Credentialing and Support Specialist

Ensign Services • Charleston, SC

14h • $19 - $27 • Remote

About The Position

Ensign Services, Inc. is seeking a full-time, experienced Credentialing and Support Specialist for its Managed Care Team. The role is responsible for credentialing and re-credentialing across organizational locations, coordinating compliance related to applications, serving as a liaison between company entities and health plan partners, and supporting the Contracting team with administrative management and project work. The position is remote, and applicants must reside in North Carolina, South Carolina, Tennessee, Alabama, or Florida.

Requirements

• Strong organizational skills and attention to detail.
• Ability to multitask across multiple markets and facilities.
• Critical thinking and the ability to analyze projects or problems and work through them effectively.
• Proven time-management and work/project-prioritization skills.
• 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 be accountable.
• Resourcefulness in problem solving.
• Intermediate to advanced computer skills, including proficiency with MS Office applications (Excel, Word, Outlook, and PowerPoint) and PDF editing, along with the ability to learn new software.
• Results orientation and thorough follow-up.
• Knowledge of commonly used credentialing concepts, practices, and procedures.
• Ability to work independently with minimal direct supervision.

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 preferred.

Responsibilities

• Ensure compliance with applicable policies, procedures, bylaws, rules, regulations, accreditation standards, and regulations when processing initial credentialing and re-credentialing applications.
• Process applications and credentialing requirements according to provider regulations and policies.
• Ensure credentialing information flows accurately and on time to meet deadlines.
• Coordinate with Legal, HR, and Compliance to verify and document pertinent information.
• Maintain current state licenses, CLIAs, COIs, surveys, and other required credentialing documentation.
• 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 coverage
• Dental coverage
• Vision coverage
• Company-provided life insurance
• 401(k) with company match
• Sick and vacation plans
• Professional growth and development through a Learning Management System, training sessions, and seminars

What This Job Offers

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