17 Aug
|
HIRING BOAT
|
India
Assistant Manager – Credentialing
Job Description
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
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
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
Team Oversight:
Assists in creating a supportive and versatile 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
Payer Relations:
Serve as the liaison between provider
📌 Credentialing Manager Sahibzada Ajit Singh Nagar (India)
🏢 HIRING BOAT
📍 India