CREDENTIALING MANAGER (Sahibzada Ajit Singh Nagar)

CREDENTIALING MANAGER (Sahibzada Ajit Singh Nagar)

16 Aug
|
HIRING BOAT
|
Sahibzada Ajit Singh Nagar

16 Aug

HIRING BOAT

Sahibzada Ajit Singh Nagar

Assistant Manager – Credentialing

Job Description

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 flexible workplace 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 provider

📌 CREDENTIALING MANAGER (Sahibzada Ajit Singh Nagar)
🏢 HIRING BOAT
📍 Sahibzada Ajit Singh Nagar

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