Manager - Provider Enrollment & Credentialing
2 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
2 weeks ago
Mohali district, India, IN 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
1 week ago
Mohali, Punjab, India Nath Outsourcing Solutions Pvt. Ltd. Full time ₹ 60,000 - ₹ 1,20,000 per yearCredentialing SMEAbout 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 highly...
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Junior Credentialing Coordinator
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Mohali, Punjab, India 3D Solutions LLC Full time**Job description**: **Credentialing Specialist** **Preferred Experience**:3months to 2years** - Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups**.**: - Track all activities in the process of credentialing/recredentialing providers and clinics. - Ensure that all...
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Mohali, India DataOrbit AI Full timeCompany Description DataOrbit AI is an AI consulting firm dedicated to empowering small and medium-sized investment managers to achieve AI readiness. By integrating strategy, data readiness, technology, and execution, we provide an end-to-end approach that enables organizations to adopt AI seamlessly. We specialize in crafting personalized AI roadmaps,...
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Mohali district, India CHANDIGARH UNIVERSITY Full timeJob Summary: The Deputy Manager – Admission Counselling oversees the day-to-day functioning of the admissions call centre, manages counsellors and team leaders, ensures high-quality student interactions, and drives enrolment targets. This role involves team leadership, performance improvement, student experience management, and operational efficiency. Key...
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Deputy Manager
2 days ago
Mohali district, India CHANDIGARH UNIVERSITY Full timeJob Summary:The Deputy Manager – Admission Counselling oversees the day-to-day functioning of the admissions call centre, manages counsellors and team leaders, ensures high-quality student interactions, and drives enrolment targets. This role involves team leadership, performance improvement, student experience management, and operational efficiency.Key...
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Deputy Manager
2 days ago
mohali district, India CHANDIGARH UNIVERSITY Full timeJob Summary:The Deputy Manager – Admission Counselling oversees the day-to-day functioning of the admissions call centre, manages counsellors and team leaders, ensures high-quality student interactions, and drives enrolment targets. This role involves team leadership, performance improvement, student experience management, and operational efficiency.Key...
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Training Manager
4 weeks ago
Mohali district, 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...