Manager – Credentialing

Eligibility :- Graduates from any stream can apply

Skill Required:

• Good oral & Written communication
• Minimum 7+ years of Experience in provider Credentialing
• Minimum 3 years of Experience in Team Handling
• Excellent Interpersonal Skill & Client coordination
• Strong in MS office

Job Description:

• Overseeing the entire credentialing process for new and existing healthcare providers. This involves collecting and reviewing documentation, verifying licenses, certifications, education, training, work history, and references.
• Assisting the team to fill the applications and in contract loading & welcome kit generation.
• Assisting the team in Application follow ups.
• Ensuring the application processing time is within the TAT.
• Experience in PECOS, Medicaid Enrollments. strong knowledge in CAQH & commercial enrollments
• Experience in working with providers from multiple state & strong knowledge in the state rules.
• Maintain process compliance as per client requirements and applicable state laws.