Credentialing Supervisor

Dane Street, LLC

7d•Remote

About The Position

The Credentialing Supervisor protects patient safety and revenue flow by ensuring healthcare providers meet compliance, state, and regulatory standards. The role supports provider onboarding, prevents billing delays, mitigates legal risk, maintains audit-ready records, and coordinates managed care enrollment. It also provides functional supervision of Credentialing Specialists and serves as a credentialing subject-matter resource to internal teams. The supervisor oversees initial credentialing and recredentialing of reviewers, including application data entry, online searches, primary source verification, document management, Medical Director review materials, and application-status communications. The role monitors expiring licenses, certifications, and registrations; manages reviewer profile changes and panel status; handles W-9 requests; and updates fee schedules and related agreements. The position participates in Quality Management Committee meetings and coordinates Credentialing team assignments, training, and daily activities. Success in the role requires a quality- and compliance-first approach, timely reviewer onboarding, team coaching, cross-functional collaboration, and ongoing improvements to credentialing workflows. The role is remote and requires the employee to supply and support their own internet service, with uninterrupted connectivity.

Requirements

Credentialing experience is required.
Computer literacy and typing skills are essential.
Ability to apply critical thinking, manage time efficiently, and meet specific deadlines.
Ability to communicate effectively with team members, leadership, and external partners.
Ability to work from home while supplying and supporting personal internet service and maintaining an uninterrupted connection.
An Associate’s Degree or Bachelor’s Degree is preferred, not required.

Nice To Haves

Business experience in a healthcare and/or insurance setting.
Associate’s Degree or Bachelor’s Degree.
Exceptional communication skills and a clear understanding of company business lines.

Responsibilities

Enter reviewer application data, conduct online searches, and perform primary source verification of board certifications, licenses, background checks, and malpractice checks.
Upload documents to electronic reviewer files and prepare judgments pages that include Medical Director comments.
Apply client Do Not Use status as required and communicate application status to Operations, including Medical Director denials.
Review licenses, certifications, and registrations for expiration status.
Obtain W-9 documents in response to address changes and clone profiles when fundamental identifying data changes.
Remove reviewers from the panel based on client or Operations department requests.
Enter new or updated fee data and obtain new fee agreements as appropriate.
Participate in Quality Management Committee meetings.
Provide credentialing-related advice to leadership and to Contracting and Operations functions.
Coordinate day-to-day assignments and activities of Credentialing team members, including training and instruction.
Identify workflow issues and implement standardizations or process improvements that improve quality, accuracy, and cycle times.
Maintain audit-ready electronic reviewer files and support compliant, efficient reviewer onboarding.

Benefits

Medical insurance coverage for employees and family
Dental insurance coverage for employees and family
Vision insurance coverage for employees and family
Voluntary life insurance options for employees, spouses, and children
Hospital indemnity, critical illness, accident indemnity, and pet insurance plans
Basic life insurance at no cost
Short-term disability coverage at no cost
Long-term disability coverage at no cost
Paid time off
401(k) plan with company match
Apple equipment and a media stipend for remote workspace
Professional growth opportunities
Commitment to employee development