Credentialing Manager

RadNet; Village of Fairport (NY); On-site; USD 70,000 - 85,000; Full time

Job summary

RadNet is seeking a Credentialing Manager to lead the credentialing operations across multiple markets and ensure compliant, efficient processes. Reporting to the Director of Credentialing, you will design policies, enforce procedures, and drive improvements in credentialing workflows.

The ideal candidate brings 5+ years in healthcare billing/credentialing, strong supervisory experience, and fluent MS Office skills, with a deep understanding of CMS regulations and payer markets.

Qualifications

• Must have 5+ years in healthcare billing and/or credentialing.
• 5+ years supervisory or managerial experience.
• AAS degree required.
• Proficient in Microsoft Office (Outlook, Word, Excel).
• Knowledge of CMS regulations and national payer markets.
• Strong leadership and communication skills.
• Ability to manage multiple duties and meet deadlines.

Responsibilities

• Lead day-to-day credentialing operations across multiple markets.
• Design, implement and enforce credentialing policies and procedures.
• Streamline processes; prioritize, plan and direct the department.
• Oversee information flow between payers and credentialing team members.
• Provide information for month-end closing to the Director of Credentialing.
• Collaborate with RadNet leadership, practitioners and providers with professionalism and confidentiality.

Skills

Healthcare billing

Credentialing

Supervisory

Microsoft Office

Communication

Detail orientation

Time management

Problem solving

Payer markets

Leadership

Education

AAS degree

Tools

HealthStream OneAppPro

Microsoft Office

Job description

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as Credentialing Manager, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes.

JOB SUMMARY

Reporting to the Director of Credentialing, the Credentialing Manager is responsible for leading and planning the day-to-day responsibilities of the credentialing operations department. The Credentialing Manager will be responsible for designing, implementing and enforcing policies and procedures, as well as streamlining effective credentialing processes across multiple markets. This position is highly visible and requires a strong leader with the ability to prioritize, plan, and direct the department.

You will:

• Must possess previous experience in a supervisory or managerial role within the healthcare billing and/or credentialing environment.
• Must demonstrate a proficient knowledge of computer skills specifically Microsoft Office (Outlook, Word & Excel).
• Must have excellent written and verbal skills.
• Ability to interact professionally and pleasantly with all customers.
• ECHO HealthStream OneAppPro Credentialing software experience is preferred.
• Capable of working effectively both independently and with others.
• Knowledge of CMS regulations.
• Must demonstrate familiarity with payer markets on a national level.
• Must have a high level of attention to detail with exceptional organizational skills.
• Excellent knowledge of healthcare billing operations.
• Strong leadership skills with an ability to motivate direct reports.
• Manages the flow of information between the payers and credentialing team members.
• Must have a strong problem solving and analysis and resolution skills.
• Ability to communicate appropriately and effectively with RadNet Leadership, practitioners and providers; including sensitive and confidential information.
• Will be responsible for providing information for month end closing to the Director of Credentialing.
• Ability to prioritize and meet deadlines on an ongoing basis to ensure timely completion according to process requirements.Must have excellent time management skills and an ability to manage multiple duties simultaneously to meet deadlines.
• Capacity to work under pressure.

If You Are:

• AAS required.
• Minimally 5 years’ experience in healthcare billing and/or credentialing.
• Minimally 3 years’ experience is supervisory or managerial role.

Ideal Candidate will possess:

• Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
• Demonstrates initiative, personal awareness, professionalism and integrity, and exercises confidentiality in all areas of performance.
• Follows all local, state and federal laws concerning employment to include but not limited to: I-9, Harassment, EEOC, Civil rights and ADA.
• Follows OSHA regulations, RadNet and site protocols, policies and procedures.
• Follows HIPAA, compliance, privacy, safety and confidentiality standards at all times.

Pay Range: $70,000 - $85,000 per year