1 BeeperMD Manager Job

Company Description:

At BeeperMD, we provide free at-home Urgent Care and COVID Testing services to everyone.

Our Clinicians come to you, diagnose illnesses, and can test for Covid-19, Flu, Strep, RSV, and send prescriptions to your pharmacy.

Role Description:

- We are seeking a highly motivated and experienced Credentialing Manager with 10+ years of experience in Revenue Cycle Management (RCM).

- This role is critical to ensuring that healthcare providers are properly credentialed, enrolled, and compliant with all regulatory and payer requirements.

- The ideal candidate will have a strong understanding of credentialing processes, healthcare regulations, payer requirements, and effective team management skills.

Key Responsibilities:.

- Manage the end-to-end credentialing process, including initial credentialing, re-credentialing, and enrollment for healthcare providers with insurance payers, Medicare, Medicaid, and other entities.

- Ensure timely and accurate submission of credentialing applications, supporting documentation, and follow-ups.

- Monitor credentialing and re-credentialing timelines to avoid gaps in provider eligibility.

- Maintain compliance with all regulatory, legal, and payer-specific requirements related to credentialing and enrollment.

- Conduct periodic audits to ensure accuracy and completeness of credentialing records.

- Lead, mentor, and manage a team of credentialing specialists to achieve departmental goals.

- Provide training and guidance on credentialing policies, processes, and best practices.

- Monitor team performance and implement strategies for continuous improvement.

- Act as the primary liaison between healthcare providers, payers, and internal stakeholders regarding credentialing and enrollment issues.

- Resolve provider enrollment issues and escalate concerns as necessary.

- Communicate updates and changes in credentialing policies and payer requirements to relevant parties.

- Maintain accurate and up-to-date credentialing records in the credentialing software or database.

- Generate and present reports on credentialing status, key performance indicators (KPIs), and compliance metrics.

- Experience: Minimum of 10 years of experience in credentialing within the Revenue Cycle Management (RCM) or healthcare industry, with at least 4years in a leadership or management role.

Skills:.

- Strong knowledge of credentialing and enrollment processes, payer requirements, and healthcare regulations.

- Proficiency in credentialing software and systems.

- Excellent organizational, problem-solving, and multitasking abilities.

- Strong leadership and team management skills.

- Effective verbal and written communication skills.

Preferred Qualifications:.

- Certification in credentialing (e.g, CPCS or CPMSM) is highly desirable.

- Experience with RCM operations and understanding of the healthcare revenue cycle.

- Familiarity with HIPAA, NCQA, and other accreditation standards.