Credentialing and Support Specialist
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 for applications, serving as a liaison between affiliated entities and health plan partners, and providing administrative and project support to the Contracting team. This is a remote position, and applicants must reside in North Carolina, South Carolina, Tennessee, Alabama, or Florida. Ensign Services provides back-office support to affiliated facilities in the post-acute care industry. The specialist is expected to represent the company and its facilities professionally and to demonstrate the organization’s CAPLICO values: Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership. The position is full time and non-exempt. Compensation is $19.23–$27.00 DOE, with possible bonus eligibility.
Requirements
- Strong organizational skills and attention to detail.
- Ability to multitask across multiple markets and facilities.
- Critical-thinking skills to analyze projects or problems and work through them effectively.
- Time-management and 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 and ability to follow through on delegated tasks with accountability.
- Resourcefulness in problem solving.
- Intermediate to advanced computer skills, including proficiency with Microsoft Office applications (Excel, Word, Outlook, and PowerPoint) and PDF editing.
- 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.
- Applicants must reside in North Carolina, South Carolina, Tennessee, Alabama, or Florida.
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 according to provider regulations and policies.
- Ensure credential 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 company and its facilities 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
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
