Credentialing Manager

Responsibilities

• Provide leadership and direct supervision to Billing & Coding, Credentialing & Accounts Receivable (AR), and Intake team members
• Ensure continuity of operations through appropriate staffing coverage and cross-training
• Serve as an escalation point for team members and manage complex issues
• Oversee intake and front-end operations, ensuring accurate client registration, documentation, eligibility verification, and financial responsibility communication
• Direct billing and accounts receivable functions, including claim submission and denial management
• Manage provider credentialing, enrollment, and recredentialing activities
• Oversee licensure and supervision compliance
• Partner with revenue cycle director and program leadership to validate provider credentials
• Ensure compliance with HIPAA, Medicaid, Medicare, and commercial payor requirements

• 2-3 years of healthcare revenue cycle experience
• High school diploma, required
• Bachelor's degree in healthcare administration, business, or related field, preferred
• Minimum of 1-2 years of leadership or management experience, required
• Experience with Medicaid and KS/MO payors, preferred
• Experience with behavioral health credentialing/billing, preferred
• At least 21 years of age
• Pass background check, physical, and drug screening
• A valid driver’s license in the state you reside in
• Proof of current vehicle insurance
• Reliable transportation.