Senior Medicare Enrollment Specialist

Skilled Wound Care • Los Angeles, CA

1d • $25 - $28

About The Position

Skilled Wound Care, a leading national surgical physician group servicing nursing homes for wound care, ostomy care, and minor skin care, is looking to hire a Senior Medicare Enrollment Specialist to lead the contracting and credentialing process for physicians and health practitioners. We are looking for a highly organized and experienced individual with in-depth, expert-level knowledge of the Medicare program. This role requires a strong understanding of Medicare regulations, policies, and procedures, and the ability to apply that knowledge to ensure accurate and compliant credentialing and contracting. If you have a proven track record of success in navigating the complexities of Medicare and are passionate about ensuring our providers meet all necessary requirements, we encourage you to apply!

Requirements

• 5+ years of experience in credentialing, with demonstrated expertise in all aspects of the Medicare program.
• Must have direct experience working with CMS or a company contracted by CMS as a Medicare administrative contractor.
• Bachelor's Degree highly preferred.
• Proven ability to solve problems and identify solutions within the context of Medicare regulations.
• Exceptional attention to detail and commitment to accuracy, especially when handling Medicare-related information.
• Strong communication and interpersonal skills, with the ability to effectively convey complex Medicare information to various stakeholders.
• Demonstrated ability to manage multiple projects/tasks simultaneously, prioritizing those related to Medicare compliance.
• Able to work effectively both independently and as part of a team.
• Travel to Los Angeles 1-2 times per year may be required. Travel and accommodations will be paid.

Responsibilities

• Oversee and manage relationships with a variety of health plans, with a primary focus on Medicare and Medicaid.
• Expertly complete credentialing applications and contracts with health plans, ensuring accuracy and compliance, particularly with regard to Medicare requirements.
• Guide and support our physicians in completing required documentation, specifically addressing any Medicare-specific needs.
• Meticulously track the progress of credentialing and contracting applications, providing regular updates to leadership, with an emphasis on meeting Medicare deadlines and standards.
• Collaborate effectively with other departments to ensure business goals are met, while maintaining a strong understanding of how Medicare regulations impact those goals.
• Strategically improve and streamline the provider licensing function to enhance efficiency and effectiveness, with a focus on optimizing processes for Medicare providers.

Benefits

• Competitive Pay: $25-28 an hour DOE
• Comprehensive Benefits Package: Medical, dental, and vision insurance for you and your family.
• Retirement Savings: Generous 401(k) plan with a company match to help you secure your financial future.
• Paid Time Off: Enjoy a paid time off to recharge and maintain a healthy work-life balance.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Number of Employees: 51-100 employees