Phaxis · 12 hours ago
Credentialing Manager
Bronx, NY
Full-time
Onsite
Mid, Senior Level
$43/hr - $43/hrPhaxis is seeking a Credentialing Manager to lead their credentialing and payer enrollment initiatives. The role involves overseeing the credentialing processes for providers and groups, collaborating with various departments, and managing a team to ensure efficiency and compliance.
DeliveryHuman ResourcesStaffing Agency
Responsibilities
Lead the end-to-end credentialing and payer enrollment for providers and groups across multiple states, including Medicare, Medicaid, commercial plans, and delegated enrollments. Your expertise will ensure smooth sailing through the complex seas of credentialing!
Oversee licensing, re-licensing, and hospital, ASC, and nursing home privileging processes. Your attention to detail will be the anchor that keeps our operations steady
Collaborate closely with Organizational Leadership, Compliance, Contracting, and Revenue Cycle Management to resolve complex issues and align credentialing efforts with our organizational goals. Your teamwork will be the wind in our sails!
Ensure final preparation for Credentialing Committee review, at least once a month. Your organizational skills will keep us on course
Manage payer enrollment expectations, timelines, and communications, ensuring timely submissions and approvals. You'll be the captain of timely and efficient enrollments
Align with strategic partners to coordinate multi-state credentialing initiatives and optimize provider participation. Your strategic thinking will help us navigate new waters
Supervise, mentor, and develop the credentialing team, promoting efficiency and adherence. Your leadership will inspire and motivate the crew!
Collaborate with internal stakeholders—including Compliance, Contracting, and Revenue Cycle Management—to resolve complex issues and optimize processes. Your problem-solving skills will be the compass guiding us to success
Drive process improvements, policy updates, and compliance initiatives to support organizational growth and regulatory requirements. Your innovation will keep us ahead of the curve
Qualification
Required
Lead the end-to-end credentialing and payer enrollment for providers and groups across multiple states, including Medicare, Medicaid, commercial plans, and delegated enrollments
Oversee licensing, re-licensing, and hospital, ASC, and nursing home privileging processes
Collaborate closely with Organizational Leadership, Compliance, Contracting, and Revenue Cycle Management to resolve complex issues and align credentialing efforts with our organizational goals
Ensure final preparation for Credentialing Committee review, at least once a month
Manage payer enrollment expectations, timelines, and communications, ensuring timely submissions and approvals
Align with strategic partners to coordinate multi-state credentialing initiatives and optimize provider participation
Supervise, mentor, and develop the credentialing team, promoting efficiency and adherence
Collaborate with internal stakeholders—including Compliance, Contracting, and Revenue Cycle Management—to resolve complex issues and optimize processes
Drive process improvements, policy updates, and compliance initiatives to support organizational growth and regulatory requirements
Company
Phaxis
Phaxis is one of the nation's leading recruiting and consulting firms.
Founded in 2002
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Seth Friedland
Co-Founder and CEO
E
Erik DiGiacomo
President
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