Healthcare Licensing & Provider Enrollment Specialist - DME Credentialling

Med Supply US; Manila; Vor Ort; PHP 2.442.000 - 4.274.000; Vollzeit

Zusammenfassung

Med Supply US is a Medicare-enrolled, ACHC-accredited mail-order supplier of DMEPOS. We seek a Licensing and Credentialing Specialist to own all licenses, enrollments, and registrations across jurisdictions we operate in.

You will manage renewals, payer enrollments, and regulatory communications to ensure timely, accurate compliance. Strong organizational skills and attention to detail are essential in this deadline-driven role.

Qualifikationen

• Minimum 2+ years in healthcare licensing, credentialing, payer enrollment, or regulatory compliance.
• Strong knowledge of Medicare enrollment processes (PECOS, CMS-855S).
• Experience managing multi-state license portfolios and renewal calendars.
• Excellent organizational skills with strong follow-through and deadline discipline.
• Clear written communication with state agencies and payers.
• Proficient with spreadsheets and document management systems; familiarity with credentialing software is a plus.

Aufgaben

• Maintain a master licensing/renewal calendar for 30+ states and licenses.
• Prepare, submit, and track state license renewals with complete documentation.
• Manage Medicare enrollment (PECOS/CMS-855S) and state Medicaid enrollments, including revalidations.
• Process changes (address, ownership, officers) across licenses and records.
• Correspond with licensing boards, Medicaid agencies, CMS/MACs, and NESCO to resolve deficiencies.
• Support ACHC accreditation processes, including documentation requests and surveys.
• Keep organized, audit-ready records of licenses, applications, and confirmations.
• Monitor regulatory changes and flag new licensure requirements.
• Track renewal fees and annual reporting filings tied to licensure.

Kenntnisse

Healthcare licensing

Credentialing

Payer enrollment

Regulatory compliance

Tools

CRM software

Credentialing software

Jobbeschreibung

Licensing and Credentialing Specialist

Med Supply US is a Medicare-enrolled, ACHC-accredited mail-order supplier of durable medical equipment (DMEPOS), specializing in continuous glucose monitors and diabetes supplies shipped directly to patients nationwide. We operate in 30+ states and are actively expanding our product lines and licensure footprint.

About the Role

You will own the full lifecycle of our licenses, enrollments, and registrations across every jurisdiction we operate in. This is a detail-heavy, deadline-driven role. Your job is to make sure nothing lapses, nothing is late, and every regulator, payer, and accreditor has current and accurate information about our company at all times.

What You'll Do

• Maintain a master licensing and renewal calendar covering all state DME/HME licenses, pharmacy board permits, medical gas and device permits, business registrations, and sales tax registrations.
• Prepare, submit, and track renewal applications for state licenses across 30+ states, ensuring on-time filing with complete supporting documentation.
• Manage Medicare enrollment (PECOS/CMS-855S) and state Medicaid enrollments, including revalidations, updates, and new-state applications.
• Process company change events (address changes, ownership updates, officer changes) across all licenses, enrollments, NPI/NPPES records, and accreditation bodies, and confirm each agency has processed the update.
• Correspond directly with state licensing boards, Medicaid agencies, CMS/MACs, and the National Supplier Clearinghouse to resolve deficiencies, respond to requests, and confirm application status.
• Support ACHC accreditation compliance, including notifications, documentation requests, and survey preparation.
• Maintain organized, audit-ready records of all licenses, applications, correspondence, and confirmations.
• Monitor regulatory changes in states where we operate and flag new licensure requirements before they affect operations.
• Track and pay renewal fees, registered agent requirements, and annual report filings tied to licensure.
• Report license status, upcoming deadlines, and open issues to leadership on a regular cadence.

What We're Looking For

• 2+ years of experience in healthcare licensing, credentialing, payer enrollment, or regulatory compliance (DME/HME, pharmacy, home health, or similar strongly preferred).
• Working knowledge of Medicare supplier enrollment (PECOS, CMS-855S, supplier standards) and state Medicaid enrollment processes.
• Experience managing multi-state license portfolios and renewal calendars.
• Exceptional organization and follow-through; you close loops and confirm completion rather than assuming it.
• Strong written communication for professional correspondence with state agencies.
• Comfortable with spreadsheets, shared trackers, and document management systems; experience with CRM or credentialing software a plus.
• Able to read regulatory language and extract concrete requirements and deadlines.

Nice to Have

• Familiarity with ACHC or other DMEPOS accreditation standards.
• Experience with state sales tax registration and compliance.
• Prior work at a mail-order or multi-state DMEPOS supplier.
• Notary commission.

Compensation and Benefits

• Competitive salary based on experience.