[Hiring] Credentialing Team Manager @Sutherland

Role Description

Credentialing Supervisors in this role get to:

• Keep Management Updated: Relay vital information in the form of timely and accurate credentialing reports and compliance status updates.
• Impact the Bottom Line: Develop effective credentialing strategies based on accurate data analysis, regulatory requirements, and operational observations.
• Define Our Reputation: Oversee and manage credentialing quality and compliance standards to guarantee provider satisfaction and regulatory adherence; provide coaching and feedback to credentialing staff.
• Strengthen Relationships: Establish and maintain communication with providers, payers, and internal stakeholders; understand credentialing needs, resolve verification issues, and meet compliance expectations.
• Take the Lead: Monitor credentialing workflows and application queues as per defined timelines and targets; report out any delays or compliance gaps and take necessary action; perform root cause analysis on credentialing defects and implement corrective actions; drive credentialing turnaround time improvement initiatives; focus on meeting regulatory and payer requirements; meet credential maintenance and renewal goals set by the organization; be self-motivated to involve in staff development and continuous process improvement.

Qualifications

• Required Qualification: Graduate/post-graduate with CPC/COC/CCS/CCS-P Certification by AAPC/AHIMA
• Overall Years of Experience and required Skill Sets: Minimum 6-7 years with hands on medical coding
• Be attentive to details
• Be able to work in a fast-paced environment
• Have good working knowledge in MS Office applications: Word, Excel, & PPT
• Be able to adjust quickly and smoothly to changing priorities and conditions
• Have ability to interpret data, identify trends, and make suggestions for improvements
• Have strong analytical skills; be able to interpret data, identify trends, and make suggestions for improvements
• Be pro-active in developing trust and professional rapport with employees and team members; work as a team-player
• Have strong verbal and written communication skills; be able to communicate in a clear, constructive, and professional manner

Company Description

About Sutherland

Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they’re our core expertise.

We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence.

We’ve created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless “as a service” model.

For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities, transformative outcomes and enduring relationships.

Sutherland: Unlocking digital performance. Delivering measurable results.