AR Manager- Credentialing

Job Description

The Credentialing Manager oversees day-to-day credentialing operations, ensuring team efficiency, compliance with regulatory standards, and timely processing of provider applications. The role includes managing associates, training, quality control, and client coordination. Experience Required: 7–10 years (including 3–4 years in a leadership role) Location: Hyderabad Shift: US Shift Key Responsibilities: • Supervise and guide a team of credentialing associates, ensuring adherence to SLA and quality benchmarks. • Allocate workloads, track performance, and conduct regular quality audits. • Act as a point of contact for internal stakeholders and clients for escalations and updates. • Monitor credentialing and re-credentialing pipelines to ensure deadlines are met. • Train new hires and provide refresher training for existing team members. • Analyze process gaps and recommend continuous improvement measures. • Prepare and share weekly/monthly reports with management and clients. • Stay updated on payer-specific credentialing requirements and regulatory updates. Qualifications: • Bachelor’s degree require. • Strong understanding of credentialing processes, CAQH, PECOS, NPPES, etc. • Prior team management experience in an RCM/healthcare BPO setting. • Excellent leadership, communication, and problem-solving skills. • Experience working with US healthcare payers and credentialing portals. Show more Show less