Manager - Provider Enrollment & Credentialing
23 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 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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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
21 hours 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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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
5 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
6 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...
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Manager/Sr. Manager RCM Operations
3 weeks ago
Sahibzada Ajit Singh Nagar, India Nath Outsourcing Solutions Pvt. Ltd. Full timeJob Title: Manager / Sr. Manager - US Medical Billing (Practice Excellence) Company: Nath Outsourcing Solutions Pvt. Ltd. Location: Mohali (Punjab) Job Type: Full-time About the Role: We are seeking an experienced and dynamic Manager/Senior Manager to lead our Practice Excellence department. Key Responsibilities: Client Relationship Management: Serve as the...
