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Added 1 min ago
Administrative Support Specialist (Tax)
Dean Dorton
Fort Wright, KY
Dean Dorton’s Office Services team plays a vital role in supporting the firm’s people, operations, and leadership through high-quality administrative and operational support. The team…
Added 1 min ago
Administrative Support Specialist (Tax)
Dean Dorton
Indianapolis, IN
Dean Dorton’s Office Services team plays a vital role in supporting the firm’s people, operations, and leadership through high-quality administrative and operational support. The team…
Added 15 mins ago
Graduate Development Program, Associate Category Buyer, Procurement
natgridProd
Albany, NY · Hicksville, NY · Syracuse, NY · Brooklyn, NY · Waltham, MA
As the Associate Category Buyer, you will be responsible for supporting National Grid’s sourcing activities for US Procurement. You'll be an integral member of the team and deliver…
Added 16 mins ago
Graduate Development Program, Associate Engineer, Software Engineering
natgridProd
Syracuse, NY · Brooklyn, NY · Waltham, MA
Are you ready to build software that helps support National Grid’s Gas business? As an Associate Software Engineer, you’ll join the team responsible for the development and support of the…
Added 19 mins ago
Associate Banker, 40 Hours, Hawthorne, CA - Hawthorne Main Branch
JPMC page
Hawthorne, CA
As an Associate Banker within Chase, you will represent our brand and culture with the utmost hospitality, using the latest banking solutions and cutting-edge financial technology combined…
Added 23 mins ago
M
Seasonal Retail Fulfillment Associate
Manpower
Brooklyn, NY
- $18.5 USD / hour
Our client, a leading organization in the retail and ecommerce industry, is seeking dedicated Seasonal Retail Fulfillment Associates to join their team. As a Retail Fulfillment Associate,…
Added 25 mins ago
Retail Associate
SSA Group
Boca Raton, FL
Reports to: Retail Supervisor(s), Assistant Retail Operations Manager, and Retail Operations Manager
Added 40 mins ago
NSA Medical QA Specialist
Dane Street, LLC
Remote, United States
…us to maintain a positive working environment that promotes client satisfaction and…
Added 40 mins ago
Group Health Quality Analyst 1 (Weekend)
Dane Street, LLC
Remote, United States
…us to maintain a positive working environment that promotes client satisfaction and…
Added 41 mins ago
Associate Medical Director, Behavioral Health
Dane Street, LLC
Remote, United States
We are seeking a Behavioral Health Associate Medical Director to provide part-time clinical leadership and subject matter expertise in support of the Group Health utilization review…
Added 41 mins ago
Group Health Quality Analyst 1 (Nights)
Dane Street, LLC
Remote, United States
…us to maintain a positive working environment that promotes client satisfaction and…
Added 42 mins ago
Physician Recruiter-New York City Metropolitan Area
Dane Street, LLC
Remote, United States
…pre-established guidelines, and onboarding new physicians based on Client needs. This position is a goal and production-based role requiring the recruiter to meet/exceed monthly recruiting…
Added 42 mins ago
Physician Recruiter-New York City Metropolitan Area
Dane Street, LLC
Remote, United States
…pre-established guidelines, and onboarding new physicians based on Client needs. This position is a goal and production-based role requiring the recruiter to meet/exceed monthly recruiting…
Added 42 mins ago
Physician Recruiter-New York City Metropolitan Area
Dane Street, LLC
Remote, United States
…pre-established guidelines, and onboarding new physicians based on Client needs. This position is a goal and production-based role requiring the recruiter to meet/exceed monthly recruiting…
Added 42 mins ago
Physician Recruiter-New York City Metropolitan Area
Dane Street, LLC
Remote, United States
…pre-established guidelines, and onboarding new physicians based on Client needs. This position is a goal and production-based role requiring the recruiter to meet/exceed monthly recruiting…
Added 42 mins ago
Physician Recruiter-New York City Metropolitan Area
Dane Street, LLC
Remote, United States
…pre-established guidelines, and onboarding new physicians based on Client needs. This position is a goal and production-based role requiring the recruiter to meet/exceed monthly recruiting…
Added 42 mins ago
IME Washington Operations Manager
Dane Street, LLC
Remote, United States
The Washington Operations Manager oversees daily center operations to drive overall profitability, team efficiency, and sustained referral growth. By setting performance expectations and…
Added 42 mins ago
IME Washington Operations Manager
Dane Street, LLC
Remote, United States
The Washington Operations Manager oversees daily center operations to drive overall profitability, team efficiency, and sustained referral growth. By setting performance expectations and…
Added 42 mins ago
IME Washington Operations Manager
Dane Street, LLC
Remote, United States
The Washington Operations Manager oversees daily center operations to drive overall profitability, team efficiency, and sustained referral growth. By setting performance expectations and…
Added 42 mins ago
Physician Advisory Services QA Specialist
Dane Street, LLC
Remote, United States
…us to maintain a positive working environment that promotes client satisfaction and…
Added 43 mins ago
IME Quality Analyst - Auto & Liability
Dane Street, LLC
Remote, United States
…process. They will review the completed referral to ensure client questions have been addressed appropriately and review the completed report for accuracy. Ensuring client and department…
Added 43 mins ago
Credentialing Supervisor
Dane Street, LLC
Remote, United States
Removes reviewers from the panel based on client or Operations department requests.
Added 43 mins ago
Clinic Operations Supervisor
Dane Street, LLC
Remote, United States
…us to maintain a positive working environment that promotes client satisfaction and…
Added 43 mins ago
Physician Recruiter
Dane Street, LLC
Remote, United States
…pre-established guidelines, and onboarding new physicians based on Client needs. This position is a goal and production-based role requiring the recruiter to meet/exceed monthly recruiting…
Added 43 mins ago
Group Health Customer Service Representative
Dane Street, LLC
Remote, United States
…relationships with our clients, our technical team, and our operations teams. As a member of our team, you will be responsible for the scheduling and selection of reviewers for referrals…

