Credentialing Manager
Location: Fully Remote
Schedule: Monday - Friday, Eastern Time
Pay Range: $5.00 - $7.00 /hour
Benefits: Paid Time Off (PTO)
At Nao Medical, we're revolutionizing healthcare by blending cutting-edge technology with heartfelt, personalized care. Over the past 13 years, we've proudly served more than a million New Yorkers at our various locations. Our mission is simple: through our multi-specialty practice, we provide accessible, quality care tailored to each patient's needs. We're breaking down barriers, championing health equity, and delivering value-based care to create healthier communities.
The Credentialing Manager oversees the credentialing process for all healthcare providers within Nao Medical’s clinics. This role ensures that all providers are properly credentialed with accepted insurance companies. We are looking for a driven Credentialing Manager to lead a small team of credentialing specialists and coordinate efficiently with various departments to maintain compliance and streamline the credentialing process.
Reporting Relationship: Reports to the Director of Revenue Cycle Management (RCM) and oversees 2-4 credentialing specialists.
Supervise and lead a team of 2-4 credentialing specialists.
Assign tasks, monitor performance, and provide training and support.
Conduct regular team meetings to ensure effective communication and workflow.
Manage the end-to-end credentialing process for all healthcare providers.
Ensure timely submission and follow-up of credentialing applications with insurance payers.
Maintain up-to-date records of provider credentials, including licenses, certifications, and insurance contracts.
Ensure all credentialing activities comply with relevant regulations, standards, and guidelines.
Stay updated with changes in credentialing requirements and insurance policies.
Coordinate with providers, insurance companies, and internal departments to resolve credentialing issues.
Communicate credentialing status and updates to relevant stakeholders.
Develop and implement policies and procedures to improve the credentialing process.
Generate and analyze reports on credentialing status, timelines, and compliance.
Provide regular updates to senior management on credentialing metrics and progress.
Bachelor's degree in healthcare administration, business, or a related field.
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) is preferred, but not required.
Minimum of 3-5 years of experience in healthcare credentialing.
At least 1-2 years in a supervisory role.
Experience in the NY region and urgent care credentialing preferred.
Ability to work night shifts during Eastern Time, from 8:00 AM - 5:00 PM, Monday-Friday
Candidates must provide their equipment and technology meeting these minimum specifications:
Up-to-date desktop or laptop computer with at least 8GB of RAM and a modern processor (Intel i5 or equivalent).
Windows 10 or macOS 10.15 (Catalina) or later.
High-speed internet connection with a minimum speed of 25 Mbps.
Functional headset with microphone, webcam, and reliable keyboard and mouse.
Quiet workspace devoid of distractions.
A second monitor is preferred, but not required.
Emergency backup or contingency plan for technology or connectivity issues.
Strong understanding of processes and requirements (PECOS, Medicaid, CAQH, insurance applications), with the ability to adapt to changing regulations.
Skilled in delegation, training, and team improvement, with excellent communication and stakeholder management abilities.
Proactive, goal-oriented approach with the ability to work independently, meet deadlines, and maintain high standards of integrity and reliability.
Proficient in virtual workspaces, with exceptional organizational and time management skills to improve efficiency.
Committed to accuracy and compliance, able to handle confidential information discreetly and work effectively under pressure.
Nao Medical is an Equal Opportunity Employer. We are committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We do not discriminate based on race, color, religion, creed, national origin, ancestry, sex, age, disability, marital status, sexual orientation, gender identity, genetic information, military or veteran status, or any other characteristic protected by applicable federal, state, or local laws. This policy applies to all employment terms and conditions, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Nao Medical is dedicated to providing a work environment free from discrimination and harassment and treating all individuals with respect and dignity. Combining individuals from diverse backgrounds and experiences creates a more innovative, creative, and productive workforce.
Experience the Nao Medical difference. Join us in transforming healthcare, Nao!