Demo

Credentialing Lead

Allied Digestive Health
Middletown, NJ Full Time
POSTED ON 2/26/2025
AVAILABLE BEFORE 5/23/2025

Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to : Best Doctors in America and Top Doctors New Jersey, and US News Health - US News & World Report.

We are excited to announce that we are looking for a Full-Time, Credentialing Lead at our Corporate Office in West Long Branch, NJ.

This position does have the ability to be fully REMOTE / VIRTUAL, but may require up to 25% travel t o Corporate Office for meetings and site visits.

The Credentialing Lead responsibilities are :

  • Will be responsible for supporting all functions related to Credentialing and provider Integration assistance with the credentialing process, which would include newly hired providers and acquisitions.
  • Will assist in managing the coordination and oversight of provider credentialing requirements across all managed practices and insurers.
  • Leverage credentialing vendor to facilitate credentialing requirements to monitor and close gaps and reduce time to credential providers.
  • Communicate to all managed practices credentialing requirements to compel compliance.

The Credentialing Lead must have the following qualifications and experience :

  • High-school diploma or GED, Bachelor's degree preferred.
  • AAPC or AHIMA credentialing / licensing preferred
  • CPCS preferred
  • 3-5 years' experience in credentialing, preferably in a healthcare setting
  • Experience in managed care or revenue cycle management a plus
  • Experience moving from outsourced to insourced credentialing a plus
  • Proficiency with Microsoft office products including Word and Excel.
  • We offer a competitive base salary, generous benefits, including : Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits.

    Job Type : Full-time

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