Credentialing Manager - United States

About EMB

Expert Medical Billing (EMB) is seeking an experienced Credentialing Manager to oversee provider enrollment and credentialing operations for our growing client base. This role is responsible for ensuring providers are properly enrolled, revalidated, and maintained with commercial insurance plans, Medicare, Medicaid, and other payers.

Responsibilities

Manage the provider credentialing and enrollment process from start to finish.

Complete new enrollments, revalidations, and demographic updates.

Maintain provider CAQH profiles and supporting documentation.

Track credentialing applications and payer follow-up.

Communicate with providers, clients, and payer representatives.

Maintain credentialing databases and status reports.

Ensure compliance with payer and regulatory requirements.

Supervise credentialing staff and assist with process improvements.

Qualifications

Minimum 3 years of provider credentialing experience.

Strong knowledge of Medicare, Medicaid, and commercial payer enrollment.

Experience with CAQH, PECOS, NPPES, and payer portals.

Excellent organizational and communication skills.

Ability to manage multiple projects and meet deadlines.

Leadership experience is preferred.

What We're Looking For

Highly organized and detail-oriented.

Strong problem-solving skills.

Ability to work independently and lead a remote team.

Commitment to providing exceptional client service.

Other duties, projects, and responsibilities may be assigned as necessary to support EMB's continued growth and operational needs.

Work Location: Remote

• Experience

  3 - 9 Years

• No. of Openings

  01

• Education

  Graduate

• Role

  Credentialing Manager

• Industry Type

  Hospitals / Medical / Healthcare Equipments

• Gender

  [ Male / Female ]

• Job Country

  United States

• Type of Job

  Full Time

• Work Location Type

  Work from Home