Credentialing Manager Resume Example & Writing Guide

Use this Credentialing Manager resume example and guide to improve your career and write a powerful resume that will separate you from the competition.

Credentialing managers are responsible for ensuring that an organization’s employees are qualified to do their jobs. They set up and administer the credentialing process, including designing and administering exams, reviewing applications, and making hiring decisions based on the information collected.

If you’re interested in pursuing a new career as a credentialing manager or want to take your existing one to the next level, it’s time to write a great resume. Here are tips and an example to help you do just that.

Michael Garcia
Los Angeles, CA | (123) 456-7891 | [email protected]

Experienced credentialing manager with a passion for ensuring the quality and accuracy of medical data. Proven ability to develop and implement process improvements that increase efficiency and reduce costs. Excels at collaborating with cross-functional teams to deliver high-quality products on tight deadlines.

California State University, East Bay Jun '10
B.S. in Business Administration
Company A, Credentialing Manager Jan '17 – Current
  • Managed the credentialing process for all new hires and renewals of credentials, including background checks, education verification, and licensing verifications.
  • Developed a comprehensive training program to ensure that staff are trained on proper credentialing procedures and policies.
  • Provided support in developing processes to streamline the credentialing process as well as improving efficiencies within the department.
  • Assisted with hiring efforts by providing recommendations regarding candidates’ qualifications based on their experience and skillsets required for specific positions.
  • Maintained current knowledge of healthcare industry trends through participation in professional organizations such as AHIMA or HIMSS, reading trade journals, attending conferences/seminars, etc., so that they can provide accurate information about changes in healthcare delivery systems to hospital personnel who seek advice from them concerning career opportunities available within the health care field.
Company B, Credentialing Manager Jan '12 – Dec '16
  • Developed and implemented a new credentialing process that reduced the time it took to approve an application by 25%
  • Conducted on-site inspections of facilities applying for certification, ensuring all requirements were met before approval
  • Managed a team of five Credentialing Specialists responsible for approving or denying applications
  • Collaborated with other departments to ensure compliance with regulations and standards set forth by governing bodies
  • Regularly updated and maintained records related to approved/denied applications in Excel spreadsheets
Company C, Credentialing Coordinator Jan '09 – Dec '11
  • Reviewed, verified and maintained the accuracy of provider credentials in the credentialing database.
  • Created and updated provider files in the credentialing database.
  • Communicated with providers and third-party organizations to obtain missing credentialing information.
  • Certified Professional Credential Manager (CPCM)
  • Certified Healthcare Compliance Officer (CHCO)
  • Certified Association Management Professional (CAMP)

Industry Knowledge: Credentialing, Compliance, Risk Management, HIPAA, ITIL, Quality Management, ISO, Six Sigma, ISO 27001, ISO 27017
Technical Skills: Microsoft Office Suite, NetIQ, RSA, Qualys, ServiceNow, SharePoint
Soft Skills: Communication, Leadership, Teamwork, Problem Solving

How to Write a Credentialing Manager Resume

Here’s how to write a resume of your own.

Write Compelling Bullet Points

Bullet points are the most common way to showcase your experience on a resume, but they don’t have to be boring or generic. By using specific numbers, percentages, and dollar amounts, you can make your bullet points much more interesting and compelling.

For example, rather than saying you “managed credentialing process for new hires,” you could say you “reduced new hire onboarding time from 10 days to 3 days by streamlining credentialing process and negotiating with vendors.”

The second bullet point is much more interesting and specific, which makes it much easier for the reader to visualize your role in the project and understand the outcome.

Identify and Include Relevant Keywords

When you apply for a credentialing manager role, your resume is likely to go through an applicant tracking system (ATS). This system will scan your resume for certain keywords related to the position. If your resume doesn’t include enough of the right terms, your application might not make it past the initial screening process.

One way to make sure your resume contains the right keywords is to read through job postings and take note of the terms that are used most frequently. You can then add those same terms into your resume where they’re most relevant.

  • Credentialing
  • Healthcare
  • Healthcare Management
  • Healthcare Information Technology (HIT)
  • U.S. Health Insurance Portability and Accountability Act (HIPAA)
  • Electronic Medical Record (EMR)
  • Medical Terminology
  • Hospitals
  • Medicine
  • Coding
  • Inpatient Care
  • Managed Care
  • Nursing
  • Public Health
  • Medicaid
  • Pediatrics
  • Clinical Research
  • Patient Safety
  • Insurance Verification
  • Patient Education
  • Home Care
  • Nursing Home Administration
  • Public Speaking
  • Social Services
  • Customer Service
  • Teaching
  • Performance Management
  • Human Resources (HR)
  • Recruiting
  • Organizational Development

Showcase Your Technical Skills

The technical skills section of your resume is one of the most important sections to focus on, as it can be the deciding factor in whether or not you get an interview. As a credentialing manager, you will be expected to be proficient in programs like Microsoft Office Suite, QuickBooks, and Excel. You should also list any other relevant technical skills, such as experience with customer relationship management (CRM) software or project management software.


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