Team Lead - Credentialing

You will be responsible for managing end-to-end provider enrollment and re-credentialing processes with insurance networks, hospitals, and healthcare facilities. This includes reviewing provider documentation for accuracy, completeness, and compliance before submission and ensuring timely completion of credentialing tasks. Additionally, you will train, mentor, and evaluate team members to maintain quality standards and achieve productivity goals. Your role will also involve generating and analyzing reports on credentialing status, performance metrics, and compliance indicators. Collaborating with internal departments, clients, and third-party entities to optimize credentialing workflows will be a key aspect of your responsibilities. Identifying and implementing process improvements to increase operational efficiency and enhance client satisfaction will also be part of your duties. To excel in this role, you must have a strong expertise in Credentialing, Provider Enrollment, and US Healthcare Regulations. Demonstrated leadership and team management skills are essential for this position. Excellent communication and problem-solving abilities are also required. Proficiency in using credentialing software and reporting tools will be beneficial for effectively carrying out your responsibilities.,