Team Lead- Credentialing

7 days ago


Noida, Uttar Pradesh, India Capline Services Full time ₹ 60,00,000 - ₹ 1,20,00,000 per year

Job Title: Team Lead Credentialing

Company: Capline Services

Location: Noida (On-site)

Shift: 24/7 Operations (Rotational Shifts)

Work Days: Monday to Friday (Saturday and Sunday Off)

Experience: Minimum 6 years in US Healthcare Credentialing, with at least 2 year in a supervisory or assistant manager role

Salary: 6 LPA 10 LPA (Based on experience and qualifications)

About Capline Services

Capline Services is a captive unit providing end-to-end support to US healthcare providers. We specialize in credentialing, revenue cycle management, and healthcare staffing.

Job Overview

We are seeking an experienced Team Lead Credentialing to lead and oversee a credentialing team responsible for provider enrollment, re-credentialing, and regulatory compliance across various US healthcare payers. The ideal candidate will have in-depth credentialing expertise, proven leadership capabilities, and a strong understanding of payer guidelines and compliance standards.

Key Responsibilities

Oversee the end-to-end credentialing lifecycle including initial credentialing, re-credentialing, and enrollments with Medicare, Medicaid, and commercial payers

Lead daily team operations, monitor KPIs, and drive performance improvements

Maintain and manage credentialing systems such as CAQH, PECOS, NPPES, Availity, and others

Ensure strict compliance with NCQA, URAC, CMS, and payer-specific guidelines

Collaborate with internal and external stakeholders to resolve escalations and ensure timely application submissions

Conduct training sessions, performance evaluations, and support employee development

Provide strategic input to optimize workflows and improve operational efficiency

Requirements

Bachelors degree preferred

Minimum 5 years of experience in US healthcare credentialing, including at least 1 years in a leadership role

Strong understanding of US healthcare regulations and payer enrollment processes

Hands-on experience with credentialing portals and tools

Excellent team leadership, communication, and analytical skills

Ability to work in rotational shifts in a 24/7 operational environment

Why Capline?

Fixed weekend offs

Leadership role in a growing US healthcare captive

Supportive, process-driven, and collaborative work culture

Opportunities for long-term career advancement

To Apply:

Please connect at

HR- Simran Choudhary


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