Credentialing and Support Specialist

Ensign Group; San Juan Capistrano (CA); Remote; Full time

Job summary

An established industry player is seeking a Credentialing and Support Specialist to join their Managed Care Team. This full-time role involves managing credentialing processes, ensuring compliance, and providing administrative support across various healthcare operations. The ideal candidate will possess strong organizational skills and the ability to work independently while maintaining confidentiality. The company values its employees and fosters a culture of celebration and accountability, offering a competitive benefits package and opportunities for professional growth. If you're passionate about making a difference in healthcare, this is the perfect opportunity for you.

Benefits

Medical, Dental, and Vision Plans

401(k) with Company Match

Free E-Courses

Training Sessions and Seminars

Recognition Programs

Qualifications

• 2+ years of experience in credentialing required.
• Strong organizational and multitasking skills are essential.

Responsibilities

• Manage credentialing and re-credentialing processes for multiple locations.
• Coordinate compliance with regulations and maintain documentation.

Skills

Organizational Skills

Critical Thinking

Interpersonal Skills

Written Communication

Verbal Communication

Time Management

Problem Solving

Confidentiality

Education

Post-Secondary Degree

Tools

MS Office (Excel, Word, Outlook, PowerPoint)

PDF Editing Software

Job description

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 candidate 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:

1. C – Celebration
2. A – Accountability
3. P – Passion for Learning
4. L – Love One Another
5. I – Intelligent Risk Taking
6. C – Customer Second
7. O – Ownership

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:

This full-time position reports to the Manager of Credentialing & Managed Care Contracting Team and 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. Provides administrative support and project work.

• 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 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 catalogue and other market specific projects.
• Coordinates with Contract Resource to file and maintain contract database.
• Performs administrative support tasks 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 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.