Job Description
Provider Enrollment, Licensing & Credentialing Specialist
Schedule:
• Monday to Friday
• 8:00 AM – 6:00 PM (EST)
Responsibilities:
• Manage end-to-end state licensing, credentialing, Medicaid and Medicare enrollment, insurance applications, and regulatory documentation for home care, home health, and hospice agencies.
• Supervise the execution and administration of all Provider Enrollment contracts.
• Support Sales team with commercial calls, contract review and issuance.
• Address and resolve client inquiries, complaints, investigations, and clarifications.
• Act as Application Traffic Coordinator.
• Prepare and oversee monthly reports including Financial Liability Report, Application Tracker, and Submission/Approval Reports.
• Handle state-specific issues with Ombudsman Offices and State Supervisors/Directors.
• Draft and update Medicaid Waiver application po...
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