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. The role manages credentialing and re-credentialing for locations across the organization, coordinates and supports compliance related to applications, serves as a liaison between affiliated entities and health plan partners, and provides administrative and project support to the Contracting team. The position is remote, with applicants required to reside in North Carolina, South Carolina, Tennessee, Alabama, or Florida. It is a full-time, non-exempt employee position with compensation of $19.23–$27.00, depending on experience, and may be eligible for a bonus. Employment offers may be contingent on successful completion of job-related post-offer requirements, including background checks, reference checks, or other legally permitted screenings or examinations.
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.
- Ability to follow through on delegated tasks and demonstrate accountability.
- 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 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.
- Proven track record of managing projects.
- Post-secondary degree.
Responsibilities
- Ensure compliance with applicable policies, procedures, bylaws, rules, regulations, and accreditation standards in processing initial credentialing and re-credentialing applications.
- Ensure credentialing applications and requirements are processed according to applicable regulations and provider policies.
- Coordinate the timely flow of credentialing information 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, 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.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
