Manager of Credentialing – Revenue Cycle Management (RCM)

Now Hiring: Manager of Credentialing – Revenue Cycle Management (RCM)

 Location: Terrell, Texas (Remote/Hybrid)
Industry: Ambulance & Medical Transportation Services

We are seeking an experienced Manager of Credentialing to lead provider credentialing, payer enrollment, and compliance operations for a growing ambulance organization supporting more than 200 providers across Texas.

This leadership role is critical to ensuring providers are properly enrolled with Medicare, Texas Medicaid, and commercial insurance payers to support timely billing, reduce claim denials, and optimize revenue cycle performance.

Key Responsibilities

• Manage provider credentialing, recredentialing, and payer enrollments
• Oversee Medicare, Texas Medicaid, commercial payer, and MCO enrollments
• Maintain provider records, licenses, certifications, and compliance documentation
• Collaborate with billing, coding, collections, and compliance teams to improve reimbursement outcomes
• Resolve credentialing-related denials and billing delays
• Supervise and support remote credentialing staff
• Develop workflows, quality assurance standards, and operational improvements
• Ensure compliance with CMS, HIPAA, DSHS, and payer regulations

Qualifications

Minimum 2 years of healthcare credentialing experience
Minimum 2 years of Revenue Cycle Management experience
Minimum 2 years of leadership experience managing remote/offsite staff
Strong knowledge of Medicare, Texas Medicaid, EMS/ambulance billing, and commercial payer enrollment
Experience with credentialing systems, payer portals, and healthcare billing platforms

Preferred

• CPCS or CPMSM certification
• Experience in ambulance services, EMS, or medical transportation
• Associate degree in Healthcare Administration, Business Administration, or related field

Core Competencies

• Revenue Cycle Management
• Provider Credentialing & Enrollment
• Ambulance Billing Operations
• Denial Prevention & Resolution
• Team Leadership & Process Improvement
• Medicare & Medicaid Compliance

Join a team committed to operational excellence, compliance, and improving reimbursement performance across a growing healthcare organization.

Apply today to become part of a dynamic Revenue Cycle Management leadership team.