Elico Healthcare Services - Credentialing AR Manager - US Health Care

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)