Credentialing Team Manager | Remote | USA

Sutherland; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

Sutherland Healthcare Solutions is seeking a Credentialing Supervisor to lead a credentialing team in a fast-paced environment. You will ensure accuracy, reliability, and timely reporting of credentialing activities and compliance status.

The role emphasizes data analysis to shape credentialing strategies, provider satisfaction, and regulatory adherence, with coaching for staff and collaboration with internal stakeholders.

Qualifications

• Leadership experience in a fast-paced credentialing environment.
• Strong data interpretation and trend analysis abilities.
• Excellent verbal and written communication skills.

Responsibilities

• Keep management updated by delivering timely credentialing reports and compliance status updates.
• Develop credentialing strategies based on data analysis, regulatory requirements, and operations observations.
• Oversee credentialing quality and compliance standards to ensure provider satisfaction and regulatory adherence; provide coaching to staff.

Skills

Leadership

Data analysis

Communication

Adaptability

Education

AAPC/AHIMA credentialing certification (CPC/COC/CCS/CCS-P)

Tools

MS Office

Job description

Permanent WAH

Job Description:

Sutherland Healthcare Solutions is seeking a talented Credentialing Supervisors to support one of our growing Heathcare programs!

As a Credentialing Supervisor, you'll role get to:

• Keep Management Updated: Relay vital information in the form of timely and accurate credentialing reports and compliance status updates.
• Impact the Bottom Line: Develop effective credentialing strategies based on accurate data analysis, regulatory requirements, and operational observations.
• Define Our Reputation: Oversee and manage credentialing quality and compliance standards to guarantee provider satisfaction and regulatory adherence; provide coaching and feedback to credentialing staff.
• Strengthen Relationships: Establish and maintain communication with providers, payers, and internal stakeholders; understand credentialing needs, resolve verification issues, and meet compliance expectations.
• Take the Lead: Monitor credentialing workflows and application queues as per defined timelines and targets; report out any delays or compliance gaps and take necessary action; perform root cause analysis on credentialing defects and implement corrective actions; drive credentialing turnaround time improvement initiatives; focus on meeting regulatory and payer requirements; meet credential maintenance and renewal goals set by the organization; be self-motivated to involve in staff development and continuous process improvement.

Qualifications:

• Graduate/post-graduate with CPC/COC/CCS/CCS-P Certification by AAPC/AHIMA
• Up to 6-7 years with hands-on medical coding & credentialing
• At least 2 years in a leadership role managing a team of credentialing specialists
• Be able to work in a fast-paced environment
• Have good working knowledge in MS Office applications: Word, excel, & PPT
• Be able to adjust quickly and smoothly to changing priorities and conditions
• Have ability to interpret data, identify trends, and make suggestions for improvements
• Have strong analytical skills; be able to interpret data, identify trends, and make suggestions for improvements
• Be pro-active in developing trust and professional rapport with employees and team members; work as a team-player
• Have strong verbal and written communication skills; be able to communicate in a clear, constructive, and professional manner