Enrollment & Billing Director oversees one or more departments responsible for enrollment and billing operations for an insurance company. Ensures information accuracy and customer satisfaction. Being an Enrollment & Billing Director establishes and implements organizational policies. May offer guidance on appropriate handling of complex or high-value accounts. Additionally, Enrollment & Billing Director typically requires a bachelor's degree. Typically reports to top management. The Enrollment & Billing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be an Enrollment & Billing Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
Requisition No: 825542
Agency: Agency for Persons with Disabilities
Working Title: PROVIDER ENROLLMENT COORDINATOR - 67016156
Pay Plan: Career Service
Position Number: 67016156
Salary: $36,178.71-$37,977.96 Annually
Posting Closing Date: 04/02/2024
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AGENCY FOR PERSONS WITH DISABILITIES
POSITION: Human Service Program Specialist - Career Service
WORKING TITLE: Provider Enrollment Coordinator
POSITION’S LOCATION: Northwest – Pensacola, FL
POSITION NUMBER: 67016156
OPEN COMPETITIVE OPPORTUNITY
CANDIDATE POOL: Future vacancies may be filled from this advertisement for a period of up to six months.
Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:
For additional benefit information available to State of Florida employees, go to http://www.mybenefits.myflorida.com
The Agency for Persons with Disabilities works in partnership with local communities to support people with developmental disabilities in living, learning, and working in their communities. APD provides critical services and supports for customers with developmental disabilities to reach their full potential. The Agency serves people with spina bifida, autism, Down syndrome, children ages 3-5 at high risk of developmental disabilities, cerebral palsy, Prader-Willi syndrome, Phelan-McDermid syndrome, and intellectual disabilities. There is no charge or co-payment for services provided through the Agency. www.apdcares.org
SALARY RANGE
$ 36,178.71- $37,977.96 Annually $1,391.49 - $1,460.69 Bi-weekly
SPECIFIC DUTIES AND RESPONSIBILITIES
Employees of the Agency for Persons with Disabilities are required to demonstrate total commitment to outstanding customer service. This includes, but is not limited to, always acting in a responsive, professional, courteous manner with the employees, customers, and public we serve at all times.
Duties and responsibilities include, but are not limited to, the following:
This is a professional position responsible for all activities associated with the recruitment, enrollment, and maintenance of iBudget waiver applicants; issuance and renewal of Medicaid Waiver Service Agreements (MWSA), processing provider expansion requests, and processing changes of ownership in APD iConnect. Responsibilities associated to this position are:
Review incoming Medicaid Waiver provider application packets and notify applicant of application deficiencies within 30 days. Close applications and send notice of closure if the complete application is not received within 45 days of notice of deficiency. Maintain record of all correspondence with the applicant in the provider record. Issue APD Initial iBudget Waiver Sign-off notice to applicants for submission to the AHCA provider enrollment portal once a complete application is received and applicant’s background screening clearance, education and experience has been verified.
Process requests for access to the AHCA Clearinghouse for provider applicants. Once enrolled, monitor re-screening compliance and process alerts to ensure providers adhere to time frames established in the Florida laws. Maintain communication with the State Office Background Screening unit related to the processing of exemption packets and other screening matters. Provide guidance on Background Screening requirements to provider applicants and existing providers as needed.
Track provider progress through the AHCA application process, close out applicants who do not complete the process and notify State Office Provider Terminations team. Draft, route and issue the initial Medicaid Waiver Service Agreements for those who meet AHCA enrollment requirements. Enter and track MWSA dates in iConnect to ensure renewals are processed within designated time frames and executed agreements are in place prior to the expiration date of the current agreement. Prior to executing renewal agreements, ensure all Waiver enrollment requirements are met, including but not limited to ensuring the provider has current approved Level 2 background screening and has provided APD with a copy of the current Professional Business Liability Insurance policy naming APD as the certificate holder.
Enter new providers into APD iConnect including adding the MWSA and Business Liability Insurance expiration dates and maintain provider record in iConnect. Add all APD residential licensed providers in ABC for room and board payment processing in addition to other service providers only if general revenue payments will be issued to the provider.
Provide technical assistance to providers in regard to service provision requirements. Refer provider to the TRAIN Florida unit for user account setup. Respond to provider inquiries in a timely way regarding Medicaid Waiver enrollment qualifications and processes. Conduct technical assistance with provider applicants related to the completion of the enrollment packet, and on required documentation evidencing qualifications, training, and experience.
Process requests for expansion with existing providers. Submit expansion denial action requests to State Office for their consideration. Communicate the expansion approval/denial to the requesting provider. Assist in the development and submission of Provider Agency Action Forms for providers who are being considered for termination.
Conduct provider recruitment activities, as needed, and target the recruitment of specific types of providers needed in the Region. Participate in meetings, conference calls, training, workshops/workgroups, and other miscellaneous activities as needed.
Performs other duties as assigned.
Conducts activities related to disaster planning.
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES
POSITION REQUIREMENTS
ADDITIONAL INFORMATION
PROFILE COMPLETION
Applicants must complete all fields in the Candidate Profile, including their work history with the month and year, to qualify for this position.
Responses to Qualifying Questions must be verifiable in the Candidate Profile, and “see resume” will not be considered an acceptable response.
Resumes and other documentation can be attached to provide additional information, but these will not replace the required completed Candidate Profile.
RETIREE NOTICE
If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be suspended or voided, and you will be required to repay all benefits received depending upon the date of your retirement.
DIRECT DEPOSIT PROGRAM
As a condition of employment, a person appointed to a position in the State Personnel System is required to participate in the Direct Deposit Program. Rather than receiving a paper paycheck, your funds will be deposited directly into your account at your financial institution. This will be accomplished by Electronic Funds Transfer. Banks, savings and loan associations, and credit unions are eligible to accept such deposits. Retirement funds are also required to be in the Direct Deposit Program.
BACKGROUND SCREENING REQUIREMENT
It is the policy of the Florida Agency for Persons with Disabilities that applicants for employment undergo Level 2 employment screening in accordance with the requirements of Chapter 435, Florida Statutes, as a condition of employment or being permitted to serve as a volunteer.
No applicant for a designated position will be employed or permitted to volunteer until the Level 2 screening results are received, reviewed, and approved by the Agency.
Level 2 background screening shall include, but not be limited to, fingerprinting for Statewide criminal and juvenile records checks through the Florida Department of Law Enforcement, and Federal criminal records checks through the Federal Bureau of Investigation and may include local criminal records checks through local law enforcement agencies.
Pursuant to S. 110.1127(1), Florida Statutes, this position requires a background investigation, including fingerprinting.
APD only hires U.S. citizens, and those lawfully authorized to work in the U.S. APD participates in the U.S. government’s employment eligibility verification program (E-verify). E-verify is a program that electronically confirms an employee’s eligibility to work in the U.S. after completing the employment eligibility verification form (I-9).
All applicants should complete the online application process. If assistance is needed to apply for this position, please call the people first service center at 1-877-562-7287.
Responses to the qualifying questions are required to be considered for this position. Answers to the qualifying questions must be verifiable based on your submitted application.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.
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