Credentialing and Support Specialist
About The Position
Ensign Services, Inc. is seeking an experienced, full-time Credentialing and Support Specialist for its Managed Care Team. The role manages initial credentialing and re-credentialing for locations across the organization, supports compliance with application requirements, and serves as a liaison between company entities and health plan partners. The specialist also provides administrative and project support to the Contracting team. This is a remote position for applicants who reside in North Carolina, South Carolina, Tennessee, Alabama, or Florida. Compensation is $19.23–$27.00, depending on experience, and the role may be eligible for a bonus. The position is non-exempt.
Requirements
- Strong organizational skills and attention to detail.
- Ability to multitask across multiple markets and facilities.
- Critical thinking and the ability 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.
- 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 a senior living, skilled nursing, or long-term care community.
- Proven track record of managing projects.
- Post-secondary degree preferred.
Responsibilities
- Process initial credentialing and re-credentialing applications in compliance with applicable policies, procedures, bylaws, rules, regulations, and accreditation standards.
- Ensure credentialing applications and requirements are processed according to provider regulations and policies.
- Coordinate the timely flow of credentialing information 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 documents.
- 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 the Contract Resource to file and maintain the contract database.
- Perform administrative support tasks, 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.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
