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The Licensure & Enrollment Supervisor will maintain responsibility for the regulatory filings required for participation/enrollment in the Medicare and Medicaid programs, state and local licensing agencies, accrediting bodies, and other regulatory and licensing agencies.
Job Responsibility:
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
Requirements:
Bachelor’s degree in Business, Social Services or a related field
Experience in 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