Credentialing Specialist Supervisor
Employment type
Full-time
Work setting
On-site
Location
Annapolis, MD
Schedule
Day shift
Posted
You'll be redirected to the employer's application page.
Job overview
The Credentialing Specialist Supervisor role is onsite in Annapolis, MD. Compensation is not specified. The position supports physician credentialing and application processes for Anne Arundel Urology PA, including managed care plans and hospital privileges. The supervisor oversees credentialing staff and maintains accurate, current physician records and enrollment information. The work helps practitioners maintain required credentials and supports timely participation in health plans, claims processing, and reimbursement.
What you'll do
- Supervise Credentialing Specialists
- manage physician applications for plans and hospital privileges
- maintain confidential physician files and required documentation
- coordinate professional license renewals and track continuing medical education
- maintain Medicare and Medicaid PECOS enrollment
- monitor renewal deadlines
- communicate deficiencies that could affect reimbursement
- coordinate plan submissions with Administration and Revenue Cycle Management
- respond to credentialing inquiries
- maintain activity logs
- notify departments of approvals
- work with Billing on claim rejections and authorization denials
- meet production and quality standards
- comply with HIPAA and practice policies.
What we're looking for
- Skills & competencies
- credentialing supervisorcredentialing specialistphysician credentialingprovider enrollmentmedicaremedicaidpecoslicensure renewalscme trackinghipaaannapolis mdanne arundel urology
- Work arrangement
- Weekend coverage required
Why this role
Requires a high school diploma or equivalent and at least two years of credentialing experience; supervisory experience is preferred.
About the employer
Anne Arundel Urology PA is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- Offices of Physicians (except Mental Health Specialists)
- Occupation code
- 11-9199.00
You'll be redirected to the employer's application page.
Listing ID: c6fd9e2e-2d94-4aec-a1cf-8072d7e1cabc