Welcome page Returning Candidate? Log back in! Contracting Credential Specialist Job Locations US-KY-LOUISVILLE ID 2024-157145 Line of Business BrightSpring Health Services Position Type Full-Time Pay Min USD $48,000.00/Yr. Pay Max USD $55,000.00/Yr. Our Company

BrightSpring Health Services

Overview

Do you have a passion for establishing partnerships and strategies in achieving organizational excellence? Our Business Development & Sales teams focus on developing strategic solutions to align and grow the business. Continue reading for information regarding this position and apply today!

Responsibilities The Credentialing Assistant is responsible for the processing of initial credentialing, privileging, re-credentialing and re-privileging applications of health care providers, as well as processing provider enrollment applications and supporting documentation for payer enrollment and re-enrollment. The position maintains the provider files and reports, status of applications and pertinent licenses and certifications. He/she has knowledge of commonly used credentialing concepts, practices and procedures to perform the functions of the job and must be detail oriented and thorough in order to ensure the complex enrollment packages are complete and correct. Communication with providers and others within the organization is essential.Work with providers in person, by phone, fax, mail or email to obtain provider credentialing and insurance enrollment forms and all supporting documentationMaintain current and accurate data needed for the credentialing and re-credentialing process for all providersConduct thorough background investigation, research and primary and secondary source verification of all components of the application file per regulatory requirementsIdentify issues requiring additional investigation and evaluation; validate discrepancies and ensure appropriate follow upMaintain copies of current state licenses and any other required credentialing documents for all providersRespond to inquiries from other healthcare organizations regarding credentialing and privileging issues as they ariseFollow up with providers to ensure that all necessary information is received and that the enrollment process is completed timelyMaintain up-to-date documentation and insurance files with applications, acceptance letters, provider numbers and completed provider enrollmentsRetain detailed and accurate lists of insurance plans in which providers participate and their effective dates with each planRe-credential providers as required by individual insurance plansPerform other duties as assigned Qualifications Associates Degree in business or health related field preferredThree years Credentialing and Provider Enrollment experience preferredMust be an organized “self-starter” requiring little supervision in order to focus on and accomplish tasksProfessional written and verbal communication and interpersonal skills requiredAbility to maintain complete confidentiality in handling sensitive enrollment issuesAbility to prioritize and multitask in a fast-paced environmentStrong attention to detail requiredProficiency in Microsoft Office, particularly Excel, Word, and OutlookDatabase management skills including querying reporting and documentation generationKnowledge of Medicaid and Commercial Payer Provider Enrollment preferred About our Line of Business BrightSpring Health Services provides complementary and integrated home- and community-based pharmacy and health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral health, we provide comprehensive care and clinical solutions in all 50 states to over 400,000 customers, clients and patients daily. For more information, visit www.brightspringhealth.com. Follow us on Facebook, Twitter and LinkedIn. Salary Range USD $48,000.00 - $55,000.00 / Year