Credentialing Team Manager | Remote | USA

Sutherland • Clifton, NJ

12d • Remote

About The Position

Sutherland Healthcare Solutions is seeking a talented Credentialing Supervisors to support one of our growing Heathcare programs! As a Credentialing Supervisor, you'll role get to: Keep Management Updated: Relay vital information in the form of timely and accurate credentialing reports and compliance status updates. Impact the Bottom Line: Develop effective credentialing strategies based on accurate data analysis, regulatory requirements, and operational observations. Define Our Reputation: Oversee and manage credentialing quality and compliance standards to guarantee provider satisfaction and regulatory adherence; provide coaching and feedback to credentialing staff. Strengthen Relationships: Establish and maintain communication with providers, payers, and internal stakeholders; understand credentialing needs, resolve verification issues, and meet compliance expectations. Take the Lead: Monitor credentialing workflows and application queues as per defined timelines and targets; report out any delays or compliance gaps and take necessary action; perform root cause analysis on credentialing defects and implement corrective actions; drive credentialing turnaround time improvement initiatives; focus on meeting regulatory and payer requirements; meet credential maintenance and renewal goals set by the organization; be self-motivated to involve in staff development and continuous process improvement.

Requirements

• Graduate/post-graduate with CPC/COC/CCS/CCS-P Certification by AAPC/AHIMA
• Minimum 6-7 years with hands-on medical coding & credentialing
• At least 2 years in a leadership role managing a team of credentialing specialists
• Be able to work in a fast-paced environment
• Have good working knowledge in MS Office applications: Word, excel, & PPT
• Be able to adjust quickly and smoothly to changing priorities and conditions
• Have ability to interpret data, identify trends, and make suggestions for improvements
• Have strong analytical skills; be able to interpret data, identify trends, and make suggestions for improvements
• Be pro-active in developing trust and professional rapport with employees and team members; work as a team-player
• Have strong verbal and written communication skills; be able to communicate in a clear, constructive, and professional manner

Responsibilities

• Relay vital information in the form of timely and accurate credentialing reports and compliance status updates.
• Develop effective credentialing strategies based on accurate data analysis, regulatory requirements, and operational observations.
• Oversee and manage credentialing quality and compliance standards to guarantee provider satisfaction and regulatory adherence; provide coaching and feedback to credentialing staff.
• Establish and maintain communication with providers, payers, and internal stakeholders; understand credentialing needs, resolve verification issues, and meet compliance expectations.
• Monitor credentialing workflows and application queues as per defined timelines and targets; report out any delays or compliance gaps and take necessary action; perform root cause analysis on credentialing defects and implement corrective actions; drive credentialing turnaround time improvement initiatives; focus on meeting regulatory and payer requirements; meet credential maintenance and renewal goals set by the organization; be self-motivated to involve in staff development and continuous process improvement.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager