Credentialing and Support Specialist

Ensign Services • Nashville, TN

13h • Remote

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, supporting compliance with credentialing applications, serving as a liaison between company entities and health plan partners, and providing administrative and project support to the Contracting team. This is a remote position; applicants must reside in North Carolina, South Carolina, Tennessee, Alabama, or Florida.

The specialist processes credentialing applications and maintains required documentation and databases, coordinating with Legal, HR, Compliance, and Contracting resources. The position requires strong organization, attention to detail, communication, discretion, time management, and the ability to work independently across multiple markets and facilities.

The role is full-time and non-exempt. Compensation is $19.23–$27.00, depending on experience, and may include eligibility for a bonus. Offers may be contingent on successful completion of job-related post-offer requirements, which may include background and 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 and the ability to analyze and work through projects or problems effectively.
• Proven 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 take accountability.
• Resourcefulness in problem solving.
• Intermediate to advanced computer skills, including proficiency in Microsoft Excel, Word, Outlook, 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.
• 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.
• 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 applications and credentialing requirements according to applicable regulations and provider policies.
• Ensure credentialing information flows accurately and on time to meet deadlines.
• Coordinate with Legal, HR, and Compliance to verify and document relevant information.
• Maintain current state licenses, CLIA documentation, certificates of insurance, surveys, and other required credentialing records.
• Coordinate and maintain the credentialing management database.
• Represent the company and its facilities professionally with 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 Contract Resources 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.

What This Job Offers

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