Credentialing and Support Specialist

Ensign Services • Tampa, FL

14h • $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 remote role is open to applicants in North Carolina or Florida. The specialist handles credentialing and re-credentialing for locations across the organization, coordinates and supports compliance for applications, serves as a liaison between affiliated entities and health plan partners, and provides administrative and project support to the Contracting team.

The role requires strong organization, attention to detail, communication, discretion, and the ability to manage work across multiple markets and facilities. The specialist is expected to represent the company professionally, work independently with minimal direct supervision, and demonstrate the company’s CAPLICO values: Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership.

Employment is full-time and non-exempt. Compensation is $19.23–$27.00, depending on experience, with possible bonus eligibility. Any offer may be contingent on successful completion of job-related post-offer requirements, such as background or reference checks and 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 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 function 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 preferred.

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 in accordance with applicable provider regulations and policies.
• Ensure credentialing information flows seamlessly and on time to meet deadlines.
• Coordinate with Legal, HR, and Compliance 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.
• 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
• Education Level: No Education Listed