Credentialing and Support Specialist

Remote Jobs; Nashville (TN); A distancia; USD 26.000 - 37.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical/dental/vision

Life insurance

401(k) with company match

Sick leave

Vacation

Descripción de la vacante

Ensign Services, Inc. is seeking a Credentialing and Support Specialist for its Managed Care Team. This full-time, remote role handles credentialing and re-credentialing across locations, coordinating with health plans and internal departments.

Applicants must reside in NC, SC, TN, AL, or FL. Responsibilities include maintaining credentialing documentation, databases, and contract-related activities, while ensuring compliance with regulations and company policies.

Formación

• Minimum 2 years credentialing/contracting experience in a Senior Living/Skilled Nursing setting.
• “DOE” compensation implies experience-based pay.
• Experience liaising with health plans and cross-functional teams.

Responsabilidades

• Ensure compliance with credentialing regulations and internal policies.
• Process credentialing applications for initial and re-credentialing.
• Coordinate with Legal, HR and Compliance for required information.
• Maintain credentialing databases and state licenses.
• Provide administrative support and contract-related tasks.

Conocimientos

Organizational skills

Time management

Written & verbal communication

Confidentiality

Interpersonal skills

MS Office (Excel/Word/Outlook/PowerPt

Problem solving

Educación

Post-secondary degree preferred

Herramientas

MS Office suite

PDF editing

Descripción del empleo

Credentialing and Support Specialist

Employment Type: Full Time, Non-exempt employee.

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

Location: Remote - Applicants must reside in North Carolina, South Carolina, Tennessee, Alabama, or Florida.

About the Company

Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 398 facilities in the long-term care continuum that employ over 60,000 employees.

ESI is known as the "Service Center" and provides the facilities and leaders it serves with "back-office" support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting.

This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people.

We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership ("CAPLICO") seriously. We want an individual in this role who will demonstrate these values through actions and words.

About the Opportunity

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.

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 requires for credentialing are processed accordingly to regulations and policies as outlined by 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.
• Coordinate and maintain the credentialing management database.
• Expected to represent our facilities and company professionally to all health plans and external partners.
• Assist Managed Care Resources and team with special projects as assigned including completion of contract summaries, contract catalogue and other market specific
• projects
• Coordinates with Contract Resource to file and maintain contract database.
• Administrative support task including maintaining meeting notes, filing contracts, processing credentialing inbox, etc.

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 multi task 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

• Minimum 2 years of facility credentialing and contracting experience in Senior Living/Skilled Nursing or Long-Term Care community.
• Proven track record of managing projects.
• Post-Secondary degree preferred.

Additional Information

Any offer of employment may be contingent upon the successful completion of job-related post-offer requirements, which may include background checks, reference checks, and/or other screenings or examinations as permitted by applicable law.

What We Offer

We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans.

We also believe in supporting our employee's professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com

This company is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.