Credentialing Manager Job Description Template
Our company is looking for a Credentialing Manager to join our team.
Responsibilities:
- Serve as company liaison with 3rd party payors;
- Manage update to date information regarding fee schedules;
- Grow and manage a team of credentialing coordinators;
- Manage and update credentialing & clinic licensure policies and protocols;
- Ensure reports on credentialing status of providers is up to date and accurate;
- Define and implement processes to ensure credentialing is completed and up to date in a timely manner;
- Manage process of negotiating new insurance contracts;
- Ensure all clinic information is accurate within 3rd party payor directory;
- Drive and implement seamless protocols for gathering credentialing data from health care providers.
Requirements:
- Ability to work independently and proactively in a fast-paced, dynamic environment;
- Highly self-motivated, directed and proactive;
- Flexible and adaptable in regard to learning and understanding new technologies;
- Able to communicate effectively within department and with members of interdisciplinary teams;
- Demonstrates ability to lead, manage and motivate teams;
- Ability to effectively prioritize and execute tasks in a high-pressure environment;
- Highly analytical and detail-oriented with ability to demonstrate command of details and to articulate those details at a higher level;
- Strong interpersonal, written, and oral communication skills;
- Experience working both independently and, in a team-oriented, collaborative environment;
- Keen attention to detail;
- Ability to interact with internal and external customers;
- In depth knowledge of credentialing;
- Proven analytical and problem-solving abilities;
- Experience with credentialing software preferred;
- Bachelor’s degree.