Remote Credentialing Manager: Lead Enrollments & Team

AMS Solutions; Oregon; Hybrid; USD 110,000 - 150,000; Full time

Benefits offered by this job

Remote work

Long-tenured team

Growth opportunities

Job summary

AMS Solutions is a Dallas-based medical billing and revenue cycle management company seeking a Medical Credentialing Manager to lead the credentialing team and own enrollment quality across clients nationwide. You will be the primary contact for credentialing clients and partner with our sales team to scope and onboard new accounts.

This is a full-time, fully remote role open to U.S. candidates and reports to the Operations Manager.

Qualifications

• 5+ years of provider credentialing and payer enrollment experience.
• 2+ years leading or supervising a credentialing team.
• Deep working knowledge of CAQH, PECOS, Medicaid enrollment and payer contracting.

Responsibilities

• Lead day-to-day work of the credentialing team: assign cases, set turnaround expectations, review work, and coach teammates.
• Personally manage a caseload of enrollments with commercial payers, Medicare PECOS, and Medicaid.
• Maintain CAQH profiles, attestations, provider registrations, and provider files.
• Serve as the primary contact for credentialing clients and provide weekly status updates.
• Collaborate with sales to scope proposals and onboard new clients.
• Coordinate with billing to ensure providers are linked under contracts and claims go out accurately.

Skills

Credentialing experience

Payer enrollment

Team leadership

CAQH/PECOS knowledge

Billing/revenue cycle understanding

Communication

Detail-oriented

Multistate enrollment

Education

CPCS or CPMSM certification

Tools

Credentialing software

Microsoft 365

Job description

AMS Solutions is a Dallas-based medical billing and revenue cycle management company seeking a Medical Credentialing Manager to lead the credentialing team and own enrollment quality across clients nationwide. You will be the primary contact for credentialing clients and partner with our sales team to scope and onboard new accounts.

This is a full-time, fully remote role open to U.S. candidates and reports to the Operations Manager.