Payer Credentialing Supervisor

Our Billing Co. is seeking a Payer Credentialing Supervisor to lead a remote team of 10–12 specialists responsible for payer enrollment and ongoing credentialing activities. This role ensures daily operational execution, maintains quality and accuracy, drives team engagement in a virtual environment, and partners closely with leadership to meet turnaround times, compliance standards, and performance goals.

Responsibilities

• Team Engagement & Culture
  • Reinforce a high-engagement remote culture, including consistent camera-on expectations.
  • Hold daily team touchpoints to align on priorities and remove blockers.
  • Participate in three weekly alignment meetings with the Manager for updates and issue review.
  • Conduct weekly 1:1s with each specialist.
  • Support virtual team building and recognition activities.
  • Support change management efforts during team expansion, process updates, and transition.
• Operational Management
  • Directly oversee specialists performing hands-on payer enrollment work.
  • Assign daily tasks, balance workload, and ensure deadlines and SLAs are met.
  • Maintain clear priorities and communicate expectations consistently.
  • Monitor progress on applications, follow-ups, and aging tasks.
• Coaching & Quality
  • Provide real-time coaching, feedback, and process reinforcement.
  • Conduct quality checks on applications, documentation, and follow-up work.
  • Track individual performance and development against goals.
  • Identify training needs and partner with leadership to execute training plans.
  • Document coaching conversations and performance feedback.
• Administrative Oversight
  • Manage timecards, PTO, and daily staffing coverage.
  • Maintain and enforce the responsibility matrix for the team.
  • Monitor performance trends, outliers, and support PIPs when needed.
  • Oversee daily performance tracking and metrics.
  • Conduct staff quality audits and ensure documentation accuracy.

Requirements

• High School Diploma.
• Experience supervising and leading credentialing or payer enrollment teams (10+ staff).
• Proven success managing remote teams, including daily huddles, 1:1s, coaching, and performance tracking.
• Hands-on experience with payer enrollment workflows, provider onboarding, and credentialing processes.
• Strong working knowledge of major payer requirements, especially Highmark, IHA, Fidelis, UHC, Medicare, Univera, Aetna, Cigna/MVP, Wellpoint, and NY/PA Medicaid.
• Experience resolving payer escalations, navigating complex payer rules, and managing high-volume application pipelines.

Skills & Abilities

• Knowledge
  • Expert understanding of payer enrollment, credentialing workflows, and provider onboarding.
  • Experience with major payer portals (e.g., Availity, PECOS, CAQH).
  • Strong knowledge of key payer processes, including Highmark BCBS, Independent Health, Fidelis, UHC, Medicare, Univera, Aetna, Cigna/MVP, Molina, Wellpoint, NY/PA Medicaid.
  • Proficiency with enrollment and tracking platforms including MD-Staff and Smartsheet.
  • Knowledge of healthcare compliance, documentation requirements, and payer timelines.
• Skills
  • Leadership and team management in a remote environment.
  • Strong communication skills with the ability to set expectations and provide clear direction.
  • Coaching, performance management, and quality assurance.
  • Time management, prioritization, and workload balancing.
  • Problem-solving and escalation handling.
• Abilities
  • Lead a distributed team with consistency, accountability, and engagement.
  • Maintain accuracy and quality in a high-volume, deadline-driven environment.
  • Build trust, motivate staff, and foster a positive team culture.
  • Adapt quickly to changing priorities and operational needs.
  • Learn and manage enrollment/credentialing systems, payer portals, and workflow tools quickly.
  • Use data and metrics to drive decisions and performance improvement.

Working Conditions

• Hybrid role based in Buffalo, NY, with a strong preference for on-site work at the Larkin Building 3 days a week. Remote candidates will be considered based on skillset and experience.
• Ability to sit for extended periods while working at a computer or reviewing billing records.
• Work is typically performed in an office environment with minimal exposure to health or safety hazards.

Pay

Pay Range: $32.00 - $37.00 per hour. Individual annual salaries/hourly rates will be set within the job's compensation range and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, and expertise of the individual and internal equity considerations.

Benefits

Our Billing Co. offers a competitive benefits package.