- Build and maintain strong relationships with physicians and healthcare providers.
- Conduct one-on-one consultations to understand each providers practice goals and credentialing needs.
- Educate providers on credentialing, payer enrollment, licensing, CAQH, Medicare, Medicaid, and commercial insurance processes.
- Explain timelines, documentation requirements, and regulatory expectations.
Practice Advisory
- Assess provider readiness for credentialing and identify potential risks or delays.
- Recommend suitable credentialing, enrollment, and compliance solutions.
- Guide physicians on best practices for starting or expanding their medical practice.
- Provide insights on improving provider participation with insurance networks.
Business Development Support
- Identify opportunities to introduce additional RCM and healthcare support services.
- Coordinate with internal sales and operations teams for solution implementation.
- Support client acquisition through skilled consultations and presentations.
- Convert physician inquiries into long-term business relationships.
Client Management
- Serve as the primary point of contact throughout the onboarding process.
- Ensure timely follow-up and proactive communication.
- Address provider concerns and coordinate issue resolution with internal teams.
- Maintain high client satisfaction and retention.
Market & Industry Knowledge
- Stay updated on payer policies, CMS regulations, credentialing standards, and industry trends.
- Share knowledge with physicians regarding changing healthcare regulations and reimbursement practices.
Documentation & Reporting
- Maintain accurate CRM records of physician interactions.
- Track consultation outcomes, conversion rates, and client feedback.
- Prepare periodic reports on physician engagement and business opportunities.
Preferred candidate profile
- Consultative selling and relationship management.
- Excellent stakeholder management.
- Negotiation and influencing skills.
- CRM proficiency.
- Strong analytical and documentation skills.
- Customer success mindset.
HR contact - (phone hidden)
📌 Credentialing Manager (Chennai)
🏢 iSource IT Enabled Services
📍 Chennai
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