All the benefits and perks you need for you and your family:
·Benefits from Day One
·Career Development
·Whole Person Wellbeing Resources
·Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Shift: Full-time; Monday-Friday
Job Location: Altamonte Springs, FL
The role you will contribute:
The Regulatory Licensure and Enrollment Specialist, under the guidance of the Director of Regulatory Licensure and Enrollment, is responsible for understanding facility licensure requirements as well as Medicare and National Plan and Provider Enumeration System (NPPES) enrollment processes to best be able to assist with the required monitoring, creation, and maintenance functions for the AdventHealth System.In addition to contributing to the assurance of operational compliance with facility specific licensure and enrollment regulations, this position assists with research and actions for related licensure and enrollment and required filings, as well as obtaining and providing required information to external stakeholders in a timely manner.The Regulatory Licensure and Enrollment Specialist must be able to develop strong working relationships with AdventHealth executives, Regulators, and other internal and external stakeholders. A Regulatory Administration Specialist adheres to AdventHealth policies and procedures and actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The value you will bring to the team:
LICENSURE & ENROLLMENT:
Includes new and existing enrollments, licenses, and permits for AdventHealth hospitals and non-hospital-based providers, such as hospitals, home health, hospice, ambulatory surgery centers, and independent diagnostic treatment facilities.
·Utilizes various external applications to perform licensure and enrollment duties such as PECOS (Provider Enrollment Chain of Ownership System), AHCA (Agency for Health Care Administration), NPPES (National Plan & Provider Enumeration System), CMS I & A (Center for Medicare and Medicaid Identity & Access), and various state Medicaid and state licensure systems.
·Updates the internal licensure and Medicare and Medicaid enrollment inventories to provide a comprehensive listing of facilities supported.
·Monitors status and updates project status listings for licensure and enrollment as requested.Projects may include new projects; facility construction, laboratory, pharmacy, and others.
·Evaluates new and existing licenses & enrollment applications to determine what information must be gathered, researched, or obtained from internal and external sources.
·Assists with the creation and submission of licensure and enrollment applications as required by facility type and state and federal requirements.This may include new applications, renewals, changes/updates, etc.
·Investigates and tracks progress of required applications and other regulatory items throughout the submission process and follows up as needed to ensure timeliness.
·Actively participates in assigned group meetings and discussion where regulatory opinion is sought and provided.
·Communicates with fiscal intermediaries, State, and Federal agencies as directed.
·Creates, maintains and organizes electronic records via Teams Channels and Once Drive of necessary licensure and enrollment files.
·Assists with obtaining necessary leadership signatures on applications, forms, and cover letters
·Requests and tracks payments to regulatory agencies for bed additions, new offsite locations, and changes in services or programs.
·Tracks license and enrollment renewals and revalidations for hospital, home health, hospice, ambulatory surgery center, and laboratory locations.
·Assures license and enrollment approvals are distributed to key stakeholders such as Managed Care, PFS, facility executives, etc..
·Maintains NPPES system and updates with any necessary changes.
·Works with facility contacts to validate all information on the enrollment and obtain necessary supportive documentation.
·Communicates with billing and revenue team members as needed to facilitate matching of the enrollment to the billing system to comply with Medicare billing requirements.
·Uses judgement to determine how best to filter and present reports and regulatory data for authorized stakeholders.
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Special Projects
·Coordinates annual hospital, home health, and hospice state required proof of liability coverage efforts.
·Assists with creation of departmental database to store key regulatory information.
·Performs other duties as assigned or directed with limited supervision.
The expertise and experiences you’ll need to succeed:
·Bachelor’s degree in health law, healthcare administration, business, communications or other related or approved field.
Preferred Qualifications:
·Experience in healthcare, healthcare compliance, healthcare regulations or Medicare and/or Medicaid enrollment.
·Three to five years of work experience in hospital compliance, health information, patient registration or patient billing operations; or another related field
·Notary Certification for the State of Florida
·Certification in Health Care Compliance
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.
We’re here to answer your product-related questions
NAHQ wants to partner with you and your organization as you explore how to elevate the profession and advance the discipline of healthcare Quality & Safety.
Need customer service assistance?
For customer service issues, contact us at info@nahq.org or call us at (847) 375-4720. The team is available Monday-Friday from 8 AM-4:30 PM CT.
