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Elico Healthcare Services - Credentialing AR Manager - US Health Care

Elico Healthcare Services - Credentialing AR Manager - US Health Care

ElicoHyderabad,Telangana,India, India
5 days ago
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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    Manager Ar • Hyderabad,Telangana,India, India

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