Elico Healthcare Services - Credentialing AR Manager - US Health Care

- The Credentialing Manager oversees day-to-day credentialing operations, ensuring team efficiency, compliance with regulatory standards, and timely processing of provider applications.

- The role includes managing associates, training, quality control, and client coordination.

- Experience Required: 7-10 years (including 3-4 years in a leadership role).

Location: Hyderabad.

Shift: US Shift.

Key Responsibilities:.

- Supervise and guide a team of credentialing associates, ensuring adherence to SLA and quality benchmarks.

- Allocate workloads, track performance, and conduct regular quality audits.

- Act as a point of contact for internal stakeholders and clients for escalations and updates.

- Monitor credentialing and re-credentialing pipelines to ensure deadlines are met.

- Train new hires and provide refresher training for existing team members.

- Analyze process gaps and recommend continuous improvement measures.

- Prepare and share weekly/monthly reports with management and clients.

- Stay updated on payer-specific credentialing requirements and regulatory updates.

Qualifications:.

- Strong understanding of credentialing processes, CAQH, PECOS, NPPES, etc.

- Prior team management experience in an RCM/healthcare BPO setting.

- Excellent leadership, communication, and problem-solving skills.

- Experience working with US healthcare payers and credentialing portals.