Contracting Credential Specialist

4 days ago


Louisville, Kentucky, United States BrightSpring Health Services Full time
About the Role

BrightSpring Health Services is seeking a skilled Credentialing and Provider Enrollment Specialist to join our team. As a key member of our Business Development and Sales team, you will play a critical role in establishing partnerships and strategies to drive organizational excellence.

Responsibilities
  • Process initial credentialing, privileging, re-credentialing, and re-privileging applications for healthcare providers
  • Manage provider enrollment applications and supporting documentation for payer enrollment and re-enrollment
  • Maintain accurate and up-to-date provider files and reports
  • Conduct thorough background investigations, research, and primary and secondary source verification of application files
  • Identify and resolve issues requiring additional investigation and evaluation
  • Respond to inquiries from other healthcare organizations regarding credentialing and privileging issues
  • Follow up with providers to ensure timely completion of enrollment processes
Requirements
  • Associates degree in business or a health-related field preferred
  • Three years of experience in credentialing and provider enrollment preferred
  • Strong organizational and communication skills
  • Ability to maintain confidentiality and prioritize tasks in a fast-paced environment
  • Proficiency in Microsoft Office, particularly Excel, Word, and Outlook
  • Database management skills, including querying, reporting, and documentation generation
About BrightSpring Health Services

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 across all 50 states.



  • Louisville, Kentucky, United States Dean Dorton Full time

    Job Title: Healthcare Credentialing SpecialistDean Dorton Healthcare Solutions is seeking a detail-oriented and results-driven Healthcare Credentialing Specialist to join our Healthcare Consulting team.Job Responsibilities:Complete physician credentialing applications and revalidations for Medicare, Medicaid, and commercial payers.Track status of...


  • Louisville, Kentucky, United States Dean Dorton Full time

    Job Title: Healthcare Credentialing SpecialistDean Dorton Healthcare Solutions is seeking a detail-oriented and results-driven Healthcare Credentialing Specialist to join our Healthcare Consulting team.Job Summary:This role involves performing critical functions for Dean Dorton Healthcare Solutions clients, including physicians, medical practice groups, and...


  • Louisville, Kentucky, United States Dean Dorton Full time

    Healthcare Credentialing SpecialistDean Dorton Healthcare Solutions is seeking a detail-oriented and results-driven Healthcare Credentialing Specialist to join our Healthcare Consulting team.This role involves performing critical functions for Dean Dorton Healthcare Solutions clients, including physicians, medical practice groups, and other healthcare...


  • Louisville, Kentucky, United States BrightSpring Health Services Full time

    About the RoleBrightSpring Health Services is seeking a skilled Credentialing Assistant to join our team. As a key member of our Business Development & Sales team, you will play a critical role in developing strategic solutions to align and grow our business.ResponsibilitiesProcess initial credentialing, privileging, re-credentialing, and re-privileging...


  • Louisville, Kentucky, United States Dean Dorton Full time

    Job SummaryDean Dorton Healthcare Solutions is seeking a detail-oriented and results-driven Healthcare Credentialing Specialist to join our Healthcare Consulting team. As a key member of our team, you will perform critical functions for our clients, including physicians, medical practice groups, and other healthcare entities.Key ResponsibilitiesComplete...


  • Louisville, Kentucky, United States Confluent Health Full time

    Job Summary:We are seeking a highly organized and detail-oriented Credentialing Support Specialist to join our team at Confluent Health. As a key member of our clinical operations team, you will be responsible for maintaining portals, managing ticketing systems, and ensuring the accuracy of provider credentialing information.Responsibilities: Maintain...


  • Louisville, Kentucky, United States Dean Dorton Full time

    Healthcare Credentialing SpecialistDean Dorton Healthcare Solutions is seeking a detail-oriented and results-driven Healthcare Credentialing Specialist to join our Healthcare Consulting team.This role involves performing critical functions for Dean Dorton Healthcare Solutions clients, including physicians, medical practice groups, and other healthcare...


  • Louisville, Kentucky, United States Dean Dorton Full time

    Job SummaryDean Dorton is seeking a detail-oriented and results-driven Healthcare Credentialing Specialist to join our Healthcare Consulting team. As a key member of our team, you will perform critical functions for our clients, including physicians, medical practice groups, and other healthcare entities.Key ResponsibilitiesComplete physician credentialing...


