Elico Healthcare Services - Credentialing AR Manager - US Health Care

Elico Healthcare Services Ltd

7 - 10 years

0 Lacs

Hyderabad Telangana India

Posted:1 month ago| Platform:

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Skills Required

healthcare credentialing efficiency compliance processing training leadership analyze reports management communication

Work Mode

On-site

Job Type

Full Time

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:.

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.

(ref:iimjobs.com)

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