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Supervisor, Credentialing

Chase Brexton Health Care · chasebrexton.org
BaltimoreOn-siteLead / Manager5+ yrs
Apply on Chase Brexton Health Care’s site

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The job in short

Credentialing supervisor overseeing provider credentialing, privileging and payer enrollment.

PayrollComplianceAudit

Details

Found
28 d ago · posted 2026-09-25
Location as listed
Baltimore, MD, US
Role
Medical Coding / Billing / Records
Source
The company’s own careers site

Full description

JOB SUMMARY: The Credentialing Supervisor is responsible for the oversight, management, compliance, and administration of provider, facility, and entity-level (re)credentialing, privileging, and payer enrollment activities for Chase Brexton Health Services. This position ensures compliance with HRSA (re)credentialing and privileging requirements, payer requirements, and organizational policies. The role supervises a team responsible for provider, facility, and entity-level (re)credentialing/, payer enrollment, privileging, and ongoing compliance activities. MAJOR DUTIES AND RESPONSIBILITIES: Performance Management • Supervise credentialing staff, including scheduling, payroll, evaluations, coaching, and corrective action • Maintain competencies and departmental performance metrics Resource, Staff, and Budget • Recruit, onboard, train, and develop staff Analytical and Critical Thinking • Oversee initial and ongoing provider credentialing and recredentialing. • Collect and review privileging documents. • Coordinate initial privileging and re-privileging processes. • Oversee facility, group, and provider enrollment with Medicare, Medicaid, and commercial payers. • Maintains active payer enrollments, profiles, certifications, and completes revalidations and updates to ensure uninterrupted billing and operational status. Compliance, Policy, and Procedure • Ensure primary source verification and maintenance of credentialing files • Ensure approvals are completed through established organizational pathways. • Maintain compliance with HRSA credentialing and privileging requirements. • Support audits, Operational Site Visits, and regulatory reviews. Communication • Work directly with providers to obtain required documentation • Alert leadership to any issues related to facility or individual provider credentialling. Workplace Computers and Equipment • Utilize CredentialStream and CAQH to maintain provider records and workflows. • Generate reports and monitor enrollment and credentialing status. SKILLS AND ABILITIES: Knowledge of HRSA credentialing requirements, payer enrollment processes, CAQH, CredentialStream, healthcare regulations, leadership, communication, organization, and compliance management. EDUCATION AND/OR EXPERIENCE: Required • Associate degree in Healthcare Administration, Business Administration, Health Information Management, or related field. • Minimum five (5) years of experience in provider credentialing, privileging, and payer enrollment. • Experience with HRSA credentialing and privileging requirements. • • with CAQH and CredentialStream or similar systems. • CPCS certification. Preferred • Previous supervisory experience. • Bachelor degree in related field. • FQHC experience. WORKING CONDITIONS/PHYSICAL DEMANDS: Work is typically performed in an office environment.

Medical Coding / Billing / Records jobs in Baltimore, Maryland · Medical Coding / Billing / Records jobs in the United States · All Chase Brexton Health Care jobs

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