Credentialing and Support Specialist

About the role

The organization operates within the post-acute care industry, providing essential back-office support services to over 398 long-term care facilities employing more than 60,000 staff. It addresses operational challenges faced by onsite leaders and caregivers by managing functions such as accounting, compliance, human resources, IT, learning and development, legal, risk management, and recruiting, enabling care teams to focus on patient care.

The Credentialing and Support Specialist role is focused on managing credentialing and re-credentialing processes for multiple locations within the company. The position ensures compliance with relevant policies and regulations, serves as a liaison with health plan partners, and supports the Contracting team through administrative and project assistance. This role is critical for maintaining regulatory compliance and facilitating effective partnerships with external entities.

Responsibilities

• Guarantee compliance with policies, procedures, bylaws, rules, regulations, and accreditation standards for credentialing processes.
• Process credentialing applications and requirements according to provider policies.
• Ensure timely flow of credentialing information to meet deadlines.
• Coordinate with Legal, HR, and Compliance departments to verify and document necessary information.
• Maintain copies of required credentials such as state licenses, CLIAs, COIs, and surveys.
• Manage and update the credentialing database.
• Represent facilities professionally to health plans and external partners.
• Assist Managed Care Resources team with special projects including contract summaries and market-specific projects.
• Coordinate and maintain the contract database with Contract Resources.
• Provide administrative support including meeting notes, contract filing, and processing credentialing inbox.

Requirements

• Strong organizational skills and attention to detail.
• Ability to multitask across multiple markets and facilities.
• Critical thinking and effective time management.
• Professionalism and strong interpersonal skills.
• Adherence to confidentiality and integrity standards.
• Strong written and verbal communication.
• Team-oriented with accountability for tasks.
• Resourcefulness in problem-solving.
• Proficiency in MS Office applications and PDF editing; ability to learn new software.
• Knowledge of credentialing concepts, practices, and procedures.
• Ability to work independently with minimal supervision.

Qualifications

• Minimum two years of credentialing and contracting experience in Senior Living, Skilled Nursing, or Long-Term Care.
• Demonstrated project management skills.
• Post-secondary degree preferred.

Pay

$19.23 to $27.00 per hour depending on experience; may be eligible for bonus.

Benefits

• Medical, dental, and vision coverage.
• Company-provided life insurance.
• 401(k) plan with company match.
• Sick and vacation leave.