Credentialing Manager

Job Summary

To optimize revenue cycle operations, the full-time remote Credentialing Manager will manage payer network relationships, oversee an offshore enrollment team, and triage provider inquiries regarding payer enrollment updates.

Key responsibilities

• Drive efforts to scale the network of insurance contracts and manage relationships with payers
• Oversee the productivity of the offshore enrollment submission team and ensure accurate follow-up with payers
• Ensure compliance with payer regulations and industry standards while leading workflow optimization initiatives within revenue cycle management

Required qualifications

• 5+ years of relevant experience in credentialing or related roles, with a strong understanding of payer credentialing processes
• Experience in Medicaid credentialing is required
• Deep knowledge of the full revenue cycle, including billing, claims processing, and compliance
• Proficiency in Google Suite, Slack, and EHR/RCM management tools
• Ability to thrive in a dynamic startup environment and adapt to changing responsibilities