Credentialing and Support Specialist

Ensign Services; California (MO); Remote; Full time

Job summary

Join a dynamic team as a Credentialing and Support Specialist with a forward-thinking organization dedicated to healthcare excellence. In this full-time remote role, you will play a vital part in credentialing and re-credentialing processes across various locations. Your expertise will help ensure compliance with regulations while supporting the Managed Care Team in administrative tasks and project management. This innovative firm values its employees, fostering a culture of growth and recognition. If you're passionate about making a difference in healthcare and thrive in a collaborative environment, this opportunity is perfect for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with Company Match

Professional Development Courses

Employee Recognition Programs

Qualifications

• 2+ years of experience in credentialing required.
• Strong organizational skills and attention to detail are critical.

Responsibilities

• Ensure compliance with all policies and regulations for credentialing.
• Coordinate with Legal, HR, and Compliance Departments for documentation.

Skills

Organizational Skills

Critical Thinking

Interpersonal Skills

Confidentiality

Communication Skills

Problem-Solving

Time Management

Multi-tasking

Education

Post-Secondary Degree

Tools

MS Office (Excel, Word, Outlook, PowerPoint)

PDF Editing Software

Job description

Position: Credentialing and Support Specialist

Location: San Juan Capistrano, CA

Job Id: 738

# of Openings: 1

Credentialing and Support Specialist

Ensign Services, Inc. is currently seeking a full-time, experienced Credentialing and Support Specialist for our Managed Care Team. This role is responsible for all aspects of credentialing and re-credentialing for our locations across the organization. Coordinates and supports compliance regarding applications. Acts as the liaison between our entities and our health plan partners. Supports the Contracting team with administrative management and project work. Qualified candidates will have a minimum of 2 years of experience in credentialing.

About the Company:

ESI currently serves over 348 health care operations and is expanding. These operations are supported by ESI’s “Service Center,” a world-class service team that provides clinical, legal, human resources, accounting, compliance, information technology, construction, and other resources necessary to allow on-site leaders to focus squarely on day-to-day business.

What sets Ensign Services apart from other companies is the quality of our most valuable resource - our people. On a daily basis, we focus on living out our Culture. The incorporation of these principles at all levels of our organization allows our employees to feel valued and excited about their impact on the operational partners and service center team members. Our culture fosters excellence personally and professionally and promotes development that leads to continued success.

Compensation: $19.23-$27.00 DOE; may be eligible for bonus

Location: Remote

Duties and Responsibilities:

• Guarantees full compliance with all applicable policies, procedures, bylaws, rules and regulations, accreditation standards and regulations for the processing of applications for initial credentialing and re-credentialing.
• Ensures all applications and requirements for credentialing are processed accordingly to regulations and policies as outlined by the provider.
• Confirms the seamless and timely flow of credentials information in order to meet deadlines.
• Coordinates with our Legal, HR and Compliance Departments to verify and document pertinent information.
• Maintains copies of current state licenses, CLIAs, COIs, surveys, and other required credentialing documentation.
• Coordinates and maintains the credentialing management database.
• Expected to represent our facilities and company professionally to all health plans and external partners.
• Assists Managed Care Resources and team with special projects as assigned including completion of contract summaries, contract catalog, and other market-specific projects.
• Coordinates with Contract Resource to file and maintain the contract database.

Qualifications, Skills and Abilities:

• Proven strong organizational skills and attention to detail. These are absolutely necessary and critical for success in this role. Ability to multitask as this position will cover multiple markets and facilities.
• Critical thinking to analyze a project/problem and work through it effectively. Proven record of ability for time management and prioritization of work/projects.
• Demonstrated professionalism and exceptional interpersonal skills.
• Ability to adhere to strict confidentiality guidelines and operate with the utmost integrity and discretion.
• Strong written and verbal communication skills required.
• Teamwork orientation.
• Able to follow through with delegated tasks and accountability.
• Resourcefulness in problem-solving.
• Demonstrated ability with intermediate to advanced computer skills including proficiency in MS Office applications (Excel, Word, Outlook, PowerPoint) along with PDF editing. Proficiency with learning new software.
• Dedicated to results and thorough follow-up.
• Knowledge of commonly used credentialing concepts, practices, and procedures.
• Excellent time management and multi-tasking abilities.
• Demonstrated ability to function independently with minimal direct supervision.

Desired Qualifications:

• Healthcare credentialing experience preferred.
• Proven track record of managing projects.
• Post-Secondary degree preferred.
• This position is remote.

Total Rewards:

We are committed to providing a competitive Total Rewards Package that meets our employees’ needs. From a choice of medical, dental, and vision plans to retirement savings opportunities through a 401(k), company match, and various other features, we offer a comprehensive benefits package. We believe in great work and we celebrate our employees’ efforts and accomplishments both locally and companywide, recognizing people daily through our Moments of Truth Program. In addition to recognition, we believe in supporting our employee’s professional growth and development. We provide employees a wide range of free e-courses through our Learning Management System as well as training sessions and seminars.