Manager - Provider Enrollment & Credentialing
22 hours ago
About the Role: The Manager – Provider Enrollment & Credentialing will be responsible for overseeing the end-to-end provider enrollment, credentialing, and re-credentialing processes for healthcare providers across multiple payers. This role involves managing a team, ensuring compliance with payer and regulatory requirements, maintaining strong client relationships, and driving process efficiency and quality across all credentialing operations. Location : Mohali (On-site) Key Responsibilities: Team & Operations Management Lead and mentor the Credentialing and Provider Enrollment team, ensuring productivity, accuracy, and adherence to SLAs. Oversee day-to-day operations related to CAQH management, payer applications, NPI, and Medicare/Medicaid enrollments. Manage re-credentialing, demographic updates, and enrollment follow-ups with payers. Ensure completion of applications, verifications, and documentation within defined timelines. Process Improvement & Compliance Establish and maintain process documentation, SOPs, and performance trackers. Monitor quality and turnaround time (TAT) and implement corrective actions when required. Ensure all credentialing processes comply with NCQA, CMS, and payer-specific regulations. Identify process gaps and recommend automation or standardization opportunities. Client & Stakeholder Communication Serve as a primary point of contact for clients, addressing escalations and ensuring satisfaction. Collaborate with cross-functional departments (Operations, IT, HR, Quality) to support smooth functioning of credentialing workflows. Conduct regular business review meetings (internal & client-facing) to present performance and improvement metrics. Reporting & Metrics Track and report KPIs including application submission, approval rates, and error percentages. Generate weekly/monthly performance reports and share insights for leadership review. Qualifications: Bachelor’s degree in Healthcare, Business Administration, or related field (Master’s preferred). Minimum 8 years of RCM experience with at least 3 years in credentialing management. Prior experience in client handling and process transition will be an added advantage. Why Join Knack RCM: Work with one of the most trusted and established names in the RCM industry. Opportunity to lead a growing credentialing vertical with strong client exposure. Transparent, performance-driven environment with structured growth path. Employee-friendly culture that values skill, ownership, and innovation.
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Sahibzada Ajit Singh Nagar, India Knack RCM Full timeAbout the Role: The Manager – Provider Enrollment & Credentialing will be responsible for overseeing the end-to-end provider enrollment, credentialing, and re-credentialing processes for healthcare providers across multiple payers. This role involves managing a team, ensuring compliance with payer and regulatory requirements, maintaining strong client...
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Sahibzada Ajit Singh Nagar, India Knack RCM Full timeAbout the Role:The Manager – Provider Enrollment & Credentialing will be responsible for overseeing the end-to-end provider enrollment, credentialing, and re-credentialing processes for healthcare providers across multiple payers.This role involves managing a team, ensuring compliance with payer and regulatory requirements, maintaining strong client...
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Sahibzada Ajit Singh Nagar, India Knack RCM Full timeAbout the Role:The Manager – Provider Enrollment & Credentialing will be responsible for overseeing the end-to-end provider enrollment, credentialing, and re-credentialing processes for healthcare providers across multiple payers.This role involves managing a team, ensuring compliance with payer and regulatory requirements, maintaining strong client...
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S.A.S Nagar, India Knack RCM Full timeAbout the Role: The Manager – Provider Enrollment & Credentialing will be responsible for overseeing the end-to-end provider enrollment, credentialing, and re-credentialing processes for healthcare providers across multiple payers. This role involves managing a team, ensuring compliance with payer and regulatory requirements, maintaining strong client...
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Credentialing SME
4 days ago
Sahibzada Ajit Singh Nagar, India Nath Outsourcing Solutions Pvt. Ltd. Full timeCredentialing SME About the Company: Established in 2003, Nath Outsourcing Solutions Pvt. Ltd. (NOS) specializes in end-to-end solutions for the US Healthcare Industry . Our expertise spans managed care, payer rules, coding, and compliance, all supported by advanced technology and a deep understanding of Revenue Cycle Management (RCM) concepts. With a team...
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Credentialing SME
5 days ago
Sahibzada Ajit Singh Nagar, India Nath Outsourcing Solutions Pvt. Ltd. Full timeCredentialing SME About the Company: Established in 2003, Nath Outsourcing Solutions Pvt. Ltd. (NOS) specializes in end-to-end solutions for the US Healthcare Industry. Our expertise spans managed care, payer rules, coding, and compliance, all supported by advanced technology and a deep understanding of Revenue Cycle Management (RCM) concepts. With a team of...
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Credentialing SME
5 days ago
Sahibzada Ajit Singh Nagar, India Nath Outsourcing Solutions Pvt. Ltd. Full timeCredentialing SME About the Company:Established in 2003,Nath Outsourcing Solutions Pvt. Ltd. (NOS)specializes in end-to-end solutions for theUS Healthcare Industry. Our expertise spans managed care, payer rules, coding, and compliance, all supported by advanced technology and a deep understanding ofRevenue Cycle Management (RCM)concepts. With a team of...
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Credentialing SME
6 days ago
Sahibzada Ajit Singh Nagar, India Nath Outsourcing Solutions Pvt. Ltd. Full timeEstablished in 2003, Nath Outsourcing Solutions Pvt. NOS) specializes in end-to-end solutions for the US Healthcare Industry . Our expertise spans managed care, payer rules, coding, and compliance, all supported by advanced technology and a deep understanding of Revenue Cycle Management (RCM) concepts. With a team of highly skilled professionals, we are...
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Credentialing
7 hours ago
Sahibzada Ajit Singh Nagar, India Medical Access Full timeFull Job Description **Summary**: The Credentialing Specialist, is accountable for leading and overseeing the collection of provider data and information to support the organization's credentialing and payer enrollment operations. **Essential Duties and Responsibilities**: - Develop credentialing processes and procedures, overseeing day-to-day...
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Manager RCM Operations
2 days ago
Sahibzada Ajit Singh Nagar, India Nath Outsourcing Solutions Pvt. Ltd. Full timeManager / Senior Manager - RCM Operations US Medical Billing (Practice Excellence) Location: Mohali Company: Nath Outsourcing Solutions Pvt. Ltd. Are you a strategic leader passionate about driving excellence in US Healthcare RCM? Nath Outsourcing is seeking a seasoned Manager/Senior Manager to champion operational excellence and client success within our...
