Manager of Credentialing - Revenue Cycle Management (RCM)

Now Hiring: Manager of Credentialing -Revenue Cycle Management (RCM)

Location: Terrell, Texas(Remote/Hybrid)
Industry: Ambulance & Medical Transportation Services

We are seeking an experienced Manager of Credentialing to leadprovider credentialing, payer enrollment, and compliance operations for agrowing ambulance organization supporting more than 200 providers across Texas.

This leadership role is critical to ensuring providers are properlyenrolled with Medicare, Texas Medicaid, and commercial insurance payers tosupport timely billing, reduce claim denials, and optimize revenue cycleperformance.

Key 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

Qualifications

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, andcommercial payer enrollment
Experience with credentialing systems, payer portals, and healthcare billingplatforms

Preferred

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

Core Competencies

• Revenue Cycle Management
• Provider Credentialing & Enrollment
• Ambulance Billing Operations
• Denial Prevention & Resolution
• Team Leadership & Process Improvement
• Medicare & Medicaid Compliance

Join a team committed to operational excellence, compliance, andimproving reimbursement performance across a growing healthcare organization.

Apply today to become part of a dynamic Revenue Cycle Managementleadership team.

Emergicon LLC is an EEO Employer - M/F/Disability/Protected Veteran Status