  • Louisville, Kentucky, United States Trilogy Health Services Full time

    About the RoleWe are seeking a highly skilled Payer Services Credentialing Coordinator to join our Home Office Team at Trilogy Health Services. As a key member of our team, you will be responsible for completing credentialing and enrollments, as well as re-credentialing requests, with all identified health plans for current and new campuses.Key...


  • Louisville, Kentucky, United States Dean Dorton Full time

    Dean Dorton Healthcare Solutions: A Premier Medical Billing and Credentialing CompanyWe are seeking a highly detail-oriented and results-driven Healthcare Credentialing Specialist to join our Healthcare Consulting team. As a key member of our team, you will perform critical functions for our clients, including physicians, medical practice groups, and other...


  • Louisville, Kentucky, United States LanceSoft Full time

    Job OpportunityLanceSoft is seeking a skilled contract nurse RN Telemetry for a local contract nursing job in Louisville, Kentucky.Job RequirementsSpecialty: TelemetryDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: Local ContractRequirements include KY/Comp license and EPIC experience, with ratios 1:4 and BLS, ACLS,...


  • Louisville, Kentucky, United States BrightSpring Health Services Full time

    Job SummaryAs a Provider Enrollment Manager at BrightSpring Health Services, you will play a critical role in ensuring the company's compliance with government regulations and guidelines. Your primary responsibility will be to compile, submit, and track Medicare, Medicaid, and private payer provider applications, as well as re-validations and...

  • Contract RN

    2 weeks ago


    Louisville, Kentucky, United States Care Team Solutions Full time

    Care Team Solutions is seeking a skilled Registered Nurse to join our team for a 13-week contract position in Rehabilitation. The ideal candidate will have 2+ years of recent experience in Rehabilitation and be able to work 36 hours per week on a 12-hour overnight shift. Our contract offers a competitive gross weekly pay and a range of benefits, including an...


  • Louisville, Kentucky, United States LanceSoft Full time

    LanceSoft is seeking a travel nurse RN ICU specialist for a travel nursing job in a top-rated healthcare facility.Job DetailsSpecialty: ICU - Intensive Care UnitDiscipline: RNEmployment Type: TravelEPIC experience is required. Floating is necessary, and you may be assigned to lower acuity units with high patient ratios. A minimum of 2 years of recent ICU...


  • Louisville, Kentucky, United States BrightSpring Health Services Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Provider Enrollment Manager to join our team at BrightSpring Health Services. In this role, 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...


  • Louisville, Kentucky, United States BrightSpring Health Services Full time

    Job SummaryAs a Provider Enrollment Manager at BrightSpring Health Services, you will play a critical role in ensuring the company's compliance with government regulations and legal requirements. You will be responsible for compiling, submitting, and tracking Medicare, Medicaid, and private payer provider applications, as well as re-validations and...


  • Louisville, Kentucky, United States Passport Health Plan by Molina Healthcare Full time

    Job SummaryMolina Healthcare is seeking a skilled Healthcare Contract Manager to join our team. As a key member of our Provider Contracting department, you will be responsible for developing and implementing strategies to ensure network adequacy and financial performance.Key ResponsibilitiesDevelop and negotiate complex contracts with healthcare providers,...


  • Louisville, Kentucky, United States Care Team Solutions Full time

    Job DetailsJob Title: Travel Nurse RN SpecialistJob Type: ContractShift: 12 Hours OvernightHours Per Week: 36 HoursEmployment Type: ContractJob DescriptionWe are seeking a skilled Rehabilitation Registered Nurse to join our team at Care Team Solutions. As a travel nurse, you will have the opportunity to work in a dynamic and supportive environment, providing...


  • Louisville, Kentucky, United States Southern Home Care Services, Inc. Full time

    Job Title: Provider Enrollment ManagerJob Summary:The Provider Enrollment Manager will play a critical role in ensuring the Company's compliance with Medicare, Medicaid, and private payer regulations. This position will be responsible for compiling, submitting, and tracking provider applications, as well as re-validations and re-credentialing...


  • Louisville, Kentucky, United States Care Team Solutions Full time

    Job DetailsJob Title: Contract Registered NurseJob Type: ContractSpecialty: RehabilitationDiscipline: Registered NurseShift: Overnight shiftHours Per Week: 36 HoursEmployment Type: ContractGross Weekly Pay: $RequirementsMust Have: 2+ Years of recent Rehabilitation experienceBenefitsEarly Pay ProgramStudent Loan ReimbursementFree Well-being Tele-visits with a...