Credentialing Manager with Medicaid Experience

Job Summary

To optimize revenue cycle operations, the full-time Credentialing Manager with Medicaid Experience will manage payer network relationships, oversee an offshore enrollment team, and ensure compliance with industry standards, all while working remotely.

Key responsibilities

• Drive payer network management efforts to scale insurance contracts and unblock stalled applications
• Oversee the offshore enrollment submission team to ensure timely and accurate payer follow-up
• Ensure compliance with payer regulations and internal policies while leading workflow optimization initiatives

Required qualifications

• 5+ years of relevant experience in credentialing or related roles, with a strong understanding of payer credentialing processes
• Experience in revenue cycle management, including billing, claims processing, and compliance
• Proven ability to analyze complex RCM data and implement data-driven solutions
• Proficiency in Google Suite, Slack, CRM/support software, and EHR/RCM management tools
• Passion for democratizing autism care and empowering providers through robust revenue cycle management