Mukesh Singh Bisen
Indore,MP
Summary
Verified healthcare professionals' credentials, qualifications, maintained provider records, managed background checks, ensured valid licensing, collaborating for smooth onboarding, and ensuring the documentation is compliant as per legal requirements. Managed HRIS systems, and fostered relationships with consultants. Oversaw client audits, negotiated rates with background check agencies, maintained proficiency in various client portals, and ensured compliance in onboarding paperwork. Managed client query for onboard consultants, liaised with over 20+ background check agencies, expertly navigated client portals, and guaranteed compliance with Federal labor laws. Secured Joint Commission audit clearance twice, ensuring adherence to industry-leading healthcare standards and practices. Talented Manager with expert team leadership, planning and organizational skills built during successful career. Smoothly equip employees to independently handle daily functions and meet customer needs. Diligent trainer and mentor with exceptional management abilities and results-driven approach.
Overview
10
10
years of professional experience
Work History
Manager – Onboarding/Credentialing (Healthcare Practice)
Capleo Global Inc.
11.2022 - 01.2024
- Verifying the qualifications, licenses, certifications, and credentials of healthcare providers, such as physicians, nurses, and allied health professionals
- Reviewing and assessing applications submitted by providers or organizations seeking credentialing to ensure they meet the required criteria and standards
- Conducting background checks, including criminal history, employment, and education verification, to ensure clinicians have a clean record and are compliant with Joint Commission standards
- Ensuring that all clinicians possess valid and up-to-date licenses to practice in their respective fields
- Contacting references or peer reviews to gather feedback on the provider's clinical competence and professionalism
- Maintaining accurate and up-to-date records of provider information in an internal database and in Job Diva
- Regularly reviewing the credentials and qualifications of clinicians to ensure they continue to meet the required standards
- Keeping a comprehensive record of re-credentialing activities, ensuring all documentation is up-to-date and accurate as per the Joint Commission Guidelines
- Coordinating with internal teams to ensure a smooth workflow and timely delivery of all new hires
- Notifying team members and clinicians in advance of their re-credentialing deadline and providing them with the necessary forms and instructions, while making sure that we have all the required documents in place before the deadline
- Handling all account setups with different background check vendors or state agencies for state-specific checks and fingerprinting as per different clients and facilities
- Ensuring that all new hire paperwork and documentation, including I-9 forms and background checks are completed accurately and in compliance with legal requirements
- Ensuring that all required paperwork, including tax forms, benefits enrollment, and company policies are completed.
Manager – Credentialing
Cavalier IT Solutions (T4h)
06.2021 - 11.2022
- Verifying the qualifications, licenses, certifications, and credentials of healthcare providers, such as physicians, nurses, and allied health professionals
- Reviewing and assessing applications submitted by providers or organizations seeking credentialing to ensure they meet the required criteria and standards
- Conducting background checks, including criminal history, employment, and education verification, to ensure clinicians have a clean record and are compliant with Joint Commission standards
- Ensuring that all clinicians possess valid and up-to-date licenses to practice in their respective fields
- Contacting references or peer reviews to gather feedback on the provider's clinical competence and professionalism
- Ensuring that providers meet accreditation requirements, which may be set by organizations like The Joint Commission
- Maintaining accurate and up-to-date records of provider information in an internal database and in Job Diva
- Regularly reviewing the credentials and qualifications of clinicians to ensure they continue to meet the required standards
- Keeping a comprehensive record of re-credentialing activities, ensuring all documentation is up-to-date and accurate as per the Joint Commission Guidelines
- Coordinating with internal teams to ensure a smooth workflow and timely delivery of all new hires
- Notifying team members and clinicians in advance of their re-credentialing deadline and providing them with the necessary forms and instructions, while making sure that we have all the required documents in place before the deadline.
