Senior Executive

Billed Right LLC; Chennai District; On-site; INR 600,000 - 1,200,000; Full time

Job summary

Billed Right HealthCare Solutions Private Limited is seeking a full-time Team Leader for credentialing. The role focuses on ensuring providers are licensed, enrolled, and compliant with state and federal requirements while managing a team of billing and credentialing staff.

You will oversee provider enrollments, keep documentation, respond to client inquiries, and drive process improvements. Strong communication and HIPAA adherence are essential.

Qualifications

• Any Degree
• Should have minimum 4+ years of experience in Medical billing.
• Should have worked in various specialties and be a motivational mentor.
• Good written and verbal communication skills.

Responsibilities

• Complete work orders assigned through tickets and emails.
• Follow up with the Payers to obtain the status of credentialing application.
• Work on pending/in process service tickets & project tickets.
• Credentialing meeting with team.
• Completion of Rocks
• Audit new staff’s work and give feedbacks.

Skills

Medical billing experience

Leadership / mentoring

Communication skills

Education

Any Degree

Job description

Billed Right HealthCare Solutions Private Limited | Full time

Team Leader responsible forthe performance, productivity and effective management of team members ofCredentialing. He would ensure that the providers of a group are properlylicensed and certified as mandated by state and federal regulations to credential& contract them with insurance carriers. The Team Leader would report toAsst. manager & is responsible to maintain smooth client relationship.

Specific Job Duties &Responsibilities:

• 1. Completion and submission of providerenrollment applications to payers
• 2. Update mailing/physical address.
• 3. Registration of payers’ provider web portalaccess.
• 4. Maintenance of documentation and reportsregarding provider enrollments in process.
• 5. Retain records related to completed providerenrollments
• 6. Maintain provider enrollment informationwithin the credentialing database.
• 7. Interact with plan representatives by phone oremail to provide appropriate and timely response to inquiries and concerns regardingprovider.
• 8. Respond to client inquiries regarding statusof applications received.
• 9. Proactive follow up with insurance plans tomonitor status of provider applications.

2. List of general Duties/Responsibilities

• 1. Maintain strict confidentiality of informationas per current HIPAA requirements.
• 2. Collaborate with leadership and teammates onprocess improvement.
• 3. Get tasks done by using all of the resourcesavailable.
• 4. Actively Participate in client and team meetings.
• 5. Manage credentialing work orders, tickets toensure all established time frames for completing work and projects are met.
• 6. Monitor provider credentials and communicateto managers to ensure providers remain up to date with state and/or federalregulations
• 7. Audit new staff’s work and give feedbacks.

3. DailyRoutine:

• 1. Complete work orders assignedthrough tickets and emails.
• 2. Follow up with the Payers toobtain the status of credentialing application.
• 3. Work on pending/in process servicetickets & project tickets.

4. Weekly routine:

• 1. Credentialing meeting with team.

5. Quarterly Routine:

• 1. Completion of Rocks

6. Qualifications:

• 1. Any Degree
• 2. Should have minimum 4+ years ofexperience in Medical billing.
• 3. Should have worked in variousspecialties and be a motivational mentor.
• 4. Good written and verbal communication skills.

7 . Measuresof Performance:

• 1 . Performance measured by productivity &Quality.

8. Supervisory Responsibilities:

• 1. Audit new staff’s work and give feedbacks.