Dane Street, LLC

Credentialing Supervisor

Remote, United States

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Job details

Posting language: English
Posted: Oct 19, 2026

Original job description

JOB SUMMARY

The Credentialing Supervisor exists to protect patient safety and revenue flow by ensuring all healthcare providers meet rigorous compliance, state, and regulatory standards. Operating at the intersection of clinical compliance and revenue operations, this role directly accelerates provider onboarding, prevents billing delays, and mitigates legal risk. By reviewing credentials, maintaining audit-ready records, and liaising between providers and internal teams, the Specialist ensures seamless managed care enrollment. Ultimately, this position maintains the organization's operational integrity and high standard of care.

Mission, Culture & Values At Dane Street, we believe exceptional employee experiences create exceptional client experiences. Our culture is built on collaboration, continuous improvement, accountability, and care.

We care for our customers, we care for our employees, and we care for one another. Every team member plays an important role in creating an environment where people feel respected, supported, empowered to grow, and inspired to do meaningful work.

What You’ll Do Initial Credentialing and Recredentialing of Reviewers

Enters reviewer application data, performs online searches of reviewers, and conducts primary source verification of reviewer board certifications, licenses, background checks, and malpractice checks. Uploads documents to the electronic reviewer file, produces judgments page to include comments from the Medical Director. Applies client Do Not Use status as required.
Communicates the application status with the operations team, including when an application is denied by the Medical Director.

Updating Expired Licenses, Board Certifications, and Workers’ Compensation Registration

Reviews licenses, certifications, and registrations for expiration status.

Reactivating, Deactivating, Do Not Use, Reviewer Contact Data, and W9 Requests

Obtains W-9 documents in response to address changes.
Clones profiles in the event of a fundamental identifying data change.
Removes reviewers from the panel based on client or Operations department requests.

Editing Fee Schedules

Performs data entry of new fees or updated fees.
Obtains new fee agreements as appropriate.

