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 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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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
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
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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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
23 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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Manager RCM Operations
3 weeks ago
S.A.S 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
3 weeks ago
S.A.S 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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Training Manager
2 weeks ago
S.A.S Nagar, India Nath Outsourcing Solutions Pvt. Ltd. Full timeJob Title: Hiring RCM Training Manager & Soft Skills Trainer | Mohali Location: Mohali, Punjab (Work from Office) Employment Type: Full-Time Are you a seasoned training professional passionate about building capability and driving performance? We are expanding our L&D function and are looking for two key leaders to join our team in Mohali! 1. Training...
