Credentialing Team Manager (Healthcare)

Location: Remote within the USA; the posting is associated with Clifton, New Jersey.

Company

hirify.global delivers AI, automation, cloud engineering, advanced analytics, and business process services for global brands.

What you will do

• Manage credentialing workflows, application queues, maintenance, and renewal activities according to defined timelines and targets.
• Prepare accurate credentialing reports and compliance status updates for management.
• Develop credentialing strategies using data analysis, regulatory requirements, and operational observations.
• Oversee quality and compliance standards, coach credentialing staff, and support provider satisfaction.
• Coordinate with providers, payers, and internal stakeholders to resolve verification issues and meet compliance expectations.
• Analyze credentialing defects, implement corrective actions, and improve turnaround times.

Requirements

• Graduate or postgraduate qualification with CPC, COC, CCS, or CCS-P certification from AAPC or AHIMA.
• 6–7 years of hands-on medical coding and credentialing experience.
• At least 2 years of experience in a leadership role managing credentialing specialists.
• Strong analytical, data interpretation, trend identification, and problem-solving skills.
• Working knowledge of Microsoft Word, Excel, and PowerPoint.
• Strong verbal and written communication, adaptability, teamwork, and professional relationship-building skills.

Culture & Benefits

• Full-time remote work within the USA.
• Fast-paced environment with changing priorities.
• Focus on continuous process improvement and staff development.
• Employment practices follow EEO and veteran documentation guidelines.