Manager of Credentialing and Medical

Cornerstones of Care•Kansas City, MO

5d•$60,000 - $62,000•Hybrid

About The Position

This remote hybrid role is responsible for overseeing core revenue cycle operations including client intake, eligibility and authorization processes, medical billing, accounts receivable, and provider credentialing, including licensure and supervision compliance. This role ensures accurate front-end data integrity and efficient back-end reimbursement processes while maintaining compliance with regulatory and payor requirements.

Requirements

High school diploma, required.
Minimum of 1-2 years of leadership or management experience, required.
At least 21 years of age and pass background check, physical, and drug screening.
A valid driver’s license in the state you reside in, proof of current vehicle insurance, and reliable transportation.

Nice To Haves

Bachelor's degree in healthcare administration, business, or related field, preferred.
Experience with Medicaid and KS/MO payors, preferred.
Experience with behavioral health credentialing/billing, preferred.

Responsibilities

Provide leadership and direct supervision to Billing & Coding, Credentialing & Accounts Receivable (AR), and Intake team members, including staffing, training, performance management, and workflow prioritization.
Ensure continuity of operations through appropriate staffing coverage, cross-training, and serving as a functional backup during team member absences or high-volume periods.
Serve as an escalation point for team members and manage complex issues related to billing discrepancies, credentialing, intake, and reimbursement processes.
Oversee intake and front-end operations, ensuring accurate client registration, documentation, eligibility verification, financial responsibility communication, and completion of prior authorizations and renewals.
Direct billing and accounts receivable functions, including claim submission, payment posting, denial management, and timely follow-up on unbilled, rejected, and aging claims to optimize reimbursement and reduce denials.
Manage provider credentialing, enrollment, and recredentialing activities, ensuring compliance with payor, regulatory, and organizational requirements.
Oversee licensure and supervision compliance, including verification, renewal tracking, adherence to supervision requirements, and alignment with billing and regulatory standards.
Partner with revenue cycle director and program leadership to validate provider credentials, scope of practice, and supervision structures to ensure compliant service delivery and billing.
Ensure compliance with HIPAA, Medicaid, Medicare, and commercial payor requirements and maintain audit readiness across all functions.
Other duties, as assigned.

Benefits

9 Paid Holidays
Unlimited Paid Time Off
Paid Sick Leave
Health insurance benefits (medical, prescription, dental, vision)
Cafeteria plans (Health Savings Account (HSA) and Medical and Dependent Care Flexible Spending Accounts)
Ancillary insurance benefits (accident insurance, critical illness insurance, hospital indemnity insurance, short-term disability insurance, voluntary life)
Long-term disability insurance
Basic term life/AD&D insurance at no cost to the team member
Retirement savings plan (401K) with employer match
Pet Insurance
Employee assistance program (EAP)
Tuition reimbursement program
Public Service Loan Forgiveness.