Credentialing and Support Specialist

Ensign Group • Salt Lake City, UT

324d • $19 - $27 • Remote

About The Position

Ensign Services, Inc. is currently seeking a full time, experienced Credentialing and Support Specialist for our Managed Care Team. This role is responsible for all aspects of credentialing and re-credentialing for our locations across the organization. Coordinates and supports compliance regarding applications. Acts as the liaison between our entities and our health plan partners. Supports the Contracting team with administrative management and project work. Qualified candidate will have a minimum of 2 years of experience in credentialing.

Requirements

• Minimum of 2 years of experience in credentialing.
• Proven strong organizational skills and attention to detail.
• Ability to multitask across multiple markets and facilities.
• Critical thinking skills to analyze projects/problems effectively.
• Proven record of time management and prioritization of work/projects.
• Demonstrated professionalism and exceptional interpersonal skills.
• Ability to adhere to strict confidentiality guidelines.
• Strong written and verbal communication skills.
• Teamwork orientation.
• Resourcefulness in problem solving.
• Demonstrated ability with intermediate to advanced computer skills including proficiency in MS Office applications (Excel, Word, Outlook, PowerPoint) and PDF editing.
• Dedicated to results and thorough follow up.
• Knowledge of commonly used credentialing concepts, practices and procedures.
• Excellent time management and multi-tasking abilities.
• Demonstrated ability to function independently with minimal direct supervision.

Nice To Haves

• Healthcare credentialing experience preferred.
• Proven track record of managing projects.
• Post-Secondary degree preferred.

Responsibilities

• Responsible for all aspects of credentialing and re-credentialing for our locations across the organization.
• Coordinates and supports compliance regarding applications.
• Acts as the liaison between our entities and our health plan partners.
• Provides administrative support and project work.
• Guarantees full compliance with all applicable policies, procedures, bylaws, rules and regulations, accreditation standards and regulations for the processing of applications for initial credentialing and re-credentialing.
• Ensures all applications and requirements for credentialing are processed according to regulations and policies as outlined by the provider.
• Confirms the seamless and timely flow of credentials information in order to meet deadlines.
• Coordinates with our Legal, HR and Compliance Departments to verify and document pertinent information.
• Maintains copies of current state licenses, CLIAs, COIs, surveys and other required credentialing documentation.
• Coordinates and maintains the credentialing management database.
• Expected to represent our facilities and company professionally to all health plans and external partners.
• Assists Managed Care Resources and team with special projects as assigned including completion of contract summaries, contract catalogue and other market specific projects.
• Coordinates with Contract Resource to file and maintain contract database.
• Performs administrative support tasks including maintaining meeting notes, filing contracts, processing credentialing inbox, etc.

Benefits

• Competitive Total Rewards Package including medical, dental and vision plans.
• Retirement savings opportunities through a 401(k) with company match.
• Recognition through the Moments of Truth Program.
• Support for professional growth and development.
• Access to a wide range of free e-courses through the Learning Management System.
• Training sessions and seminars.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Nursing and Residential Care Facilities