Manager of Credentialing – Revenue Cycle Management (RCM)

Emergicon • Terrell, TX

4d • Remote

About The Position

We are seeking an experienced Manager of Credentialing to lead provider credentialing, payer enrollment, and compliance operations for a growing ambulance organization supporting more than 200 providers across Texas. This leadership role is critical to ensuring providers are properly enrolled with Medicare, Texas Medicaid, and commercial insurance payers to support timely billing, reduce claim denials, and optimize revenue cycle performance.

Requirements

• Minimum 2 years of healthcare credentialing experience
• Minimum 2 years of Revenue Cycle Management experience
• Minimum 2 years of leadership experience managing remote/offsite staff
• Strong knowledge of Medicare, Texas Medicaid, EMS/ambulance billing, and commercial payer enrollment
• Experience with credentialing systems, payer portals, and healthcare billing platforms

Nice To Haves

• CPCS or CPMSM certification
• Experience in ambulance services, EMS, or medical transportation
• Associate degree in Healthcare Administration, Business Administration, or related field

Responsibilities

• Manage provider credentialing, recredentialing, and payer enrollments
• Oversee Medicare, Texas Medicaid, commercial payer, and MCO enrollments
• Maintain provider records, licenses, certifications, and compliance documentation
• Collaborate with billing, coding, collections, and compliance teams to improve reimbursement outcomes
• Resolve credentialing-related denials and billing delays
• Supervise and support remote credentialing staff
• Develop workflows, quality assurance standards, and operational improvements
• Ensure compliance with CMS, HIPAA, DSHS, and payer regulations

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree