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Elico Healthcare Services - Credentialing AR Manager - US Health Care
ElicoHyderabad,Telangana,India, India7 days ago
Job descriptionThe 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.
- 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.
Qualifications : .
ref : iimjobs.com)
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Manager Ar • Hyderabad,Telangana,India, India