Credentialing Manager - RCM- CMMI Level 5 Co- Pune

7 - 12 years

9 - 12 Lacs

Posted:2 months ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Graduate with Min. 10+ years of experience in US healthcare Provider enrollment, specific to Credentialing experience is mandatory. • More than 2+ year of experience as Manager/ Sr. Manager • Excellent spoken and written communication skills. • Should have good experience in Team management. • Should have experience in preparing KPI reports and interacting clients Key Responsibilities: • Manage and oversee the end-to-end credentialing process for Physicians, ensuring compliance with accreditation and regulatory requirements. • Oversee the credentialing and re-credentialing process for all healthcare providers, ensuring accuracy and timeliness in the submission of credentialing documents. • Ensure Compliance with Healthcare regulations, including HIPAA and Medicare/Medicaid rules. • Supervise and train Credentialing team, ensuring high productivity and efficiency. • Set goals for the team and implement best practices.

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R Systems International

Information Technology and Services

Gurgaon

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