Credentialing Lead/Supervisor - (13324)
InGenesis
Job Description
We are currently seeking a Credentialing Lead/Supervisor to join our team. In this role, you will support the day-to-day operations of the credentialing function by overseeing workflow coordination, ensuring timely primary source verification, and maintaining compliance with organizational and regulatory standards.
- Coordinate daily credentialing workflows to ensure timely completion of primary source verification and file processing.
- Perform and support credentialing activities, including verification of licenses, certifications, education, and employment history.
- Serve as a subject matter expert for credentialing processes, systems, and compliance requirements.
- Act as the first point of escalation for complex or high-priority credentialing issues.
- Conduct quality assurance reviews to ensure accuracy, completeness, and compliance of credentialing files.
- Assist in training, onboarding, and mentoring new credentialing staff.
- Support workload balancing across the team to meet operational deadlines and SLAs.
- Monitor and track credentialing metrics, including turnaround times and error rates, and escalate risks as needed.
- Collaborate with internal teams (HR, Compliance, Operations, and Program teams) to resolve credentialing-related issues.
- Maintain accurate and up-to-date records within credentialing systems and databases.
- Assist leadership with process improvements and implementation of best practices.
- Perform other duties as assigned to support departmental and organizational needs.
- Associate's or Bachelor's degree in a related field preferred
- 2-4 years of credentialing experience or related healthcare operations experience.
- Prior experience serving as a lead, senior specialist, or informal team mentor preferred.
- Working knowledge of credentialing standards, including state and federal regulations and accreditation requirements (e.g., Joint Commission).
- Strong attention to detail and ability to manage multiple priorities in a fast-paced environment.
- Excellent organizational, problem-solving, and communication skills.
- Ability to guide and support team members while maintaining productivity.
- Proficiency in credentialing systems and Microsoft Office (Word, Excel, Outlook).
- Frequently required to operate a computer and review, input, and retrieve information.
- May involve sitting, standing, walking, and occasional lifting of light materials.
Vacancy posted 3 days ago
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