Participation on the Quality Management Committee

Participates in the Quality Management Committee meetings.

Assist Dane Street Team Members with Credentialing Content

Provides credentialing-related advice to leadership and for contracting and Operations functions.

Functional Supervision of Credentialing Specialists

Coordinates the day-to-day assignments and activities of the Credentialing team members, including training and instruction.

Other duties

What Makes This Role Successful:

Operating with a Quality & Compliance First Mindset: Prioritizing zero-compromise reviewer compliance and audit readiness. You proactively safeguard patient safety and client trust by ensuring 100% accuracy in primary source verifications, licensure updates, and Quality Management Committee reporting.
Accelerating Revenue Operations & Onboarding: Driving speed-to-panel without sacrificing regulatory integrity. You streamline intake and verification processes to eliminate onboarding bottlenecks, ensuring reviewers are active and billable as quickly as possible.
Fostering Team Accountability & Growth: Coaching and functionally supervising Credentialing Specialists with clarity, empathy, and constructive feedback. You build an empowered, highly efficient team that lives Dane Street’s culture of caring for one another and striving for continuous improvement.
Bridging Cross-Functional Collaboration: Serving as a trusted subject-matter expert for Medical Directors, Operations, Legal, and Contracting. You communicate credentialing statuses, denials, and Do Not Use (DNU) flags transparently to keep all stakeholders aligned.
Thinking Beyond the Task: Continuously evaluating day-to-day credentialing workflows, identifying operational friction points, and implementing standardizations that improve quality, accuracy, and cycle times across the panel.

What Your First 90 Days May Look Like:

First 30 Days (Learn & Audit): Master systems, shadow specialists, build cross-functional relationships with Operations and Medical Directors, and audit current credentialing logs to establish operational baselines.
First 31–60 Days (Lead & Standardize): Take full ownership of daily team coordination, actively participate in Quality Management Committee meetings, and tighten tracking for expiring licenses and fee schedule updates.
First 61–90 Days (Optimize & Scale): Implement process improvements to reduce reviewer onboarding cycle times, establish team training guides, and ensure all electronic reviewer files are 100% audit-ready.

EDUCATION/CREDENTIALS:

An Associate’s Degree or Bachelor’s Degree is preferred.

Must Haves:

Business experience in a healthcare and/or insurance setting is preferred. Credentialing experience is a must.

Preferred Qualifications:

Present exceptional communication skills with a clear understanding of company business lines.
The ability to apply critical thinking, manage time efficiently and meet specific deadlines.
Computer literacy and typing skills are essential.

WORKING CONDITIONS/PHYSICAL DEMANDS:

Any lifting, bending, traveling, etc. required to do the job duties listed above. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role. Examples:

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 required to view computer screens, analyze data, and read extensive digital documentation.
Frequent communication with team members, leadership, and external partners via email, chat, phone, and video conferencing platforms.
Occasional moving or positioning of office equipment or files weighing up to 10–15 pounds.

Why Join Dane Street?

Collaborative remote culture
Professional growth opportunities
Meaningful work supporting the healthcare industry
Comprehensive benefits
Great Place to Work Certified since 2021
Commitment to employee development

WORK FROM HOME TECHNICAL REQUIREMENTS:

Supply and support their own internet services. Maintaining an uninterrupted internet connection is a requirement of all work from home position.

Equal Opportunity Statement:

At Dane Street, caring for people is at the heart of what we do. We are committed to creating an inclusive workplace where every employee feels respected, valued, and empowered to contribute. We provide equal employment opportunities to all applicants and employees and make employment decisions based on qualifications, merit, business needs, and without regard to race, color, religion, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, or any other characteristic protected by applicable federal, state, or local law.

This job description is subject to change at any time.

Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

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More about this job

Skills

Regulatory compliance
Onboarding
Editing
Data entry
Quality assurance procedures
Prioritization
Reporting
Coaching
Process improvement
Collaboration
Train guides
Communication skills
Computer skills
Documentation
Leadership
Office equipment

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