Credentialing Manager

Job Summary

Leading the credentialing operations department, the full-time remote Credentialing Manager will design, implement, and enforce policies and procedures while streamlining effective credentialing processes across multiple markets.

Key responsibilities:

• Manage day-to-day operations of the credentialing department, ensuring compliance with policies and procedures
• Oversee the flow of information between payers and credentialing team members, facilitating communication and coordination
• Provide information for month-end closing and maintain effective credentialing processes to meet deadlines

Required qualifications:

• Associate's degree (AAS) required
• Minimum of 5 years' experience in healthcare billing and/or credentialing
• At least 3 years' experience in a supervisory or managerial role
• Proficient in Microsoft Office (Outlook, Word & Excel)
• Familiarity with CMS regulations and national payer markets