Licensure & Enrollment Lead/Specialist – Facility Based
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Job Description
Licensure and enrollment specialist managing Medicare, Medicaid, and regulatory filings for Addus HomeCare. Maintaining healthcare agency enrollments, licenses, deadlines, and compliance across multiple states.
Responsibilities:
- Research, complete, and submit regulatory applications and filings required by Medicare, Medicaid, state and local licensing offices, and accrediting agencies
- Ensure application and revalidation deadlines are met and program enrollments remain active
- Communicate and correspond with CMS, Fiscal Intermediaries, Medicaid programs, licensing offices, and regulatory agencies
- Develop and maintain relationships with regulatory and licensing agencies
- Ensure licensure applications and documentation are complete
- Maintain an active database of agency contacts and filing deadlines
- Enter updates into agency portals in a timely manner
- Maintain current knowledge of rules, regulations, and applications for each state where the company’s hospice and home health agencies are located
- Assist with communicating agency status changes to CMS, Medicaid programs, and licensing agencies
- Assist with or complete special reports as needed
- Follow Medicare, Medicaid, and HIPAA regulations and requirements
- Abide by applicable regulations, policies, procedures, and standards
- Perform other duties as assigned
- Maintain positive internal and external customer service relationships
- Maintain open lines of communication
- Plan and organize work effectively and ensure completion
- Meet productivity requirements
- Demonstrate team behavior and promote a team-oriented environment
- Represent the organization professionally
Requirements:
- Bachelor’s degree in Business, Social Services, or a related field
- Previous credentialing and/or provider enrollment experience ideal
- Experience with Medicare and Medicaid enrollment, including PECOS experience
- Ancillary facility-based credentialing and contracting experience preferred
- Healthcare regulatory/licensing and enrollment experience considered relevant and preferred
- Project management/coordination experience considered relevant and preferred
- Excellent written and verbal communication skills
- Excellent analytical, oral, and written communication skills
- Prior experience in proposal development and technical writing
- Computer proficiency, including MS Office
- Scheduling software or database skills desired
- Attention to detail
- Ability to understand and comply with program/contract policies and procedures
- Service mentality
Benefits:
- Medical, Dental and Vision Benefits
- Continued Education
- PTO Plan
- Retirement Planning
- Life Insurance
- Employee discounts
- Company matched 401K
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