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 tea...