Manager of Credentialing and Medical

Cornerstones of Care; Kansas City (MO); Hybrid; USD 60,000 - 62,000; Full time

Benefits offered by this job

9 Paid Holidays, Unlimited PTO

Health insurance

401K with employer match

Pet Insurance

Tuition reimbursement

EAP

Paid sick leave

Job summary

Cornerstones of Care seeks a Manager of Credentialing and Medical to lead Billing & Coding, Credentialing & AR, and Intake teams in a remote hybrid setting. You will oversee front-end intake, eligibility verification, prior authorizations, and back-end billing to optimize reimbursement and ensure regulatory compliance.

Ideal candidates have 2–3 years in healthcare revenue cycle, leadership experience, and knowledge of Medicaid/ KS/MO payors.

Qualifications

• 2-3 years of healthcare revenue cycle experience
• Experience with Medicaid and KS/MO payors preferred
• Bachelor's degree in healthcare administration, business, or related field preferred
• At least 21 years of age and pass background check, physical, and drug screening

Responsibilities

• Provide leadership and direct supervision to Billing & Coding, Credentialing & AR, and Intake teams
• Ensure continuity of operations through staffing coverage and cross-training
• Escalate and manage complex billing, credentialing, intake, and reimbursement issues
• Oversee intake/front-end operations: registration, eligibility verification, and prior authorizations
• Direct billing, AR, claim submission, denial management, and follow-up to optimize reimbursement
• Manage provider credentialing, enrollment, and recredentialing in compliance with payors and regulations
• Oversee licensure and supervision compliance and renewal tracking
• Collaborate with leadership to validate credentials and supervision structures
• Ensure HIPAA, Medicaid, Medicare, and payor compliance and audit readiness
• Perform other duties as assigned

Job description

We are seeking a Manager of Credentialing and Medical to join our team.

Salary Range: $60,000 - $62,000

This remote hybrid role is responsible for overseeing core revenue cycle operations including client intake, eligibility and authorization processes, medical billing, accounts receivable, and provider credentialing, including licensure and supervision compliance. This role ensures accurate front-end data integrity and efficient back-end reimbursement processes while maintaining compliance with regulatory and payor requirements.

WHAT YOU WILL DO:

• Provide leadership and direct supervision to Billing & Coding, Credentialing & Accounts Receivable (AR), and Intake team members, including staffing, training, performance management, and workflow prioritization.
• Ensure continuity of operations through appropriate staffing coverage, cross-training, and serving as a functional backup during team member absences or high-volume periods.
• Serve as an escalation point for team members and manage complex issues related to billing discrepancies, credentialing, intake, and reimbursement processes.
• Oversee intake and front-end operations, ensuring accurate client registration, documentation, eligibility verification, financial responsibility communication, and completion of prior authorizations and renewals.
• Direct billing and accounts receivable functions, including claim submission, payment posting, denial management, and timely follow-up on unbilled, rejected, and aging claims to optimize reimbursement and reduce denials.
• Manage provider credentialing, enrollment, and recredentialing activities, ensuring compliance with payor, regulatory, and organizational requirements.
• Oversee licensure and supervision compliance, including verification, renewal tracking, adherence to supervision requirements, and alignment with billing and regulatory standards.
• Partner with revenue cycle director and program leadership to validate provider credentials, scope of practice, and supervision structures to ensure compliant service delivery and billing.
• Ensure compliance with HIPAA, Medicaid, Medicare, and commercial payor requirements and maintain audit readiness across all functions.
• Other duties, as assigned.

WHAT YOU WILL BRING:

Our ideal candidate will have 2-3 years of healthcare revenue cycle experience and the following:

• High school diploma, required.
• Bachelor's degree in healthcare administration, business, or related field, preferred.
• Minimum of 1-2 years of leadership or management experience, required.
• Experience with Medicaid and KS/MO payors, preferred.
• Experience with behavioral health credentialing/billing, preferred.
• At least 21 years of age and pass background check, physical, and drug screening.
• A valid driver's license, proof of current vehicle insurance, and reliable transportation.

