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Agility Billing Services

Contracting & Credentialing Manager

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Job Description

Agility Billing Services is a medical billing and revenue cycle management company supporting a growing portfolio of orthopedic, surgical, and specialty practice clients across the tri-state area. We're building out a dedicated Contracting & Credentialing function, and we're hiring a Contracting & Credentialing Manager to lead it. This role owns payer contracting and provider credentialing/enrollment across our client portfolio, builds standardized processes for delivering that work at scale, and plays a direct role in strengthening our service offering as we grow. Key Responsibilities Payer Contracting
  • Lead negotiation, renewal, and management of managed care and commercial payer contracts (BCBS, UnitedHealthcare, Aetna, Cigna, Medicare/Medicaid MCOs, No-Fault/Workers' Comp payers) across NY, NJ, and CT
  • Analyze fee schedules and contract terms to identify underpayment risk and negotiation opportunities
  • Track in-network status, contract renewal/termination windows, and payer relationships across multiple client accounts
  • Advise on No Surprises Act/IDR exposure tied to contracting gaps
  • Stay current on state-specific managed care regulations (NY DFS, NJ C.32/Maximus, CT DOI) Credentialing & Provider Enrollment
  • Own end-to-end credentialing and re-credentialing for providers across client accounts — CAQH, NPI/PECOS, state licensure, malpractice/COI documentation
  • Build standardized workflows and tracking tools to support consistent turnaround and accuracy across accounts
  • Coordinate timely enrollment for newly hired providers to minimize revenue delays
  • Serve as primary liaison to payer provider relations/network management teams Department Growth
  • Help define and refine this service line as part of the company's broader growth strategy
  • Build onboarding processes for bringing new client accounts' contracts and credentials into our systems efficiently
  • As the team grows, help hire, train, and manage credentialing/contracting staff
  • Report on contract performance, in-network status, and credentialing turnaround metrics Qualifications Required
  • 5+ years of experience in healthcare payer contracting and/or provider credentialing
  • Working knowledge of the
NY/NJ/CT
managed care landscape and No Surprises Act/IDR framework
  • Hands-on experience with CAQH, PECOS/NPPES, and payer credentialing portals
  • Strong contract review and negotiation skills
  • Excellent organizational skills — comfortable managing multiple concurrent contracts and provider files
  • Proficiency in Excel and practice management/credentialing software Preferred
  • CPCS (Certified Provider Credentialing Specialist) or CPMSM certification
  • CPC or similar coding/billing credential
  • Experience with orthopedic or surgical specialty reimbursement structures
  • Experience managing credentialing/contracting across multiple client accounts or practices
  • Familiarity with DrChrono, ModMed, or similar practice management/EHR systems Compensation & Benefits Salary range: $85,000
  • 115,000, based on experience Medical, dental, and vision insurance 401(k) with employer contribution PTO + paid holidays Professional certification/continuing education support How to Apply Submit resume and cover letter to Christine Pier [cpier@agilityrcm.
com]. Please include any relevant credentialing certifications and a summary of payer contracts you've negotiated. Re6nwk8LpK

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Professional Development
  • Other Retirement and Savings