Senior Medicare Enrollment Specialist

Senior Credentialing Specialist

Come and join Skilled Wound Care where an exciting career awaits you!

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!

Job Duties:

• 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.

Requirements/Qualifications:

• 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.

• This is a REMOTE position but must be willing to travel to Los Angeles 1-2 times per year may be required. Travel and accommodations will be paid.

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.

Great Place to Work® Certified!

Skilled Wound Care is proud to be Certified™ by Great Place to Work® for the 5th year in a row. The prestigious award is based entirely on what current employees say about their experience working at Skilled Wound Care. This year, 95% of employees said it’s a great place to work – 39% higher than the average U.S. company.

Skilled Wound Care will ask all candidates to perform pre-employment confidential DiSC testing and appropriate relevant skills testing prior to hiring.

Skilled Wound Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age (40 or older), disability or genetic information.