Credentialing and Support Specialist

Ensign Services • Charlotte, NC

15h • $19 - $27 • Remote

About The Position

Ensign Services, Inc. is seeking an experienced, full-time Credentialing and Support Specialist for its Managed Care Team. The role is responsible for credentialing and re-credentialing across the organization, coordinating compliance related to applications, and serving as a liaison between company entities and health plan partners. It also supports the Contracting team with administrative management and project work. This is a remote position, with applicants considered only from North Carolina or Florida.

Requirements

• Strong organizational skills and attention to detail.
• Ability to multitask across multiple markets and facilities.
• Critical thinking skills and ability to analyze and work through projects or problems effectively.
• Ability to manage time and prioritize work and projects.
• Professionalism and exceptional interpersonal skills.
• Ability to follow strict confidentiality guidelines and act with integrity and discretion.
• Strong written and verbal communication skills.
• Teamwork orientation.
• Ability to follow through on delegated tasks and demonstrate accountability.
• Resourcefulness in problem solving.
• Intermediate to advanced computer skills, including proficiency in Microsoft Excel, Word, Outlook, PowerPoint, and PDF editing.
• Ability to learn new software.
• Knowledge of commonly used credentialing concepts, practices, and procedures.
• Ability to work independently with minimal direct supervision.
• Dedicated to results and thorough follow-up.

Nice To Haves

• At least 2 years of facility credentialing and contracting experience in Senior Living, Skilled Nursing, or a Long-Term Care community.
• A proven track record of managing projects.
• Post-secondary degree.

Responsibilities

• Ensure compliance with applicable policies, procedures, bylaws, rules, regulations, and accreditation standards when processing initial credentialing and re-credentialing applications.
• Process credentialing applications and requirements in accordance with applicable regulations, provider policies, and procedures.
• Ensure credentialing information flows seamlessly and on time to meet deadlines.
• Coordinate with Legal, HR, and Compliance to verify and document relevant information.
• Maintain current state licenses, CLIAs, COIs, surveys, and other required credentialing documents.
• Coordinate and maintain the credentialing management database.
• Represent the facilities and company professionally to health plans and external partners.
• Assist Managed Care Resources and the team with special projects, including contract summaries, the contract catalogue, and market-specific projects.
• Coordinate with the Contract Resource to file and maintain the contract database.
• Provide administrative support, including maintaining meeting notes, filing contracts, and processing the credentialing inbox.

Benefits

• Medical, dental, and vision coverage.
• Company-provided life insurance.
• 401(k) with company match.
• Sick and vacation plans.
• Learning Management System, training sessions, and seminars supporting professional growth and development.
• May be eligible for a bonus.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed