General: Under the direction of the Director of Regulatory, Compliance and Risk performs diversified duties in connection with the credentialing and regulatory activities of the Company.

Reports To: Director of Regulatory, Compliance and Risk

Responsibilities and Duties:

• Responsible for replying to and tracking of credentialing for a variety of payers including Medicare, Medicaid, and commercial payers
• Monitor upcoming renewal dates and work with affected parties to advise them of the required steps to maintain their credentials.
• Assist with the filing and renewal of state licenses
• Research regarding licensing or credentialing requirements in their area
• Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing
• Participate in the development of internal credentialing processes
• Assist with maintenance of branch records including all regulatory requirements such as licenses, etc.
• Maintain accurate provider profiles on PECOS, NPPES, and CMS databases
• Assist with acquisition activities
• Keep records in licenses, credentials, and insurance contracts
• Serves as a compliance resource for staff in all branches
• Other duties as assigned

• Industry performing similar duties in a DME facility experience, preferred
• Ability to work independently to complete timely projects
• Demonstrated ability to use Microsoft Excel, Word, and Smartsheet
• Familiarity with Medicare, State Medicaid and commercial insurance   reimbursements as related to DME billing and reimbursement requirements.  
• Excellent verbal and written communication and customer relations skills.
• Excellent interpersonal and organizational skills (a team player).
• Strong office/clerical motor skills in addition to computer and telephone usage