Licensure and Provider Enrollment Specialist

Job Description

Job Description

Overview

The Licensure and Provider Enrollment Specialist will be a member of the Corporate Legal Department and will work with all Medicare and Medicaid enrollment applications and related renewals across the BrightSpring organization. They will also work with various state licensing agencies on any new licensure applications, as well as licensure renewals, across all lines of business.

Responsibilities

• Acts as a primary resource for all Company licensure enrollment and related matters. Ensures all licenses are renewed timely.
• Prepares and submits enrollment and re-enrollment applications related to state Medicaid and Medicare.
• Communicates clearly with stakeholders regarding application status, required next steps, and potential impacts on claims processing.
• Coordinates and maintains a tracking database for provider enrollments and licensure related tasks.
• Maintains Company documents and records related to the legal entity and licensure structure of the Company.
• Collaborates with the revenue cycle and claims teams to troubleshoot payment issues related to enrollment.
• Supports company Business Development Team in connection with corporate transactions (tied to licensing and enrollment) including mergers and acquisitions.
• Performs other duties as assigned to support the legal and compliance departments.

Qualifications