Assistant Manager

Credentialing &

- Enrollment Operations

- Manage end-to-end provider credentialing, re-credentialing, enrollment, and maintenance processes.

- Ensure timely submission of applications to commercial payers, Medicare, Medicaid, and other regulatory bodies.

- Monitor credentialing status and follow up with payers to expedite approvals.

- Maintain accurate credentialing databases and provider records.

- Oversee CAQH profile management, attestations, and data accuracy.

- Track license renewals, board certifications, DEA registrations, NPI updates, malpractice insurance, and other provider documents.

Team Management

- Lead and mentor credentialing specialists and senior credentialing executives.

- Allocate work, monitor productivity, and ensure adherence to SLAs and KPIs.

- Conduct performance reviews and provide regular coaching and feedback.

- Support recruitment, onboarding, and training initiatives.

Client &

- Stakeholder Management

- Serve as a primary point of contact for clients regarding credentialing matters.

- Provide regular status updates, reports, and escalations to clients and leadership.

- Collaborate with physicians, practice administrators, hospitals, and payer representatives.

- Address and resolve complex credentialing issues and escalations.

Compliance &

- Quality

- Ensure compliance with NCQA, CMS, state regulations, and payer-specific requirements.

- Implement quality control measures to maintain accuracy and reduce enrollment delays.

- Conduct audits of credentialing files and processes.

- Maintain confidentiality of provider and patient-related information.

Reporting &

- Process Improvement





- Prepare and analyze operational reports, dashboards, and performance metrics.

- Identify process gaps and implement continuous improvement initiatives.

- Utilize credentialing platforms and workflow management systems effectively.

- Drive automation and standardization across credentialing processes.

Required Qualifications

Education

- Bachelor's degree

Experience

- 6 to 10 years of experience in US Healthcare RCM Credentialing.

- Minimum 2 to 3 years of team handling experience.

- Hands-on experience with provider enrollment, payer credentialing, re-credentialing, and CAQH management.

- Experience working with Medicare, Medicaid, and commercial insurance payers.

Required Skills

Technical Skills

- Knowledge of US healthcare credentialing regulations and payer requirements.

- Familiarity with CAQH, PECOS, NPPES, CMS portals, and payer websites.

- Strong understanding of provider enrollment workflows.

- Advanced proficiency in MS Excel, reporting, and data analysis.

Leadership Skills

- Team leadership and people management.

- Client relationship management.

- Strong problem-solving and decision-making skills.

- Stakeholder management and escalation handling.

Soft Skills

- Excellent verbal and written communication skills.

- Strong organizational and multitasking abilities.

- Attention to detail and accuracy.

- Ability to work in a quick-paced environment with strict deadlines.

Key Performance Indicators (KPIs)

- Provider enrollment turnaround time.

- Credentialing accuracy and quality scores.

- SLA adherence.

- First-pass approval rate.

- Escalation resolution time.

- Team productivity and utilization.

- Client satisfaction scores.

📌 Assistant Manager (Hyderabad)
🏢 Infinx
📍 Hyderabad