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 credentialing and re-credentialing tasks.
Act as the escalation point for complex credentialing issues, working closely with paye...