Team Lead - Credentialing (US Healthcare)
Posted by R Systems • Noida, Uttar Pradesh, India
About the Role
Job description
Job Title: Team Leader/AM- Credentialing ((US Healthcare))
Job Description
Responsible for leading the credentialing team to manage provider enrollment, re-credentialing, and compliance with payer and regulatory requirements. Ensures timely and accurate processing, resolves escalations, monitors performance, and drives process efficiency while maintaining high quality and client satisfaction.
Roles & Responsibilities
Supervise and manage the daily operations of the credentialing team, ensuring compliance with client, payer, and regulatory requirements.
Oversee provider enrollment and re-credentialing processes with insurance networks, hospitals, and healthcare facilities.
Review and verify provider documentation for accuracy and completeness before submission.
Monitor turnaround times and ensure timely completion of ...
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