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Licensure & Certification Specialist (Remote) (Medicaid Revalidation and Ownerships/CHOW experience required)

Ambulatory Surgery Center
Nashville, TN Remote Full Time
POSTED ON 2/15/2025
AVAILABLE BEFORE 5/4/2025

AMSURG is a nationally recognized leader in the strategic and operational management of ambulatory surgery centers with medical specialties ranging from gastroenterology to ophthalmology and orthopedics. With more than 250 surgery centers across the U.S., we partner with physicians and health systems to deliver the highest standards of patient care and quality. For more information, please access our website :

Through AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

Benefits :

At AMSURG, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. Qualifying employees are eligible to enroll on the 1st of the month, following 30 days of employment. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to : Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off :

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

We have an exciting opportunity available for an experienced Licensure & Certification Specialist to join our team in Nashville, TN.

POSITION SUMMARY :

This position provides support to the Manager, L&C and the Licensure & Certification (L & C) department. Medicaid revalidation and Ownership / CHOW experience is required.

ESSENTIAL RESPONSIBILITIES :

  • Credentialing and re-credentialing individual providers related to the operation of Anesthesia entities;
  • Enrollment and revalidation of providers with government and commercial payors;
  • Regular contact via telephone and correspondence with state licensing agencies and federal regulatory agencies such as Medicare carriers to enroll providers into the Medicare program;
  • Provide timely turnaround of credentialing information and federal projects;
  • Work within a strict time frame of setting priorities, using discretion to exercise confidentiality;
  • Work with state and government agencies, and legal representatives;
  • Research and help to develop policies and procedures for the department;
  • Other projects as assigned requiring the ability to work with other co-workers toward successful completion;
  • Regular and reliable attendance is required.

KNOWLEDGE AND SKILLS :

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and / or abilities required.

  • Experience drafting and completing Medicare 855B applications is preferred;
  • Excellent PC Skills including Microsoft Word and Adobe Acrobat experience;
  • Able to type proficiently and accurately while recording entries into multiple Licensure & Certification databases to track work status;
  • Able to read, understand, and translate legalese and state statutes and regulations, both verbally and in writing, for relevant stakeholders.
  • Must be willing to work onsite 1 day per week.
  • Education / Experience :

  • Associate's Degree from an accredited College or University; Bachelor's Degree
  • Credentialing Certification or experience, or Paralegal Certification or experience preferred.
  • Medicaid revalidation and Ownerships / CHOW experience required
  • Minimum of one (1) years' experience as detailed above required
  • CPCS Certification is desirable.
  • Other Qualifications : Exceptional interpersonal skills, organizational skills, attention to detail, and accuracy are needed to perform in this work environment. Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. Must be able to work well with others. Strong verbal and written communication skills required. Must be detail oriented and organized. High integrity, including maintenance of confidential information. Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency. Based on business need, the ability to work a flexible schedule, including some evenings and weekends as approved in advance. Must be able to work under pressure and strict time frames occasionally. Must have good research skills.

    Must pass a background check and drug screen.

    We are an equal opportunity employer.

    We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.

    Apply Now! Come Join our Team! We offer Competitive Pay and Work / Life Balance / Paid Time Off

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