Compliance and Credentialing Manager

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 completi...