Senior Credentialing Manager

2 weeks ago

Noida, Uttar Pradesh, India beBeeCredentialing Full time ₹ 1,50,00,000 - ₹ 2,00,00,000
Job Title: Team Leader – Credentialing

We are seeking a dynamic and experienced leader to oversee daily operations of a credentialing team within the US healthcare domain. The ideal candidate will possess strong leadership and team management capabilities, excellent communication skills, and a deep understanding of credentialing software and reporting tools.

Responsibilities:
  • Lead and supervise daily operations of the credentialing team, ensuring adherence to payer, regulatory, and industry guidelines.
  • Manage end-to-end provider enrollment and re-credentialing processes with insurance networks, hospitals, and healthcare facilities.
  • Review provider documentation for accuracy, completeness, and compliance prior to submission.
  • Monitor turnaround times and ensure timely completion of credentialing tasks.
  • Serve as the primary escalation point for complex credentialing issues, collaborating with payers and providers for resolution.
  • Train, mentor, and evaluate team members to uphold quality standards and meet productivity goals.
  • Generate and analyze reports on credentialing status, performance metrics, and compliance indicators.
  • Coordinate with internal departments, clients, and third-party entities to streamline credentialing workflows.
Mandatory Skills:
  • Strong expertise in Credentialing, Provider Enrollment, and US Healthcare Regulations.
  • Proven leadership and team management capabilities.
  • Excellent communication and problem-solving skills.
  • Proficiency in credentialing software and reporting tools.

This role requires a unique blend of business acumen, technical expertise, and interpersonal skills. If you are a motivated and detail-oriented professional with a passion for healthcare and credentialing, we encourage you to apply for this exciting opportunity.

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