Credentialing Account Manager

Responsibilities: Lead and manage client relationships regarding provider credentialing and enrollment while driving operational excellence. Serve as the primary liaison between providers, payers, and internal stakeholders to ensure compliance and process efficiency.

Requirements: Requires a bachelor's degree and over 5 years of experience in provider relations or healthcare operations, including people and account management. Must possess strong knowledge of medical billing, payer enrollment, and the ability to implement scalable processes.

Key skills: Client Relationship Management, Provider Enrollment, Credentialing, Account Management, People Management, Process Improvement, KPI Analysis, Stakeholder Management, Medical Billing, Claims Resolution, Compliance, Microsoft Office Suite

Keywords: CAQH, Provider Relations, Network Adequacy, Net Promoter Score, SOPs, Revenue Cycle, Healthcare Administration, Payer Applications, Credentialing Databases, Healthcare Operations