Credentialing Supervisor
About The Position
Precision Orthopedics & Sports Medicine is a private practice group of board-certified and fellowship-trained orthopedic surgeons who focus on individualized care of their patients. We have 18 locations in the DMV area and meet the orthopedic needs of our patients with prompt appointments and caring staff. Specialized physicians delivering personalized orthopedic care. Comprehensive care that’s conveniently located close to home. With locations spread across Maryland, Virginia, and D.C., Precision Orthopedics & Sports Medicine offers our premier services to residents throughout the DMV area. You won’t have to go far to get the quality orthopedic care you need. We also partner with leading local hospitals to ensure coordinated care delivery for treatments that may require surgery or physical therapy.
Requirements
- 3–5 years credentialing experience
- Experience in medical group, hospital, or payer credentialing preferred.
- Credentialing software, CAQH, payer portals, MS Office.
- NCQA, CMS, commercial payer standards.
- Attention to detail, time management, communication, problem-solving.
Nice To Haves
- Supervisory or lead experience preferred.
- CPCS or CPMSM Preferred
Responsibilities
- Oversee initial credentialing, recredentialing, primary source verification, and expirables tracking.
- Lead credentialing team; assign tasks, monitor productivity, and provide coaching.
- Ensure adherence to NCQA, CMS, Joint Commission, and payer requirements. Maintain provider records for NPI, CAQH, PECOS, state licenses, DEA, board certifications, and renewals.
- Audit credentialing files for accuracy, completeness, and timely processing.
- Identify workflow gaps and implement operational enhancements.
- Serve as point of contact for credentialing status, requirements, and issue resolution. Prepare, submit, and track payer applications, rosters, and follow ups.
- Maintain credentialing databases; update provider records; generate reports.
- Coordinate with HR, compliance, revenue cycle, and clinical leadership.
- Coordinate efficient document scanning and organization for record keeping.
Benefits
- Vacation time & Sick time
- 9 paid major holidays
- CareFirst medical coverage
- Dental and Vision coverage
- Voluntary Life and Short-term Disability coverage
- Tuition assistance for continued education
- Health Savings Account (HSA)
- Flexible Spending Account (FSA)
- 401k Retirement Plan
- Mileage Reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
