Provider-Based Specialist

AdventHealth; United States; On-site; USD 55,000 - 102,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

403-B Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth is seeking a Licensure and Enrollment Specialist to support hospitals and providers with licensure and enrollment duties. You will create and maintain electronic records, communicate with agencies, and ensure timely submission of required applications and renewals.

The role requires strong communication, detail orientation, and project management skills, with preference for experience in healthcare compliance and Medicare/Medicaid enrollment.

Qualifications

• Bachelor’s degree required in a related field.
• 3+ years of work experience in hospital compliance, health information, patient registration, or patient billing operations (preferred).
• Experience in healthcare regulations or Medicare/Medicaid enrollment (preferred).
• Knowledge of health care regulations and regulatory reporting requirements (preferred).

Responsibilities

• Process licensure and enrollment duties for hospitals and providers.
• Create, maintain, and organize electronic licensure/enrollment records.
• Interact with fiscal intermediaries, state, and federal agencies as directed.
• Update inventories of licensure/Medicare/Medicaid enrollment to reflect current status.
• Track and manage status of licenses and enrollment renewals and revalidations.

Skills

Strong communication

Attention to detail

Project management

Multitasking

Regulatory knowledge

Independent working

Education

Bachelor’s degree

Tools

Microsoft Office

PECOS Medicare Enrollment System

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

900 HOPE WAY

City:

ALTAMONTE SPRINGS

State:

Florida

Postal Code:

32714

Job Description:

Utilizes various external applications to perform licensure and enrollment duties for hospitals and non-hospital-based providers. Other duties as assigned. Creates, maintains, and organizes electronic records of licensure and enrollment files. Communicates with fiscal intermediaries, state, and federal agencies as directed. Obtains and provides required information to external parties in a timely manner. Updates internal licensure and Medicare and Medicaid enrollment inventories to provide a comprehensive listing of supported facilities. Monitors and updates project status listings for licensure and enrollment, including new projects and facility construction. Evaluates new and existing licenses and enrollment applications to determine necessary information from internal and external sources. Assists with the creation and submission of licensure and enrollment applications, including renewals and updates. Investigates and tracks progress of required applications and other regulatory items throughout the submission process. Actively participates in group meetings and discussions where regulatory opinion is sought and provided. Assures license and enrollment approvals are distributed to key stakeholders. Requests and tracks payments to regulatory agencies for bed additions, new offsite locations, and changes in services or programs. Tracks status of license and enrollment renewals and revalidations for various healthcare locations.

Knowledge, Skills, and Abilities:

• Strong communication, analytical, interpersonal, organizational, writing and research skills [Required]
• Extremely detail-oriented, organized and ability to prioritize without supervision [Required]
• Strong project management skills (providing updates, ability to follow-through and achieve execution of department/organizational priorities) [Required]
• Ability to multi-task and work under aggressive regulatory and/or internal deadlines [Required]
• Strong critical thinking and problem-solving skills [Required]
• Ability to work and learn independently, develop new ideas, maintain flexibility and meet deadlines [Required]
• Ability to constructively interact with a range of personalities at many levels internally and externally [Required]
• Ability to work proactively and handle multiple tasks simultaneously [Required]
• Proficiency in email, calendar, spreadsheet, presentation and word processing software (e.g. Microsoft Office Outlook, Word, Excel, and PowerPoint) [Required]
• Knowledge and understanding of health care regulations and regulatory reporting requirements [Preferred]
• Knowledge of PECOS Medicare Enrollment System [Preferred]
• In-depth knowledge and ability to navigate AdventHealth’s multiple information systems [Preferred]
• Must be a team-oriented, self-motivated professional with leadership, interpersonal, organizational, and planning skills [Preferred]

Education:

• Bachelor’s [Required]

Field of Study:

• in health law, healthcare administration, business, communications or other related or approved field.

Work Experience:

• 3+ of work experience in hospital compliance, health information, patient registration or patient billing operations; or another related field [Preferred]
• Experience in healthcare, healthcare compliance, healthcare regulations or Medicare and/or Medicaid enrollment. [Preferred]

Licenses and Certifications:

• National Notary Association Notary Public (NNANP) [Preferred]
• Certified in Healthcare Compliance (CHC) [Preferred]

Physical Requirements:

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$54,680.66 - $101,717.57

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse :
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.