Manager – Onboarding/Credentialing (Healthcare Staffing)
Select Source International (SSI)
12.2019 - 05.2021
- Ensure that the credentialing and re-credentialing process complies with industry standards, regulatory requirements, and organizational policies
- Negotiate rates with background check agencies and be responsible for account activation for all clients
- Re-verify the qualifications and credentials of members or providers, ensuring that they still meet the organization's standards
- Verify the qualifications, licenses, certifications, and credentials of healthcare providers, such as physicians, nurses, and allied health professionals, etc
- Review and assess applications submitted by providers or organizations seeking credentialing to ensure they meet the required criteria and standards
- Conduct background checks, including criminal history, employment, and education verification, to ensure clinicians have a clean record and are compliant with the Joint Commission Standards.
Manager – Onboarding & Credentialing (Healthcare Services)
Lancesoft Inc
08.2017 - 11.2019
- Managed client audits and was the primary point of contact for all new clients
- Conducted background checks, liaising with over 50 agencies
- Verify the professional qualifications, education, licensure, certifications, and relevant experience of healthcare providers
- Implement quality assurance measures to ensure the accuracy and integrity of the credentialing process, minimizing errors and potential risks to the organization
- Stay up to date with changes in healthcare regulations and accreditation standards, ensuring the organization's credentialing processes remain compliant
- Assist credentialing committees in reviewing provider applications and making privileged decisions, providing them with comprehensive and accurate information
- Showcased expertise in various client portals, handling order acceptance and document uploads
- Oversaw reporting schedules, maintaining quality and timely deliverables
- Liaised daily with background check and drug testing agencies
- Guaranteed onboarding compliance with Federal labor laws and client SLAs
- Managed escalations and collaborated closely with vendors and clients.
Manager – US HR & Compliance
K-Tek Resourcing LLC
02.2016 - 07.2017
- Ensure that the on boarding paperwork is in 100% compliance with the Federal labor laws
- This included checking all the documents to ensure they are proper and are legit
- Ensure that the onboarding process covers all the client's SLAs in terms of documentation and checks
- Ensure 100% compliance with all employment protocol rules and client SLAs
- Ensure that the consultant receives their reporting details and confirms the same
- Ensure legal compliance by monitoring and implementing applicable federal and state human resource requirements; conducting investigations; maintaining records; representing the organization at hearings
- Gather essential new hire paperwork (e.g., I-9, tax forms, direct deposit, etc.)
- Ensure that required documentation is received and accurately reflected in the appropriate system or file
- Conduct background checks
- Develop a personalized relationship with the consultant
- Ensure 100% compliance with all employment protocol rules and client SLAs.
Manager – Onboarding, Compliance and Credentialing
Software Galaxy System Pvt Ltd
06.2014 - 01.2016
- Verifying the qualifications, licenses, certifications, and credentials of healthcare providers, such as physicians, nurses, and allied health professionals etc
- Verifying the qualifications, licenses, certifications, and credentials of healthcare providers, such as physicians, nurses, and allied health professionals, etc
- Reviewing and assessing applications submitted by providers or organizations seeking credentialing to ensure they meet the required criteria and standards
- Conducting background checks, including criminal history, employment, and education verification, to ensure clinicians have a clean record and are compliant with the Joint Commission Standards
- Ensuring that all clinicians possess valid and up-to-date licenses to practice in their respective fields
- Contacting references or peer reviews to gather feedback on the provider's clinical competence and professionalism.
Education
Higher Secondary from M.P Board -
Skills
- Team Leadership
- Time Management
- Verbal and written communication
- Complex Problem-Solving
- Scheduling and Coordinating
- Documentation And Reporting
Languages
English
Full Professional
Hindi
Full Professional
Timeline
Manager – Onboarding/Credentialing (Healthcare Practice)
Capleo Global Inc.
11.2022 - 01.2024
Manager – Credentialing
Cavalier IT Solutions (T4h)
06.2021 - 11.2022
Manager – Onboarding/Credentialing (Healthcare Staffing)
Select Source International (SSI)
12.2019 - 05.2021
Manager – Onboarding & Credentialing (Healthcare Services)
Lancesoft Inc
08.2017 - 11.2019
Manager – US HR & Compliance
K-Tek Resourcing LLC
02.2016 - 07.2017
Manager – Onboarding, Compliance and Credentialing
Software Galaxy System Pvt Ltd
06.2014 - 01.2016