[Hiring] Credentialing Supervisor @Dane Street, LLC

Role Description

The Credentialing Supervisor exists to protect patient safety and revenue flow by ensuring all healthcare providers meet rigorous compliance, state, and regulatory standards. Operating at the intersection of clinical compliance and revenue operations, this role directly accelerates provider onboarding, prevents billing delays, and mitigates legal risk. By reviewing credentials, maintaining audit-ready records, and liaising between providers and internal teams, the Specialist ensures seamless managed care enrollment. Ultimately, this position maintains the organization's operational integrity and high standard of care.

What You’ll Do

• Initial Credentialing and Recredentialing of Reviewers
  • Enters reviewer application data, performs online searches of reviewers, and conducts primary source verification of reviewer board certifications, licenses, background checks, and malpractice checks.
  • Uploads documents to the electronic reviewer file, produces judgments page to include comments from the Medical Director.
  • Applies client Do Not Use status as required.
  • Communicates the application status with the operations team, including when an application is denied by the Medical Director.
• Updating Expired Licenses, Board Certifications, and Workers’ Compensation Registration
  • Reviews licenses, certifications, and registrations for expiration status.
• Reactivating, Deactivating, Do Not Use, Reviewer Contact Data, and W9 Requests
  • Obtains W-9 documents in response to address changes.
  • Clones profiles in the event of a fundamental identifying data change.
  • Removes reviewers from the panel based on client or Operations department requests.
• Editing Fee Schedules
  • Performs data entry of new fees or updated fees.
  • Obtains new fee agreements as appropriate.
• Participation on the Quality Management Committee
  • Participates in the Quality Management Committee meetings.
• Assist Dane Street Team Members with Credentialing Content
  • Provides credentialing-related advice to leadership and for contracting and Operations functions.
• Functional Supervision of Credentialing Specialists
  • Coordinates the day-to-day assignments and activities of the Credentialing team members, including training and instruction.

What Makes This Role Successful

• Operating with a Quality & Compliance First Mindset: Prioritizing zero-compromise reviewer compliance and audit readiness.
• Accelerating Revenue Operations & Onboarding: Driving speed-to-panel without sacrificing regulatory integrity.
• Fostering Team Accountability & Growth: Coaching and functionally supervising Credentialing Specialists with clarity, empathy, and constructive feedback.
• Bridging Cross-Functional Collaboration: Serving as a trusted subject-matter expert for Medical Directors, Operations, Legal, and Contracting.
• Thinking Beyond the Task: Continuously evaluating day-to-day credentialing workflows and identifying operational friction points.

What Your First 90 Days May Look Like

• First 30 Days (Learn & Audit): Master systems, shadow specialists, build cross-functional relationships with Operations and Medical Directors, and audit current credentialing logs to establish operational baselines.
• First 31–60 Days (Lead & Standardize): Take full ownership of daily team coordination, actively participate in Quality Management Committee meetings, and tighten tracking for expiring licenses and fee schedule updates.
• First 61–90 Days (Optimize & Scale): Implement process improvements to reduce reviewer onboarding cycle times, establish team training guides, and ensure all electronic reviewer files are 100% audit-ready.

Qualifications

• An Associate’s Degree or Bachelor’s Degree is preferred.

Requirements

• Business experience in a healthcare and/or insurance setting is preferred.
• Credentialing experience is a must.

Preferred Qualifications

• Present exceptional communication skills with a clear understanding of company business lines.
• The ability to apply critical thinking, manage time efficiently and meet specific deadlines.
• Computer literacy and typing skills are essential.

Working Conditions/Physical Demands

• Any lifting, bending, traveling, etc. required to do the job duties listed above.
• Prolonged periods sitting or remaining stationary at a desk and working on a computer.
• Constant operation of a computer, keyboard, mouse, and other digital productivity tools.
• Close visual acuity required to view computer screens, analyze data, and read extensive digital documentation.
• Frequent communication with team members, leadership, and external partners via email, chat, phone, and video conferencing platforms.
• Occasional moving or positioning of office equipment or files weighing up to 10–15 pounds.

Benefits

• Collaborative remote culture.
• Professional growth opportunities.
• Meaningful work supporting the healthcare industry.
• Comprehensive benefits.
• Great Place to Work Certified since 2021.
• Commitment to employee development.

Equal Opportunity Statement

At Dane Street, caring for people is at the heart of what we do. We are committed to creating an inclusive workplace where every employee feels respected, valued, and empowered to contribute. We provide equal employment opportunities to all applicants and employees and make employment decisions based on qualifications, merit, business needs, and without regard to race, color, religion, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, or any other characteristic protected by applicable federal, state, or local law.