WHO WE ARE:

Cornerstones of Care is a mental and behavioral health nonprofit certified in trauma-informed care that provides evidence-based prevention, intervention, treatment, and support services to help children and families improve their safety and health by making positive changes in their lives. Each year, our team empowers children and families in Kansas, Missouri, and beyond through three key service areas:

• Youth & Family Support - We help youth gain independence through social and living support programs while empowering families with the skills and resources they need to become resilient and successful.
• Foster Care & Adoption - We reunify and unite families while recruiting and providing support to foster parents and youth in foster care.
• Education & Community Trainings - We help students achieve academic success while giving educators the tools to create safe learning environments to improve their students' behaviors and offer innovative learning opportunities to build and improve knowledge in the community.

CORNERSTONES OF CARE'S ORGANIZATIONAL COMMITMENTS:

• Nonviolence - helping to build safety skills and a commitment to a higher purpose.
• Emotional Intelligence - helping to teach emotional management skills.
• Social Learning - helping to build cognitive skills.
• Open Communication - helping to overcome barriers to healthy communication, learn conflict management.
• Democracy - helping to create civic skills of self-control, self-discipline, and administration of healthy authority.
• Social Responsibility - helping to rebuild social connection skills, establish healthy attachment relationships.
• Growth and Change - helping to work through loss and prepare for the future.

OUR WIDE STATEMENT:

At Cornerstones of Care, we commit to fostering a community where every individual, regardless of background or identity, feels deeply welcomed, valued, and empowered. We envision a diverse community where inclusion and welcoming are prioritized. A community where all voices are heard, listened to, and respected. A community where everyone's physical, emotional, social, and psychological needs are met. At Cornerstones of Care, we have a vision where equity is not just a goal but is present in all we do; every team member feels empowered to authentically contribute to their fullest potential. We hold a collective commitment to WIDE (welcoming, inclusion, diversity, and equity) that will drive us forward as a stronger organization.

OUR DIVERSITY STATEMENT:

• We partner for safe and healthy communities.
• We cultivate a culture in which children, families, team members, volunteers, donors, and community partners feel welcomed, safe, respected, empowered, and celebrated.
• We value diversity of race, religion, color, age, sex, national origin or citizenship status, sexual orientation, gender identity and expression, geographical location, pregnancy, disability, neurodiversity, socio-economic, and military status.
• We stand for anti-racism, equity, and inclusivity.
• We insist and affirm that discrimination and violence have no place in safe and healthy communities, including in our organization.
• We strive toward a more welcoming, inclusive, diverse, and equitable organization through our policies, partnerships, and practices.

OUR BENEFITS:

Cornerstones of Care offers a competitive benefits package, which includes:

• 9 Paid Holidays, Unlimited Paid Time Off, and Paid Sick Leave
• Team members who work at least 30 hours per week are eligible for
  • Health insurance benefits (medical, prescription, dental, vision)
  • Cafeteria plans (Health Savings Account (HSA) and Medical and Dependent Care Flexible Spending Accounts)
  • Ancillary insurance benefits (accident insurance, critical illness insurance, hospital indemnity insurance, short-term disability insurance, voluntary life)
  • Cornerstones of Care provides long-term disability insurance and basic term life/AD&D insurance at no cost to the team member
• Retirement savings plan (401K) with employer match
• Pet Insurance
• Employee assistance program (EAP)
• Tuition reimbursement program
• Public Service Loan Forgiveness.
• To view more information on our benefits, please visit our Job Openings page at Join Our Team - Cornerstones of Care to download the current benefits guide.

Questions?

Please contact: Cornerstones of Care, People Experience Team

8150 Wornall Rd., Kansas City, MO 64114

Phone: [phone] Fax: [phone]

Like us on Facebook at: https://www.facebook.com/cornerstonescareers

Cornerstones of Care is an Equal Opportunity Employer