Job Description
Work Location:
Remote
Candidates must reside in one of the following states: Florida, Georgia, Virginia, Pennsylvania, Ohio, Tennessee, Alabama, Illinois, Minnesota, Arkansas, Texas, Colorado, California, Washington
You Will (Responsibilities):
The Provider Enrollment Specialist is responsible for assisting with all aspects of licensing, credentialing, and application enrollment for ABC Medical, a Durable Medical Equipment (DME) company. The Specialist will process applications on behalf of multiple facilities in order to ensure compliance with Medicare, Medicaid, federal, state and local licensing agencies as well as private health insurance companies.
Complete timely and accurately initial enrollment applications, manage all application updates, revalidation, and re-credentialing for Medicare, Medicaid and private health insurance companies.
Provide timely response to requests for information from federal, state, and local agencies, as well as private insurance companies regarding the Company's licensing and credentialing obligations.
Complete timely and accurate initial applications, manage all application updates, and renewal applications for city, county, state, local business, and/or DME/HME licensing agencies.
Maintain, manage and distribute company Liability certifications, W9s and Accreditation certifications as requested and required to comply with all agreements.
Maintain and manage company Surety Bonds, Secretary of State filings and various company specific documentation needed to complete applications.
Maintain meticulous filing of all applications and provider communications for the company.
Review, distribute and disposition all incoming list serve emails, provider communications.
Provide detailed communication on the status of applications, company status of enrollment and projects.
Other duties as assigned.
Minimum Qualifications:
Medicaid provider enrollment experience
Ability to interact professionally and ethically with team members, all levels of management, government agencies, and commercial payer personal
Ability to manage multiple tasks simultaneously in a fast-paced environment
Ability to provide clear, concise oral and written communications
Ability to quickly assess licensing and enrollment situations and respond appropriately
Ability to handle special requests in a sensitive, professional manner
Strong attention to detail and follow through skills
Meticulous organization and filing skills
Preferred Qualifications:
Durable Medical Equipment (DME) provider enrollment experience
Medicare enrollment experience (PECOS)
5+ years of facility enrollment experience or relevant credentialing experience
Advanced Microsoft Office experience
Experience maintaining Liability Insurance and or Surety Bonds
Ability to troubleshoot complex payor events.
Here's what we have to offer:
Variety of Medical, Dental and Vision Insurance Plans
401k Plan with Company Match
PTO and Paid Holidays
EAP
Employee Discounts
Pay Transparency Statement:
The anticipated base salary range for this position is $36,256 - $67,332. The actual salary varies based on applicant's location, education, experience, skills, abilities, and other legitimate business factors. The Company also provides a unique Benefit of Employee Share Ownership Program (BESOP) program.
The Company's health and welfare benefits include: medical, prescription, dental, vision, spending/savings accounts, disability, statutory leaves/disability programs, accident, life, wellbeing, and voluntary benefit programs.
The Company's 401(k) Retirement Savings Plan includes: vesting and eligible participants "safe harbor" matching contributions.
The Company's paid time off benefits include: 8 paid holidays and paid vacation based on length of service and exempt/non-exempt status.
To make life more rewarding and dignified for the people who use our products and services.
Hollister is an EO employer - M/F/Veteran/Disability
