Credentialing and Support Specialist

Ensign Services • Jacksonville, FL

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. This role manages credentialing and re-credentialing for locations across the organization, coordinates application compliance, serves as a liaison between company entities and health plan partners, and provides administrative and project support to the Contracting team. The position is remote, with applicants considered only in North Carolina or Florida.

Requirements

• Strong organizational skills and attention to detail.
• Ability to multitask across multiple markets and facilities.
• Critical thinking and problem-solving skills.
• Strong 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 be accountable.
• Resourcefulness in problem solving.
• Intermediate to advanced computer skills, including Microsoft 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 when processing initial credentialing and re-credentialing applications.
• Process credentialing applications and 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 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 to support professional growth and development.
• May be eligible for a bonus.

What This Job Offers

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