Licensure & Enrollment Lead/Specialist – Facility Based

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Addus HomeCare

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1979

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance • Home Health

Addus HomeCare is a provider of quality in-home supportive services that enable individuals to maintain their health and independence while remaining in their homes. With over 40 years of experience, Addus offers a range of services including in-home care, home health, and hospice care to patients across various states. Their dedicated caregivers focus on providing compassionate support tailored to the unique needs of each individual, ensuring comfort and confidence for patients and their families.

📋 Description

• Research, complete, and submit regulatory applications and filings required by Medicare and Medicaid programs, state and local licensing offices, and accrediting agencies • Ensure application and revalidation deadlines are met and program enrollments remain active • Communicate and correspond with CMS, Fiscal Intermediaries, Medicaid programs, licensing offices, and other regulatory agencies • Develop and maintain relationships with regulatory and licensing agencies • Ensure licensure applications and documentation are complete • Maintain an active database of agency contact information and filing deadlines • Enter updates into agency portals in a timely manner • Maintain current knowledge of rules, regulations, and applications for each state where company hospice and home health agencies are located • Assist with communicating agency status changes to CMS, Medicaid programs, and licensing agencies • Assist with or complete special reports as needed • Follow Medicare, Medicaid, and HIPAA regulations and requirements • Maintain positive internal and external customer service relationships • Plan and organize work effectively, meet productivity requirements, and promote a team-oriented environment • Represent the organization professionally at all times

🎯 Requirements

• Bachelor's degree in Business, Social Services, or a related field • Previous credentialing and/or provider enrollment experience preferred • Experience with Medicare and Medicaid enrollment, including PECOS, preferred • Ancillary facility-based credentialing and contracting experience preferred • Experience in healthcare regulatory/licensing and enrollment preferred • Experience in project management/coordination preferred • Excellent written and verbal communication skills • Prior experience in proposal development and technical writing • Computer proficiency, including MS Office • Scheduling software or database skills desired • Attention to detail • Ability to understand and comply with program and contract policies and procedures • Service mentality

🏖️ Benefits

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