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 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