Credentialing Supervisor

This is a fully remote position, open to applicants in United States.

📋 Description

• Enter application data for reviewers and conduct online searches.

• Perform primary source verification for board certifications, licenses, background checks, and malpractice checks.

• Upload documents to electronic reviewer files and generate judgment pages with comments from the Medical Director.

• Implement client Do Not Use status as necessary.

• Communicate application statuses and Medical Director denials to the Operations team.

• Review licenses, certifications, and registrations to check for expiration status.

• Obtain W-9 documents in response to address modifications.

• Clone profiles when essential identifying data undergoes changes.

• Remove reviewers from panels at the request of clients or Operations.

• Enter new or updated fees and secure fee agreements.

• Participate in Quality Management Committee meetings.

• Provide credentialing-related guidance to leadership, Contracting, and Operations.

• Coordinate daily assignments and activities of Credentialing team members, including training and guidance.

• Audit credentialing logs and establish operational baselines.

• Enhance credentialing processes to minimize reviewer onboarding cycle times.

• Create team training manuals and ensure electronic reviewer files are ready for audits.

⛳️ Requirements

• Prior credentialing experience is essential.

• Business experience in healthcare and/or insurance environments is preferred.

• Outstanding communication skills with a solid understanding of company business lines.

• Ability to apply critical thinking, manage time effectively, and meet deadlines.

• Proficiency in computer skills and typing.

• Ability to sit or remain stationary at a desk while working on a computer for extended periods.

• Consistent use of a computer, keyboard, mouse, and other digital productivity tools.

• Close visual acuity to view computer screens, analyze data, and read extensive digital documents.

• Frequent communication through email, chat, phone, and video conferencing platforms.

• Capability to provide and support personal internet services.

• Reliable internet connection is required for this work-from-home role.

🏝️ Benefits

• Medical, dental, and vision coverage for employees and their families.

• Voluntary life insurance options for employees, spouses, and children.

• Voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans.

• Basic life insurance provided at no cost.

• Short-term disability coverage offered at no cost.

• Long-term disability coverage provided at no cost.

• Paid time off available.

• 401(k) plan with company matching contributions.

• Apple equipment provided for remote workspaces.

• Media stipend for remote workspaces.

• Collaborative culture in a remote work setting.

• Opportunities for professional growth.

• Commitment to employee development.