Team Leader- Credentialing - 2Openings

The candidate must possess the following experience and competencies for the Team Leader role.

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 payers and providers to resolve them.

Train, mentor, and monitor team members to maintain quality standards and productivity targets.

Generate and review reports on credentialing status, performance metrics, and compliance.

Coordinate with internal departments, clients, and third parties to ensure smooth credentialing workflows.

Keep updated on payer guidelines, NCQA standards, and healthcare compliance requirements.

Implement process improvements to enhance efficiency, accuracy, and client satisfaction.

Open for WFO/ shifts.

Candidate must possess at least one year of on-paper experience as a Team Leader.

Please share CV at [email protected]