Hospital Privilege Credentialing Specialist

6 days ago


Hyderabad, India Apollo HealthAxis Full time

Tips: Responsible for ensuring healthcare providers are appropriately
credentialed
(verified and qualified) and
privileged
(authorized for clinical duties) per hospital bylaws, regulatory standards, and patient safety requirements. They play a critical role in onboarding providers who are competent and legally permitted to deliver care.

Responsibilities

  1. Verify provider qualifications education, training, board certification, licensure, work history, references, background checks, NPDB/Federal exclusion data.
  2. Process pre‑applications and full applications per hospital medical staff bylaws; manage disenrollment, appeals, or re‑credentialing processes.
  3. Collect and review provider requests for clinical privileges (scope of procedures/services)
  4. Evaluate documentation such as procedure logs, peer reviews, proctoring reports, performance data
  5. Need to any one Application Knowledge, 1. Med Trainer 2. Credential Stream (HealthStream) 3. Verity Stream 4. MedQPro

  • Ar Credentials

    2 weeks ago


    Hyderabad, India Unislink Full time

    The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, surgery centers, commercial payers, Medicare and Medicaid. **RESPONSIBILITIES** - Maintain internal provider grid to ensure all information is accurate and logins are...


  • Hyderabad, India Ankura Hospital Full time

    Role & responsibilities: Market Scanning & Doctor Engagement Conduct market research to identify and assess potential Paediatric and OBGY doctors. Maintain a database of prospective and current doctors. Engage with identified doctors for potential collaboration opportunities. Onboarding of Doctors Coordinate with HR for seamless onboarding. Ensure...


  • Hyderabad, India Ankura hospital for women & Children Full time

    1.Market Scanning & Doctor Engagement Conduct market research to identify and assess potential Pediatrics and OBGY doctors. Maintain a database of prospective and current doctors. Engage with identified doctors for potential collaboration opportunities. Onboarding of Doctors Coordinate with HR for seamless onboarding. Ensure necessary documentation,...


  • Hyderabad, India Cognizant Full time

    Job Summary Join our dynamic team as a Specialist in Provider Credentialing where you will leverage your expertise in healthcare products and credentialing processes to ensure compliance and efficiency. With 4 to 6 years of experience you will play a crucial role in maintaining the integrity of our provider network. This hybrid role offers the flexibility of...


  • Hyderabad, Telangana, India Cognizant Full time

    **Job Summary** Join our dynamic team as a Specialist in Provider Credentialing where you will leverage your expertise in healthcare products and credentialing processes to ensure compliance and efficiency. With 4 to 6 years of experience you will play a crucial role in maintaining the integrity of our provider network. This hybrid role offers the...


  • Chennai, Hyderabad, India Thryve Digital Full time ₹ 5,00,000 - ₹ 12,00,000 per year

    Role Summary:This job takes the lead in providing effective team handling and timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and a proven job knowledge in Hospital Billing.JOB SUMMARYThis job gives an opportunity to work in a challenging...


  • Hyderabad, India Seven Consultancy Full time

    JOB DETAILS 1) Care for & treat women during prenatal, natal & post-natal periods or gynaecological diseases.2) Advise patients & community members concerning diet, activity, hygiene & disease prevention. 3) Analyse records, reports, test results, or examination information to diagnose medical condition. 4) Collect, record & maintain patient information,...


  • Hyderabad, Telangana, India beBeePamSecurity Full time ₹ 15,00,000 - ₹ 20,00,000

    Job Title: PAM Security SpecialistWe are seeking a highly skilled professional to strengthen our managed services team and ensure the seamless delivery of client services.Design, develop, engineer, and manage PAM solutions from BeyondTrust to secure critical systems and infrastructure.Configure and maintain privileged account vaults, password rotation...

  • CyberArk CPC

    6 days ago


    Hyderabad, India Cirruslabs Full time

    CyberArk Privileged CloudCyberArk Secure Infrastructure Access (SIA)Individual Contributor Experience in CyberArk Privileged Cloud Onboard domain, window, Linux, cloud, database administrator target systems to CyberArk Bulk account onboarding of privileged accounts via GUI Onboard and manage application service accounts and other privileged accounts that may...

  • Dynamics Specialist

    3 days ago


    Hyderabad, India Bikham Full time

    We are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Specialists applying for this role must be extremely comfortable working remotely and be willing to make extra efforts to communicate/engage with...