Provider Enrollment (Credentialing) Supervisor
Company: Disability Solutions
Location: Port Saint Lucie
Posted on: October 17, 2024
Job Description:
ABC Home Medical Supply, Inc is one of the nation's leading
urological supply providers and serves as a one-stop shop with a
comprehensive line of medical supplies and service that includes:
Urological, Incontinence, Wound Care, and Ostomy. ABC Medical is
part of the JDS, Inc family of businesses. Our service companies
possess the knowledge and expertise to deliver first-class products
and personalized home healthcare services.Location: Port Saint
Lucie Department: Summary: The Provider Enrollment (Credentialing)
Supervisor leads and supervises all aspects of licensing,
credentialing, and application enrollment for ABC Medical, a
Durable Medical Equipment (DME) company. The Supervisor ensures all
applications, processed on behalf of multiple facilities, comply
with Medicare, Medicaid, federal, state, and local licensing
agencies as well as private health insurance companies. The
Credentialing Supervisor leads a team of 3-4 direct reports.
Responsibilities:
- Hire, lead, and develop a team of credentialing specialists to
meet ABC objectives:
- Ensure training, task organization, follow-up, and quality
control for key activities.
- Provide feedback, coaching, and direction to credentialing
team.
- Provide regular status updates of team initiatives.
- Seek and provide proactive communication with the
Compliance/Legal and other stakeholders
- Speak up and communicate Credentialing expertise to ensure
decisions are properly vetted.
- Deliver clear, concise oral and written communications to a
wide range of stakeholders.
- Ensure timely and accurate payer applications, including but
not limited to:
- Filing initial enrollment applications
- Updating applications, filing revalidations, and
re-credentialing for Medicare, Medicaid, and commercial health
insurance companies.
- Ensure timely response to requests for information from
federal, state, local agencies, and commercial insurance companies
to meet the Company's licensing and credentialing obligations.
- Ensure timely and accurate initial license applications,
application updates, and renewal applications for city, county,
state, local business, and DME/HME/Warehouse 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.
- Ensure proper review, distribution, and disposition of all
incoming list serve emails, provider communications.
- Provide clear, detailed communication on the status of
applications, enrollments, and special project initiatives.
- Other duties as assigned. Minumum Qualifications:
- High School Diploma or GED
- 2-5 years of relevant work experience
- Demonstrated ability to provide direction and lead
projects
- Experience and deep knowledge of Provider Enrollment /
Credentialing - preferably in a DME setting with multiple locations
and Payers
- Durable Medical Equipment (DME) provider enrollment
experience
- Medicare enrollment experience (PECOS)
- 5+ years of facility enrollment experience or relevant
credentialing experience
- Advanced Microsoft Office skills
- Experience maintaining Liability Insurance and or Surety
Bonds
- Ability to troubleshoot complex payor events Preferred
Qualifications:
- Associates or Bachelor's Degree Job Req ID: 33584 EOE
Statement:All qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, sexual
orientation, gender identity, national origin, disability or
protected veteran status.Accommodations Statement:ABC Medical
endeavors to make www.abc-med.com accessible to any and all users.
If you would like to contact us regarding the accessibility of our
website or need assistance completing the application process,
please contact the ABC Medical HR Department at HR@abc-med.com .
This contact information is for accommodation requests only and
cannot be used to inquire about the status of applications.
Keywords: Disability Solutions, Oakland Park , Provider Enrollment (Credentialing) Supervisor, Other , Port Saint Lucie, Florida
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