Credentialing Account Manager

🕒 il y a 21 jours

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Assembly Health

Site WebLinkedInTous les Emplois

201 - 500 employés

💼 Conseil

📦 Logistique

🏥 Santé

Consulting • Logistics • Healthcare

Assembly Health est dédiée à l'amélioration de la performance financière pour les prestataires de soins de santé grâce à une gestion innovante du cycle de revenus et à des solutions de back-office. Leur équipe d'experts et leur technologie optimisent les processus, permettant aux organisations de santé de se concentrer sur la prestation de soins de qualité aux patients. Avec une approche globale qui inclut l'analyse, le conseil en conformité et les services de personnel, Assembly Health sert une large gamme de spécialités médicales et de communautés de soins de longue durée à travers les États-Unis.

Description

• Serve as main point of contact for assigned clients, addressing inquiries and concerns proactively. • Conduct regular client meetings to review provider enrollment and credentialing data, discuss challenges, and align on goals. • Monitor and analyze key performance indicators (KPIs) such as retention/turnover rate, credentialing turnaround time, Network Adequacy, Net Promoter Score, etc. • Oversee all provider enrollment, credentialing, and re-credentialing activities to ensure accuracy, timeliness, and payer compliance. • Ensure effective tracking, reporting, and documentation of enrollment status, payer communications, and provider data across systems. • Act as the primary point of contact for complex provider, payer, or claims-related issues. • Identify and implement process improvements to streamline workflows, reduce cycle times, and improve provider experience. • Standardize SOPs, reporting structures, and quality controls across the Provider Relations function. • Analyze trends, bottlenecks, and performance metrics to inform decision-making and continuous improvement initiatives. • Serve as a key liaison with internal teams including Revenue Cycle, Operations, Compliance, and Clinical Leadership. • Provide executive-level updates and reporting to leadership on provider enrollment status, risks, and capacity planning. • Ensure clear, professional communication with providers and external partners.

🎯 Exigences

• 5+ years of experience in provider relations, credentialing, enrollment, or healthcare operations. • 2+ years of people management experience, including managing Team Leads or supervisors. • 2+ years of account management or customer success experience, serving as primary point of contact for clients. • Strong understanding of medical billing, payer enrollment, claims resolution, and healthcare workflows. • Proven ability to lead teams, drive accountability, and implement scalable processes. • Bachelor’s degree required; degree in healthcare administration, business, or process improvement preferred. • Exceptional organizational, analytical, and reporting skills. • Strong communication skills with the ability to influence across levels and functions. • Proficiency in Microsoft Office Suite and credentialing/enrollment databases. • Ability to thrive in a fast-paced, high-growth environment with evolving priorities. • Detail-oriented with strong problem-solving and decision-making capabilities.

🏖️ Avantages

• Health insurance • Dental insurance • Vision insurance • 401(k) • Paid time off • Bonus programs