Job Title: Medicare and Medicaid Enrollment Specialist

Location: 100% remote (must have North Carolina Credentialing experience)

· experience in the following states if possible: PA, CA, FL, & NC

Schedule: M-F 8-5 or 7-4

Duration/Type: Contract to Hire

Job Overview:

LHH Recruitment Solutions has partnered with a healthcare organization seeking a Medicare/Medicaid Enrollment specialist. This position is 100% remote, but they are seeking individuals with credentialing and enrollment experience in PA, CA, FL, and NC. This is a temporary to hire position based on performance.

Responsibilities:

• Enrolling eligible providers for Medicare and Medicaid and linking to all locations

• Enrolling eligible locations for Medicare and Medicaid as requested by the organization.

• Monitoring and revalidating the Medicare and Medicaid portals of the organizations assigned for revalidation of providers and NPI’s and/or locations to ensure there are no lapse in services.

• Direct data entry of provider information, approval dates, revalidation dates and any special notes.

• Documenting enrollments as well as communication with Medicare, Medicaid, and any additional 3rd party contacts.

• Regularly communicates with account reps for enrollment process regarding Medicaid and Medicare status’.

• Participates in organizational meetings with the account rep to answer key questions regarding Medicaid and Medicare.

• Provides training and education to organizations and providers regarding Medicare, NPPES and surrogacy as needed as well as Medicaid requirements for their specific states.

Qualifications:

• Bachelor’s degree in health care, mental health care, health care administration related field, preferred.

• Must have Medicare/Medicaid enrollment experience, Ideally 2-3 years

• Must be tech savvy

• Experience submitting enrollment directly to insurance companies

• Behavioral health experience is a plus

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our program provides employees with the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance