Credentialing Team Manager

🔥 13 hours ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sutherland

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1986

🏥 Healthcare

🛡️ Insurance

✈️ Travel

💰 $300M Secondary Market on 2014-10

Healthcare • Insurance • Travel

Sutherland is a global company specializing in digital transformation and business process outsourcing services. They leverage advanced technologies such as Artificial Intelligence, automation, and cloud engineering to drive digital performance and optimize critical business operations. Sutherland offers a variety of services including digital CX, enterprise technology solutions, and intelligent automation across multiple industries such as banking, healthcare, and telecommunications. Their focus is on delivering measurable outcomes, enhancing customer experiences, and enabling business agility through innovative digital solutions.

📋 Description

• Relay timely and accurate credentialing reports and compliance status updates to management • Develop credentialing strategies based on data analysis, regulatory requirements, and operational observations • Oversee and manage credentialing quality and compliance standards • Guarantee provider satisfaction and regulatory adherence • Provide coaching and feedback to credentialing staff • Establish and maintain communication with providers, payers, and internal stakeholders • Understand credentialing needs and resolve verification issues • Monitor credentialing workflows and application queues against defined timelines and targets • Report 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 • Meet regulatory and payer requirements • Meet credential maintenance and renewal goals • Participate in staff development and continuous process improvement

🎯 Requirements

• 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 • Ability to work in a fast-paced environment • Working knowledge of MS Office applications: Word, Excel, and PowerPoint • Ability to adjust quickly and smoothly to changing priorities and conditions • Ability to interpret data, identify trends, and make suggestions for improvements • Strong analytical skills • Proactive in developing trust and professional rapport with employees and team members • Team-player mindset • Strong verbal and written communication skills • Ability to communicate in a clear, constructive, and professional manner

🏖️ Benefits

• Employees can work remotely • Confidential handling of employee information according to EEO guidelines • Equal employment opportunity protections • Voluntary and confidential Administrative EEO record process; participation does not affect employment decisions