Important Information for CPHQ Recertification
The recertification process has been streamlined. Unlike previous years, you don’t need to list out your CE activities at the time of completing your application. Instead, you will be asked to attest to having met the requirements, further aligning with the honor-based system of recertification. In the event that your application is randomly selected for audit, you may be required to list your CE activities and submit supporting documentation.
While you may participate in NAHQ learning opportunities (Learning Labs, JHQ articles, etc.), you can only claim CE credit once for each activity. Therefore, if you’ve previously earned CE from a NAHQ learning opportunity, you can’t claim it again, nor will you see the repeat CE appear in your “My Learning� tab. This includes activities used in previous recertification cycles.
Remember, if you’re recertifying during the grace period (1/1/24-1/31/24), you already had to earn your CE hours by Dec 31, 2023.
You still have time! Register today for a multi-day virtual event that addresses the most urgent and important issues facing healthcare today that offers a full schedule of educational sessions organized around NAHQ’s twice-validated healthcare quality competency framework.
We are excited to announce the release of the book “UNSTOPPABLE: Inspiring Stories of Perseverance, Triumph and Joy from Trailblazing Women in Healthcare“.
Be inspired by nine leading healthcare trailblazers, including our own CEO Stephanie Mercado, who empower us all with their vision and passions.
You’ll notice we’ve simplified the application process to recertify. You will not have to list your CE activities at the time of applying*. Simply attest that you met the requirements to complete the application.
*In the event of an audit, CPHQs may need to list activities and upload documentation in their NAHQ account.
Quality Education Resources
Join this informative session, “Quality Education Resources� Thursday, June 22 from 11-11:30 a.m. CT. You will learn about the range of NAHQ quality education resources available to you and hear directly from universities about the benefits they realized from implementing NAHQ’s content within their courses.
Maintain a Pulse on the Latest Quality & Safety Benchmarking Data
Learn more about NAHQ’s enhanced Quality and Safety Benchmarking Program, which provides timely insights to help U.S. hospitals and health systems create data-driven business cases for their quality and safety resourcing.
Understand the Variability Among Your Quality Team Through Workforce Accelerator
Join us Tuesday, May 2, at 11 a.m. CT, to learn more about the different options available to engage with NAHQ’s enterprise-wide solution, Workforce Accelerator®. Options range in size and scope and are designed to meet the various budgetary and timing needs of health systems as they embark on their quality journeys. Register today!
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development
The National Association for Healthcare Quality® (NAHQ) has conducted groundbreaking research on the advancement of the quality and safety agenda and has published the results in a new workforce report. NAHQ’s Healthcare Quality and Safety Report answers the question: “Is today’s healthcare workforce doing the work that will advance critical priorities of quality, safety, equity, value, and system sustainability?� The answer is no.
Updated Maintenance Dates: Sunday, February 5, 2023
Maintenance is planned for Sunday, February 5, from 11 p.m.-4 p.m. CT. During this time, you will not have access to the “My Learning” section of your NAHQ account. We apologize for any inconvenience this may cause and thank you for your patience.
NAHQ’s Organizational Membership Subscription will serve as a one-stop shop for healthcare quality and safety training and education. Attend the February 2, at 11 a.m. CT, info session to further understand the new offering that will continue NAHQ’s focus of “Quality in Action.�
NAHQ has published an updated version of the CPHQ exam content outline.
The new exam content will take effect on March 15, 2023. Candidates planning to take the exam before March 15, 2023, can access the current CPHQ exam content outline and related resources on our website.
Missed NAHQ Next? Don’t worry, you can purchase NAHQ Next on-demand and receive access to all content for 60 days from purchase. Benefit from actionable content that addresses issues head-on and features “how-tos” and results. Buy now and have the opportunity to receive 40+ CEs.
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development
Member Briefing Workshop and Healthcare Quality Week Webinar
October 7, at 12 p.m. CT
NAHQ will host an exclusive member briefing workshop where NAHQ CEO Stephanie Mercado and NAHQ President-Elect Nidia Williams will review the workforce report in-depth and prepare you to discuss it with your team and leadership during Healthcare Quality Week.
October 17, at 12 p.m. CT
To kick off Healthcare Quality Week, (HQW) NAHQ will host a complimentary webinar with NAHQ leaders to discuss the report, its impact and how you can leverage the report to your advantage.
You still have time! Register today for a multi-day virtual event that addresses the most urgent and important issues facing healthcare today that offers a full schedule of educational sessions organized around NAHQ's twice-validated healthcare quality competency framework.