Credentialing Team Manager | Remote | USA

Sutherland Healthcare Solutions is seeking a talented Credentialing Supervisors to support one of our growing Heathcare programs!

As a Credentialing Supervisor youll 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.

Qualifications :

Our most successful candidates will have:

• 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

Additional Information :

All your information will be kept confidential according to EEO guidelines.

EEOC and Veteran Documentation
During employment employees are treated without regard to race color religion sex national origin age marital or veteran status medical condition or handicap or any other legally protected status.
At times government agencies require periodic reports from employers on the sex ethnicity handicap veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping reporting and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information please note that all 
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

Remote Work :

Yes

Employment Type :

Full-time