AdaptHealth Opportunity – Apply Today!

At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply, we would love to hear from you.

LICENSING AND CREDENTIALING SPECIALIST

Position Summary:

The Licensing and Credentialing Specialist assists the Licensing and Credentialing Supervisor with credentialing and licensing duties. Responsible for ensuring licensing submissions are executed accurately in accordance with local, state, and Federal regulations, under the guidance of the Licensing and Credentialing Manager and the Sr. Director of Licensing & Governmental Credentialing. Also responsible for ensuring records are maintained in compliance with company requirements.

Job Duties:

• Maintains working knowledge of licensing and credentialing requirements at the local, state, and Federal levels.
• Applies for new business licenses, certifications, and registrations as required to support business operations.
• Process Medicare 855s enrollment applications, updates, revalidations, and voluntary deactivations.
• Processes state Medicaid enrollment and re-enrollment applications.
• Maintains regulatory business information such as ownership, officers, Employer Identification Numbers, Medicaid, and Medicare, and NPI Information.
• Processes surety bond applications, renewals, and bond claims.
• Processes insurance certificate holder requests and insurance claims.
• Participates in Medicare Competitive Bidding-related activities and contract compliance.
• Responsible for creating and tracking regulatory binders across lines of business.
• Tracks licensure expiry dates and regularly check to ensure that professionally licensed individuals remain in “good standing” with their respective licensing entities.
• Interfaces with and influences local management to ensure Hazardous Materials laws are followed. Completes Hazardous Materials Business Plan (HMBP) program for the company.
• Creates and utilizes SharePoint and Excel databases and other reports to track compliance.
• Supports the Corporate Compliance Department with a variety of projects as needed.
• Develop and maintain a working knowledge of current HME products and services offered by the company.
• Maintain patient confidentiality and function within the guidelines of HIPAA.
• Other duties as assigned.

• High school diploma or equivalent
• Associate's degree in business or health care preferred.
• Four (4) years of healthcare compliance experience and/or equivalent required
• Demonstrated knowledge of CMS Quality Standards, DMEPOS Supplier Standards, and Accreditation Standards
• Demonstrated knowledge of PECOS Enrollment System

AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.