Job Description

You will be able to work from your home location within the United States

PURPOSE AND SCOPE:

Supports the enrollment and maintenance of healthcare providers and facilities in Medicare and Medicaid Programs. Identifies, analyzes and resolves complex issues within the assigned function(s). Applies acquired job skills in the performance of enrollment and maintenance responsibilities in compliance with company policies and procedures.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Perform assigned responsibilities in compliance with company policies and procedures; meeting or exceeding goals within company-defined timelines.
• Complete data entry operations in applicable systems; ensuring data accuracy and integrity.
• Initiate, prepare and submit provider enrollment applications for Medicare and Medicaid Programs, including initial enrollment, revalidations, changes of information and voluntary/involuntary terminations.
• Maintain and update provider records in PECOS and other CMS approved systems.
• Monitor and ensure compliance with current CMS regulations, federal and state enrollment requirements and deadlines.
• Track application status and follow up with CMS, Medicaid agencies or third-party contractors as needed to resolve enrollment issues or delays.
• Liaise with internal departments to ensure consistent and accurate provider and facility data across systems.
• Respond to inquiries regarding enrollment status or regulatory changes, providing clear, concise, and accurate information.
• Stay current with federal and state regulatory updates impacting provider enrollment and communicate relevant changes.
• Support audits and compliance reviews by supplying necessary enrolment documentation
• Continuously evaluate and improve enrollment processes to ensure efficiency and compliance.
• Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS :

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Occasionally lift and/or move up to 20 pounds.

EDUCATION :

High School Diploma required

EXPERIENCE AND REQUIRED SKILLS:

• 2 - 4 years' related experience.
• Strong computer skills with demonstrated proficiency in word processing, spreadsheet, database and email applications.
• Detail oriented with strong analytical and organizational skills.
• Great time management skills with the ability to multitask concurrent priorities in an organized manner.
• Must be able to work independently with minimal supervision, and alternately work cohesively within a team environment.
• Possess a positive, enthusiastic and energetic attitude.
• Strong oral and written communication skills to effectively communicate with all levels of management.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form

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