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Provider Enrollment Specialist

2 months ago

Louisville, Kentucky, United States BrightSpring Health Services Full time
Job Summary

We are seeking a highly skilled Provider Enrollment Manager to join our team at BrightSpring Health Services. As a key member of our Legal Department, you will be responsible for compiling, submitting, and tracking Medicare, Medicaid, and private payer provider applications, as well as re-validations and re-credentialing applications.

Key Responsibilities
  • Compile and submit complete and accurate provider applications and renewals, working closely with multiple disciplines to obtain necessary information.
  • Coordinate and maintain a tracking system for provider contracts and re-validation, re-credentialing, and enrollment applications and correspondence.
  • Revalidate and re-certify business entities via application.
  • Assist with M&A integration, ensuring correct entity enrollment and preventing lapses in billing.
  • Answer field questions about ownership surveys, legal entities, and sanctions.
  • Supervise the provider enrollment specialist.
  • Ensure adherence to Company and governmental guidelines regarding confidential and protected health information.
Requirements
  • General Education Diploma or High School Diploma required.
  • Bachelor's degree preferred.
  • Two plus years of experience required.
  • Familiarity with government regulations and legal research.
  • Knowledge of the Medicaid and Medicare programs.
About Our Company

BrightSpring Health Services provides comprehensive home- and community-based pharmacy and health solutions for complex populations. Our service lines include pharmacy, home health care, primary care, and rehabilitation and behavioral health. We serve over 400,000 customers, clients, and patients daily.

We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at info@brightspring.com.

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Job Locations: US-KY-LOUISVILLE

Line of Business: BrightSpring Health Services

Position Type: Full-Time