Licensing & Credentialing - Healthcare Providers

Heart to Heart Hospice•Plano, TX

1d•Onsite

About The Position

At Heart to Heart Hospice, we provide “Compassionate Care from Our Hearts to Yours.” Our employees enhance the lives of patients with life-limiting illnesses and their loved ones, during a time when compassionate care is needed most. We are dedicated to making a difference in the lives of employees, offering the opportunity to be associated with caring teammates, and creating positive contributions in each community we serve. This position is On-Site at the Plano, TX Headquarters

Requirements

2 years of work experience in a clinical and/or compliance setting with knowledge of Licensing, Medicare, Medicaid, Research Skills, Reporting Research Results
High School Diploma; college degree preferred
Understanding of healthcare regulations including Fraud, Abuse and Anti-Kickback.
Federal and State credentialing experience
Advanced proficiency in Microsoft Office, Excel, Word, and Teams.
Detail oriented and critical thinking skills
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. This also includes physical location, phone and fax number updates
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 CHAP and submit for survey readiness
Review 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 company 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 applications
Timely submission of all documentation
Performance of other duties as required
Ensure overall compliance with local, state and federal laws, Medicare regulations, and established personnel policies and procedures