Assistant Manager - Credentialing
Job Description
Maintain Compliance:\nStay updated on payer requirements and government regulations (e.g., CMS, state Medicaid programs)\nEnsure timely recredentialing and re-enrollment to avoid gaps in coverage or billing disruptions\n\n4. Team Oversight:\nAssists in creating a supportive and flexible environment that encourages communication and feedback, as well as modeling and promoting healthy work habits\nSupervise a team of Team Leads, Credentialing Specialists, Coordinators and Trainees\nDevelop and implement policies, procedures, and timelines to streamline the enrollment process\nEnsures the processes and measures are in place to monitor and guide employee performance and activities\nWork Closely with those tasked as trainers to make sure that measures, and requirements are successfully met\n\n5. Payer Relations:\nServe as the liaison between providers and insurance companies\nFollow up on escalated applications and troubleshoot any issues or delays\n\n6.
Database and System Management:\nMaintain accurate records in credentialing or enrollment databases (e.g., CAQH, PECOS, Availity)\nGenerate reports and track status of applications and expirations\n\n7. Cross-Department Coordination:\nWork closely with internal company department heads to ensure providers are enrolled and credentialed before they begin billing claims (billing/onboarding)\n\nJob Requirements\n• Strong knowledge of US healthcare and insurance company requirements.\n• Understanding of multiple provider specialties and facilities\n• Familiarity with credentialing software and systems\n• Organizational and multitasking abilities\n• Strong leadership skills\n• Excellent written and oral English communication skills\n• Positive team player attitude\n• Strong analytic and reporting skills\n• Highly proficient with computers, especially Word and Excel\n• Ability to work in night shifts\n\nShifts : Night Shift (7:30 pm – 4:45 am) Monday to Friday\nSalary : Commensurate with experience\nEmployment Type : Permanent Job, Full Time\nIndustry : Healthcare IT, IT Software, Software Services\nRole Category : Healthcare Data, Electronic Health Record (EHR) Implementation\nWork Location : A303 Bestech Business Tower, Sector-66, Mohali, Punjab\n\nBikram Gill – HR Director\nEmail :\nPhone : 9888090703