Assistant Manager – Credentialing

1. Reports to the Director of Credentialing & Contracting:

- Provide regular updates on the team's performance, including key metrics, achievements, and

any areas needing improvement

- If the team is working on specific projects, the manager will keep the director informed of

progress, milestones, and any potential roadblocks

- Regularly report on the team's progress towards set goals and objectives, ensuring they align

with the overall organizational strategy

- Swift reporting of challenges or issues that the team is facing, such as resource constraints,

conflicts, or technical problems

- Make recommendations to the director on how to improve performance, optimize processes,

or address issues

- Report on team morale, individual performance within the team, and any training or

development needs

2. Manage Payer Enrollment Process:

- Ability to complete, coordinate and audit provider applications and credentialing packets for

provider

- Ensure all necessary documentation (licenses, certifications, malpractice insurance, etc.) is

up to date and submitted

3. Maintain Compliance:

- Stay updated on payer requirements and government regulations (e.g., CMS, state Medicaid

programs)

- Ensure timely recredentialing and re-enrollment to avoid gaps in coverage or billing

disruptions

4. Team Oversight:

- Assists in creating a supportive and versatile environment that encourages communication and

feedback, as well as modeling and promoting healthy work habits

- Supervise a team of Team Leads, Credentialing Specialists, Coordinators and Trainees

- Develop and implement policies, procedures, and timelines to streamline the enrollment

process





- Ensures the processes and measures are in place to monitor and guide employee

performance and activities

- Work Closely with those tasked as trainers to make sure that measures, and requirements are

successfully met

5. Payer Relations:

- Serve as the liaison between providers and insurance companies

- Follow up on escalated applications and troubleshoot any issues or delays

6. Database and System Management:

- Maintain accurate records in credentialing or enrollment databases (e.g., CAQH, PECOS,

Availity)

- Generate reports and track status of applications and expirations

7. Cross-Department Coordination:

- Work closely with internal company department heads to ensure providers are enrolled and

credentialed before they begin billing claims (billing/onboarding)

Job Requirements

- Strong knowledge of US healthcare and insurance company requirements.
- Understanding of multiple provider specialties and facilities
- Familiarity with credentialing software and systems
- Organizational and multitasking abilities
- Strong leadership skills
- Excellent written and oral English communication skills
- Positive team player attitude
- Strong analytic and reporting skills
- Highly proficient with computers, especially Word and Excel
- Ability to work in night shifts

Preferred Qualifications

Qualification: Bachelor’s or higher degree in Science, Commerce, Accounting or related field

Experience: Minimum of 10 years’ experience in US healthcare industry

Shifts: Night Shift (6:30 pm – 4:00 am) Monday to Friday

Salary: Commensurate with experience

Work Location: Mohali

Pay: ₹50,000.00 - ₹100,000.00 per month

Education:

- Bachelor's (Preferred)

Work Location: In person

📌 CREDENTIALING MANAGER (US HEALTHCARE) (India)
🏢 HIRING BOAT
📍 India