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Heart to Heart Hospice
Licensing & Credentialing - Healthcare ProvidersHeart to Heart Hospice • Plano, TX, United States
Licensing & Credentialing - Healthcare Providers

Licensing & Credentialing - Healthcare Providers

Heart to Heart Hospice • Plano, TX, United States
17 hours ago
Job type
  • Full-time
Job description

Licensing & Credentialing - Healthcare Providers

You can make a difference in the lives of others! 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.

Qualifications and Education 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

Essential Duties:

  • 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

It is this agency's policy to provide equal employment opportunities without regard to age, race, color, religion, military status, gender preference, sex, marital status, national origin, or disability.

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Licensing & Credentialing - Healthcare Providers • Plano, TX, United States

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