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Posted: 10/19/2026Credentialing Supervisor
Dane StreetCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in credentialing processes, including primary source verification and compliance with healthcare regulations. Strong communication and critical thinking skills are essential for coordinating with teams and improving operational efficiency.
Highest-signal resume keywords
Credentialing ExperienceHealthcare Business ExperienceExceptional Communication SkillsCritical ThinkingComputer Literacy
About the role
Key responsibilities & impact- Enter reviewer application data and perform online searches
- Conduct primary source verification of board certifications, licenses, background checks, and malpractice checks
- Upload documents to electronic reviewer files and produce judgment pages with Medical Director comments
- Apply client Do Not Use status as required
- Communicate application status and Medical Director denials to the Operations team
- Review licenses, certifications, and registrations for expiration status
- Obtain W-9 documents in response to address changes
- Clone profiles when fundamental identifying data changes
- Remove reviewers from panels based on client or Operations requests
- Enter new or updated fees and obtain fee agreements
- Participate in Quality Management Committee meetings
- Provide credentialing-related advice to leadership, Contracting, and Operations
- Coordinate day-to-day assignments and activities of Credentialing team members, including training and instruction
- Audit credentialing logs and establish operational baselines
- Improve credentialing processes to reduce reviewer onboarding cycle times
- Establish team training guides and ensure electronic reviewer files are audit-ready
Requirements
What you’ll need- Credentialing experience is a must
- Business experience in a healthcare and/or insurance setting is preferred
- Exceptional communication skills with a clear understanding of company business lines
- Ability to apply critical thinking, manage time efficiently, and meet specific deadlines
- Computer literacy and typing skills
- 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 to view computer screens, analyze data, and read extensive digital documentation
- Frequent communication via email, chat, phone, and video conferencing platforms
- Ability to supply and support own internet services
- Uninterrupted internet connection required for work from home position
Benefits
Comp & perks- Medical, dental, and vision coverage for employees and families
- Voluntary life insurance for employees, spouses, and children
- Voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans
- Basic life insurance at no cost
- Short-term disability coverage at no cost
- Long-term disability coverage at no cost
- Paid time off
- 401(k) plan with company match
- Apple equipment for remote workspace
- Media stipend for remote workspace
- Collaborative remote culture
- Professional growth opportunities
- Commitment to employee development
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Primary Source VerificationBackground ChecksMalpractice ChecksDocument ManagementData AnalysisFee Agreement ManagementQuality ManagementCredentialing Process ImprovementAudit Log ManagementTeam Training Development
Soft Skills
Time ManagementAttention to DetailCollaborationAdaptabilityProblem Solving
Tools & Technologies
Digital Productivity ToolsVideo Conferencing PlatformsEmail CommunicationChat PlatformsElectronic Reviewer Files
Industry Keywords
HealthcareInsuranceCredentialingLicensingRegulatory Compliance