Job Description
Provider Enrollment, Licensing & Credentialing Specialist
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 policies and procedures.
Conduct state and program regulatory research to support internal teams and sales.
Review and prepare Corrective Action Plans and required sta...
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 policies and procedures.
Conduct state and program regulatory research to support internal teams and sales.
Review and prepare Corrective Action Plans and required sta...
Ready to Apply?
Take the next step in your AI career. Submit your application to Solvo Global today.
Submit Application