Manager - Provider Enrollment & Credentialing
3 weeks 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 ManagementLead 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 & ComplianceEstablish 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 CommunicationServe 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 & MetricsTrack 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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Manager - Provider Enrollment & Credentialing
3 weeks ago
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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Manager - Provider Enrollment & Credentialing
3 weeks ago
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 weeks 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
4 weeks 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
4 weeks 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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Enrolment
20 hours ago
Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full timeMPR NO: LMPR0014 **Greeting From Link K Insurance TPA Pvt Ltd** We are hiring Senior Executive for our **Enrolment Team **at our **Chennai Corporate office.** **Job Role: Senior Executive Enrolment** **Industry: TPA Health Insurance** **Location: Anna Nagar, Chennai** **Experience: 1 to 3 Years** **Qualification: Any Degree** **Roles and...
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Hiring Fresher
2 weeks ago
Sahibzada Ajit Singh Nagar, India Urban Migration Full timeAnswering phone calls: Handling inbound calls, providing information, and resolving inquiries.Counselling: Guiding prospective clients or students about courses, programs, or services, and addressing their questions.Enrollment assistance: Helping clients or students navigate the enrollment process.Customer service: Providing excellent customer service,...
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Manager RCM Operations
3 weeks 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...
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Director/manager rcm operations
2 weeks ago
Sahibzada Ajit Singh Nagar, India Nath Outsourcing Solutions Pvt. Ltd. Full timeJob Title: Leadership Roles in RCM Operations: Director & Senior Manager Company: Nath Outsourcing Solutions Pvt. Ltd. (NOS) Location: Mohali, Punjab (On-site) Job Type: Full-time About NOS: Nath Outsourcing Solutions (NOS) is a leading provider of end-to-end solutions for the US Healthcare Industry. Since 2003, we have been empowering our clients by...
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Director/Manager RCM Operations
2 weeks ago
Sahibzada Ajit Singh Nagar, India Nath Outsourcing Solutions Pvt. Ltd. Full timeJob Title: Leadership Roles in RCM Operations: Director & Senior Manager Company: Nath Outsourcing Solutions Pvt. Ltd. (NOS) Location: Mohali, Punjab (On-site) Job Type: Full-time About NOS: Nath Outsourcing Solutions (NOS) is a leading provider of end-to-end solutions for the US Healthcare Industry. Since 2003, we have been empowering our clients by...
