认证团队经理 | 远程办公
Credentialing Team Manager | Remote WAH
关于Sutherland
人工智能。自动化。云工程。高级分析。对商业领袖而言，这些是成功的关键因素。对我们而言，它们是我们核心的专业技能。
我们与全球知名品牌合作。我们通过领先的科技和卓越的业务流程，为他们带来独特的价值主张。
我们在人工智能和其他关键技术领域下，已获得200多项专利的创新发明。借助我们先进的产品和平台，我们推动数字化转型，优化关键业务运营，重塑体验，开创新解决方案，所有服务均通过无缝的“按服务计费”模式提供。
对于每家公司，我们为其业务、所合作的人以及服务的客户带来新的钥匙。我们定制经过验证且快速的方案，以适应他们的独特基因。我们结合人类专业知识与人工智能，开发数字化学反应。这将解锁新的可能性、变革性成果和持久的关系。
Sutherland
释放数字表现。实现可衡量的结果。
此职位的认证主管将负责：
保持管理层更新：以及时准确的认证报告和合规状态更新传达重要信息。
影响底线：基于准确的数据分析、法规要求和运营观察，制定有效的认证策略。
定义我们的声誉：监督和管理认证质量和合规标准，确保供应商满意度和法规遵循；为认证员工提供指导和反馈。
加强关系：与供应商、付款方和内部利益相关者建立并保持沟通；了解认证需求，解决验证问题，满足合规期望。
发挥领导作用：根据规定的时限和目标监控认证工作流程和申请队列；报告任何延迟或合规差距并采取必要措施；对认证缺陷进行根本原因分析并实施纠正措施；推动认证处理时间改进计划；专注于满足法规和付款方的要求；达成组织设定的认证维护和续期目标；主动参与员工发展和持续流程改进。
我们最成功的候选人将具备：
- 必要资格：本科/研究生学历，持有CPC/COC/CCS/CCS-P证书
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About Sutherland
Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they’re our core expertise.
We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence.
We’ve created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless “as a service” model.
For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities, transformative outcomes and enduring relationships.
Sutherland
Unlocking digital performance. Delivering measurable results.
Credentialing Supervisors in this role get to: Keep Management Updated: Relay vital information in the form of timely and accurate credentialing reports and compliance status updates. Impact the Bottom Line: Develop effective credentialing strategies based on accurate data analysis, regulatory requirements, and operational observations. Define Our Reputation: Oversee and manage credentialing quality and compliance standards to guarantee provider satisfaction and regulatory adherence; provide coaching and feedback to credentialing staff. Strengthen Relationships: Establish and maintain communication with providers, payers, and internal stakeholders; understand credentialing needs, resolve verification issues, and meet compliance expectations. Take the Lead: Monitor credentialing workflows and application queues as per defined timelines and targets; report out any delays or compliance gaps and take necessary action; perform root cause analysis on credentialing defects and implement corrective actions; drive credentialing turnaround time improvement initiatives; focus on meeting regulatory and payer requirements; meet credential maintenance and renewal goals set by the organization; be self-motivated to involve in staff development and continuous process improvement.
Our most successful candidates will have: - Required Qualification: Graduate/post-graduate with CPC/COC/CCS/CCS-P Certification by AAPC/AHIMA - Overall Years of Experience and required Skill Sets: Minimum 6-7 years with hands on medical coding - Be attentive to details - Be able to work in a fast-paced environment - Have good working knowledge in MS Office applications: Word, excel, & PPT - Be able to adjust quickly and smoothly to changing priorities and conditions - Have ability to interpret data, identify trends, and make suggestions for improvements - Have strong analytical skills; be able to interpret data, identify trends, and make suggestions for improvements - Be pro-active in developing trust and professional rapport with employees and team members; work as a team-player - Have strong verbal and written communication skills; be able to communicate in a clear, constructive, and professional manner
All your information will be kept confidential according to EEO guidelines.
EEOC and Veteran Documentation
During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.
At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.