Credentialing and Contracting Process – Team Lead (Senior Role)

Job ID

ASTES-CR-CHE-001 

Location

Perungudi, OMR/Thillai Nagar, Chennai 

Shift

Pure Night Shift (No Work from Home) 

Work Days

Monday to Friday (Weekends Off) 

Job Summary

Senior Team Lead – Credentialing & Contracting Process

Key Responsibilities

• End-to-End Credentialing & Contracting Oversight

  : Manage and streamline the entire provider enrollment, credentialing, and contracting process. 

• Escalation & Issue Resolution

  : Act as the first point of escalation for payers, providers, and internal stakeholders. 

• Application & Contract Submissions

  : Ensure timely and accurate submission of provider applications and contracts to insurance companies and government health programs. 

• Follow-Ups & Approvals

  : Drive proactive follow-ups via calls and emails to accelerate credentialing and contracting approvals. 

• Compliance & Audit Readiness

  : Maintain thorough documentation, ensure 100% compliance with payer guidelines, and prepare for audits. 

• Process Improvements

  : Identify bottlenecks, recommend solutions, and implement process enhancements for faster turnaround times. 

• Team Leadership

  : Lead, train, and mentor a credentialing team to achieve operational excellence and meet SLA targets. 

• Reporting & Metrics

  : Monitor team performance, generate regular status reports, and update leadership on progress and challenges. 

Requirements

• Experience

  : Minimum

  5 years of experience

  in US healthcare credentialing and provider enrollment (working

  on behalf of providers, not insurance companies

  ). 

• Leadership

  : Demonstrated ability to lead a credentialing team, manage escalations, and deliver results. 

• Knowledge

  : Strong knowledge of payer credentialing policies, provider enrollment requirements, and compliance standards. 

• Communication Skills

  : Exceptional written and verbal communication to handle payer negotiations and provider interactions. 

• Deadline Management

  : Proven ability to work under pressure, multitask, and deliver within strict deadlines. 

• Detail-Oriented

  : Strong organizational and analytical skills with keen attention to accuracy. 

Compensation & Benefits

• Salary

  : Based on skills and experience 

• Benefits

  : Provident Fund (PF) & Health Insurance 

• Other

  : No cab facility