PROVIDER ENROLLMENT COORDINATOR - 67052254

State of Florida • Orlando, FL

18d • Onsite

About The Position

This is a professional position responsible for all activities associated with the recruitment, enrollment and maintenance of iBudget waiver applicants; issuance and renewal of Medicaid Waiver Service Agreements (MWSA), processing provider expansion requests, and processing changes of ownership in APD iConnect.

Requirements

• High School Diploma or equivalent.
• Valid Driver’s license or other efficient means of transportation to travel for work purposes.
• Must be Proficient in Microsoft Office including Outlook, Teams, Excel, and Word.
• Must be able to multi- task.
• Ability to: 
• Maintain, monitor and utilize tracking systems.
• Understand and use the Medicaid Waiver Services iBudget Handbook to ensure compliance with minimum qualifications for all provider applicants and ongoing enrollment requirements for Waiver providers.
• Travel to conduct enrollment activities as needed.
• Demonstrate Skills in:
• Microsoft Office including Outlook, Teams, Excel, and Word.

Responsibilities

• Review incoming Medicaid Waiver provider application packets and notify applicant of application deficiencies within 30 days. Close applications and send notice of closure if the complete application is not received within 45 days of notice of deficiency. Maintain record of all correspondence with the applicant in the provider record. Issue APD Initial iBudget Waiver Sign-off notice to applicants for submission to the AHCA provider enrollment portal once a complete application is received and applicant’s background screening clearance, education and experience has been verified.
• Process requests for access to the AHCA Clearinghouse for provider applicants.  Once enrolled, monitor re-screening compliance and process alerts to ensure providers adhere to time frames established in the Florida laws. Maintain communication with the State Office Background Screening unit related to the processing of exemption packets and other screening matters.  Provide guidance on Background Screening requirements to provider applicants and existing providers as needed.
• Track provider progress through the AHCA application process, close out applicants who do not complete the process and notify State Office Provider Terminations team. Draft, route and issue the initial Medicaid Waiver Service Agreements for those who meet AHCA enrollment requirements. Enter and track MWSA dates in iConnect to ensure renewals are processed within designated time frames and executed agreements are in place prior to the expiration date of the current agreement. Prior to executing renewal agreements, ensure all Waiver enrollment requirements are met, including but not limited to ensuring the provider has current approved Level 2 background screening and has provided APD with a copy of the current Professional Business Liability Insurance policy, naming APD as the certificate holder.
• Enter new providers into APD iConnect including adding the MWSA and Business Liability Insurance expiration dates and maintain provider record in iConnect. Add all APD residential licensed providers in ABC for room and board payment processing in addition to other service providers only if general revenue payments will be issued to the provider.
• Provide technical assistance to providers in regard to service provision requirements. Refer provider to the TRAIN Florida unit for user account setup. Respond to provider inquiries in a timely way regarding Medicaid Waiver enrollment qualifications and processes. Conduct technical assistance with provider applicants related to the completion of the enrollment packet, and on required documentation evidencing qualifications, training, and experience.
• Process requests for expansion with existing providers.  Submit expansion denial action requests to State Office for their consideration.  Communicate the expansion approval/denial to the requesting provider. Assist in the development and submission of Provider Agency Action Forms for providers who are being considered for termination.
• Conduct provider recruitment activities, as needed, and target the recruitment of specific types of providers needed in the Region. Participate in meetings, conference calls, training, workshops/workgroups, and other miscellaneous activities as needed.
• Performs other duties as assigned.
• Conducts activities related to disaster planning.

Benefits

• Annual and Sick Leave benefits.
• Nine paid holidays and one Personal Holiday each year.
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
• Retirement plan options, including employer contributions (For more information, please click www.myfrs.com).
• Flexible Spending Accounts.
• Tuition waivers.
• Paid Maternity and Parental Leave.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees