Licensure & Enrollment Lead/Specialist (Facility Based)

• →Medical, Dental and Vision Benefits
• →Continued Education
• →PTO Plan
• →Retirement Planning
• →Life Insurance
• →Employee discounts
• →Company matched 401K

• →Maintains positive internal and external customer service relationships
• →Maintains open lines of communication
• →Plans and organizes work effectively and ensures its completion
• →Meets all productivity requirements
• →Demonstrates team behavior and promotes a team-oriented environment
• →Represents the organization professionally at all times

• Researches, completes and submits all regulatory applications and filings required by the Medicare and Medicaid programs, state and local licensing offices, and accrediting agencies
• Responsible for ensuring all deadlines for applications and revalidations are met and enrollments in all programs remain active at all times
• Communicates and corresponds with CMS, the various Fiscal Intermediaries, Medicaid programs, state and local licensing offices, and other regulatory and licensing agencies
• Develops and maintains relationships with CMS, the various Fiscal Intermediaries, Medicaid programs, state and local licensing offices, and other regulatory and licensing agencies
• Ensures that licensure applications and documentation are complete
• Maintains active database of agency contact information and filing deadlines
• Enters all updates into the agency portals in a timely manner
• Maintains current knowledge of rules, regulations and applications for each state where Company’s hospice and home health agencies are located
• Assists in ensuring agency status changes (relocations, openings and closings) are properly communicated to CMS, Medicaid programs, and state and local licensure agencies
• Assist with and/or complete special reports as needed
• Follows all Medicare, Medicaid, and HIPAA regulations and requirements
• Abides by all applicable regulations, policies, procedures, and standards
• Performs other duties as assigned

• Bachelor’s degree in Business, Social Services or a related field
• Experience in the following areas is considered relevant and preferred – healthcare regulatory/licensing and enrollment and project management/coordination
• Excellent communication skills (written and verbal)
• Excellent analytical, oral and written communication including prior experience in proposal development and technical writing
• Computer Proficiency - MS Office other computer skills, including scheduling software or database is desired
• Attention to detail; ability to understand and comply with program/contract policies and procedures
• Service mentality

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