Sutherland

Credentialing Team Manager | Remote | USA

Clifton, //NJ, United States · Remote (restrictions not stated) · Full-time

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EmployerSutherland
LocationClifton, //NJ, United States
Work styleRemote (restrictions not stated)
Employment typeFull-time
Employer posted11 days ago

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.

Show full description

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.

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

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.

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