuttals.
- Provide high-quality customer service to providers, suppliers, and representatives, ensuring timely and accurate processing and issuance of decisions for rebuttals, CAPs, and reconsideration requests.
- Understand and apply federal policies, regulations, and systems to respond to providers challenging provider enrollment administrative actions rendered by CMS.
- Follow detailed instructions when receiving, processing, and rendering written decisions.
- Participate in business decision-making, offering qualitative feedback, recommendations, and discussing what-if scenarios.
- Analyze and influence time-sensitive case responses.
- Coach, support, and cross-train with peers, inputting case details in requisite systems.
- Occasional travel may be required for in-person meetings, trainings, and presentations.
- Possess either a 4-year degree from an accredited institution with at least one year of experience in healthcare regulatory interpretation/application and/or healthcare compliance, or a Bachelor's degree with at least 2-5 years of experience in healthcare regulatory interpretation/application and/or healthcare compliance.
C-HIT is an Equal Opportunity Employer, including disability and veterans.
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Healthcare Regulatory Specialist
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Columbia, Maryland, United States C-HIT Full timeJob OverviewC-HIT is seeking a skilled professional to join our team as a Provider Enrollment Analyst.Key Responsibilities:Act as an internal consultant, providing guidance and support to assist Appeals specialists, Project Managers, and QA Managers in the development of written decisions on appeals or rebuttals.Deliver high-quality customer service to...
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