Supervisor, Credentialing

Chase Brexton Health Care; Baltimore (MD); On-site; USD 75,000 - 85,000; Full time

Job summary

Chase Brexton Health Care seeks a Credentialing Supervisor to oversee (re)credentialing, privileging, and payer enrollment for providers, facilities, and entities. You will lead a team ensuring HRSA compliance and uninterrupted enrollment with payers.

Responsibilities include staff supervision, onboarding, and maintaining payer profiles while coordinating audits and regulatory reviews.

Qualifications

• Associate degree in healthcare/related field required.
• Minimum five years of provider credentialing, privileging, and payer enrollment experience.
• Experience with HRSA credentialing and privileging requirements.

Responsibilities

• Supervise credentialing staff, including scheduling, payroll, evaluations, coaching, and corrective action.
• Recruit, onboard, train, and develop staff.
• Oversee initial and ongoing provider credentialing and recredentialing.
• Coordinate initial privileging and re-privileging processes.
• Oversee facility, group, and provider enrollment with Medicare, Medicaid, and commercial payers.
• Maintain active payer enrollments, profiles, certifications, and revalidations.
• Ensure HRSA credentialing compliance and support audits/regulatory reviews.
• Work with providers to obtain required documentation.

Skills

HRSA credentialing

Payer enrollment

CAQH

CredentialStream

Healthcare regulations

Leadership

Communication

Organization

Compliance management

Education

Associate degree in Healthcare Administration, Business Administration, Health Information Management, or related field

Bachelor degree preferred

Tools

CAQH

CredentialStream

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Management Baltimore, MD, US

14 days ago Requisition ID: 4951

Salary Range: $75,000.00 To $85,000.00 Annually

JOB SUMMARY:

The Credentialing Supervisor is responsible for the oversight, management, compliance, and administration of provider, facility, and entity-level (re)credentialing, privileging, and payer enrollment activities for Chase Brexton Health Services. This position ensures compliance with HRSA (re)credentialing and privileging requirements, payer requirements, and organizational policies. The role supervises a team responsible for provider, facility, and entity-level (re)credentialing/, payer enrollment, privileging, and ongoing compliance activities.

MAJOR DUTIES AND RESPONSIBILITIES:

Performance Management

• Supervise credentialing staff, including scheduling, payroll, evaluations, coaching, and corrective action

Resource, Staff, and Budget

• Recruit, onboard, train, and develop staff

Analytical and Critical Thinking

• Oversee initial and ongoing provider credentialing and recredentialing.
• Collect and review privileging documents.
• Coordinate initial privileging and re-privileging processes.
• Oversee facility, group, and provider enrollment with Medicare, Medicaid, and commercial payers.

• Maintains active payer enrollments, profiles, certifications, and completes revalidations and updates to ensure uninterrupted billing and operational status.

Compliance, Policy, and Procedure

• Ensure primary source verification and maintenance of credentialing files
• Ensure approvals are completed through established organizational pathways.
• Maintain compliance with HRSA credentialing and privileging requirements.
• Support audits, Operational Site Visits, and regulatory reviews.

Communication

• Work directly with providers to obtain required documentation
• Alert leadership to any issues related to facility or individual provider credentialling.

Workplace Computers and Equipment

• Utilize CredentialStream and CAQH to maintain provider records and workflows.
• Generate reports and monitor enrollment and credentialing status.

SKILLS AND ABILITIES:

Knowledge of HRSA credentialing requirements, payer enrollment processes, CAQH, CredentialStream, healthcare regulations, leadership, communication, organization, and compliance management.

EDUCATION AND/OR EXPERIENCE:

Required

• Associate degree in Healthcare Administration, Business Administration, Health Information Management, or related field.
• Minimum five (5) years of experience in provider credentialing, privileging, and payer enrollment.
• Experience with HRSA credentialing and privileging requirements.
• with CAQH and CredentialStream or similar systems.

Preferred

• Previous supervisory experience.
• Bachelor degree in related field.

WORKING CONDITIONS/PHYSICAL DEMANDS:

Work is typically performed in an office environment.