Openings For Credentialing Team Leader ( Provider credentialing )

• Role & responsibilities :
• Enrolls providers (individually or in groups) with Medicare, Medicaid, and all major private insurance payers.
• Verifies completeness and accuracy of application documents, coordinates with onshore team and payer support to obtain all necessary information. Promptly submits applications to ensure maximum reimbursement for all providers.
• Performs electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollment for all providers, for all applicable payers.
• Compiles and maintains a list of provider participation (by payer). Identifies missing, incorrect, or expired credentials.
• Performs ongoing follow up with onshore team and payer support to ensure provider credentials remain correct and valid.
• Revalidates provider enrollment, based on frequency required by individual payers.
• Ensures team delivers quality service, in accordance with each clients Service Level Agreement (SLA)
• Encourages smooth daily operations, and maintains daily operations reports, as necessary.
• Monitors team productivity and provides guidance and motivation
• Delivers feedback on processes, workflows, and team productivity to Manager.
• Leads by example.
• Fulfills all compliance responsibilities related to the position, handles all protected health information in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) regulations
• Must be available for special projects

Willing to work in Night shift ( Only Male candidates are eligible for this position )