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Credentialing Supervisor

Posted: November 02, 2023
Salary:Up to US$65000.00 per year
Location:Dublin
Job type: Permanent
Discipline:Revenue Cycle
Reference:215306_1698978551
Work Location:Hybrid

Job description

The Provider Enrollment Supervisor is responsible for assisting with the day-to-day activities of the Provider Enrollment Department, act as the first line leader to staff, and contributes to the development of processes and procedures.

Essential Job Functions:

  • Supervise and support credentialing staff responsible for licensing, credentialing, privileging, enrollment, reappointments and/or maintenance of professional credentials.
  • Work with Provider Enrollment Manager to complete employee relation duties as necessary such as coaching, mentoring, corrective action, or similar.
  • Review, edit, and process employee timecards, and schedules.
  • Assist with or prepare annual performance reviews for credentialing staff.
  • Send Medicare Revalidation reminders for all providers.
  • Monitor held claims in AIMs/Work release emails for held claims.
  • Conduct client calls to provide status updates on clients.
  • Work with AR to research credentialing related denials.
  • Work with Data Processing to research credentialing related rejections.
  • Ensure any questions regarding releases are answered in a timely fashion.
  • Responsible for ensuring Medicare credentialing items are completed timely.
  • Work with Client Management to provide support on client concerns and updates.
  • Credential for special projects and provide additional support as needed.
  • Meet staff for one-on-one touch base on performance/feedback concerns.
  • Work with Payments for requested EFT enrollments/updates.
  • Other duties as assigned.



Required Skills:

  • Excellent verbal and written communication skills.-will be a constant thing to work on
  • Proficient in Microsoft Office Suite and proprietary database applications.
  • Ability to use independent judgment and to manage and impart confidential information.
  • Ability to multi-task, manage priorities and meet critical deadlines.-will be a constant thing to work on
  • Ability to work independently and in a fast-paced environment.
  • High level of awareness of pertinent details; excellent organizational skills.

Education and Experience:

  • High school diploma or equivalent required, college degree preferred.
  • Knowledge of NCQA standards as it relates to credentialing and health plan enrollment.
  • Knowledge of medical terminology as it relates to specific privileges.

Salary: $65,000

Schedule: M-F 8am-4:30pm EST HYBRID (flexible)

Additional Benefits:

  • Paid continuing education
  • Paid Dr. Z seminars and travel expenses
  • Great benefits beginning day one of employment including Medical/Dental/Vision
  • HSA, FSA, and Dependent Care FSA options are available
  • HSA Wellness Program with $600 employer contribution
  • Annual biometric screenings
  • Company swag on day one
  • Employee appreciation days
  • 401k with employer match: 100% on the first 3%, 50% on the next 2%
  • A culture of promotion from within
  • PTO and sick time
  • Ten paid holidays to include the day after Thanksgiving and Christmas Eve
  • Consistent Monday through Friday schedule
  • Referral bonuses
  • Parental leave
  • Employer-paid short/long-term disability and Life/AD&D
  • Employee of the Month bonuses
  • Voted one of the 2022 Top Places to Work in Columbus by Columbus CEO Mag


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