Licensing Analyst

Heart to Heart Hospice•Plano, TX

About The Position

LICENSING ANALYST This position works with the members of the Legal Department and is required to update all Licensing, Medicare and Medicaid enrollments as required by State and Federal Regulations. The Licensing Analyst assures compliance with local, state and federal regulations, HIPAA regulations, and established Heart to Heart Hospice policies and procedures.

Requirements

2 years of work experience in a clinical and/or compliance setting preferred with knowledge of Licensing, Medicare, Medicaid, Research Skills, Reporting Research Results
High School Diploma; college degree preferred
Basic understanding of healthcare regulations including Fraud, Abuse and Anti-Kickback
Advanced proficiency in Microsoft Office; skilled in Microsoft Excel, Microsoft Word, PowerPoint, Outlook and comfortable working on a computer
Experience in document imaging and other database type software
Possess good organization, people and problem solving skills and the ability to simultaneously multi-task many projects and strategies
Ability to meet critical deadlines

Responsibilities

Prepare all Licensing documents to include initial, renewal and location change applications for submission to corresponding State agency
Prepare additional renewals and changes to include CHAPS, NHPCO, TNMHO, IAHHC, IHPCO, CLIA, ISDH, HHSC, LARA, NGS, PGBA
Process any personnel changes that are required to be reported to corresponding State Agency
Complies with federal, state, and local legal requirements by studying existing and new legislation; enforcing adherence to requirements; advising management on needed actions
Acts as a resource to field agencies in compliance and licensing issues.
Provides administrative support to the legal department objectives
CHAP – update CHAPlinq and submit for survey readiness
Analyze and support Medicaid contract renewals, revalidations, and ongoing maintenance, including updating portals such as TMHP, PEMS, and CAMP with designation changes, relocations, and other updates.
Ensure information in TULIP, PECOS, and CAMP is accurate and consistent across all systems
Coordinate with the company’s insurance provider to maintain accurate records of HtoHH agencies, including adding, updating, or removing locations, and ensure updated Certificates of Insurance (COIs) are obtained and uploaded to the company’s document management system
Support new acquisitions by sending timely Letters of Intent to Medicare and Medicaid, adding new locations to state and federal portals, and submitting required change-of-information application