Credentialing and Support Specialist
About The Position
Ensign Services, Inc. is seeking a full-time, experienced Credentialing and Support Specialist for its Managed Care Team. This role is responsible for credentialing and re-credentialing across the organization, coordinating and supporting compliance for applications, liaising between company entities and health plan partners, and providing administrative and project support to the Contracting team. The position is remote, with applicants considered only from North Carolina or Florida. Ensign Services, Inc. provides back-office support to affiliated post-acute care facilities. The specialist is expected to represent the facilities and company professionally to health plans and external partners, work with minimal direct supervision, and demonstrate the company’s stated core values.
Requirements
- Strong organizational skills and attention to detail.
- Ability to multitask across multiple markets and facilities.
- Critical-thinking and problem-solving skills.
- Time-management and prioritization skills.
- Professionalism and exceptional interpersonal skills.
- Ability to follow strict confidentiality guidelines and exercise 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.
- Ability to learn new software.
- Results orientation and thorough follow-up.
- Knowledge of commonly used credentialing concepts, practices, and procedures.
- Ability to function independently with minimal direct supervision.
Nice To Haves
- At least one year 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.
- Ensure credentialing applications and requirements are processed according to applicable regulations, provider policies, and procedures.
- Ensure credentialing information flows accurately and promptly to meet deadlines.
- Coordinate with Legal, HR, and Compliance departments to verify and document pertinent information.
- Maintain copies of 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, dental, and 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.
- May be eligible for a bonus.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
