Credentialing Specialist

4 weeks ago


Thiruvananthapuram, Kerala, India Altaa Vistaa Business Solutions Pvt Ltd - AVPL Full time
Position Summary
The

Credentialing Specialist

performs physician and advanced provider credentialing, including but not limited to

initial credentialing, recredentialing, and ongoing monitoring .
Role/Title:

Credentialing Specialist
Working Hours:

4:30 PM to 1:30 PM IST
Location : Remote
Working Days:

Monday to Friday

Essential Duties and Responsibilities
Essential Job Functions :
The following are representative examples of job duties that might be performed in this position. Since Company is a dynamic organization, roles and responsibilities may be altered to adapt to changing business needs. Employees may be asked to perform duties outside the listed responsibilities as long as they align with the job description.
Vitans are expected to:
Comply with all applicable regulations, policies, and procedures.
Monitor team adherence to these standards (for supervisory roles).
Promptly report any suspected compliance violations.
Complete all required compliance training to uphold ethical and legal standards.

Credentialing (100%):
Prepare credentialing, recredentialing, and telemedicine privileging files , including the

collection, verification, and assessment

of credentialing information per Vituity policies. Track progress in the Salesforce Credentialing database.
Identify and escalate

"red flag"

items to the department manager for action.
Assist in preparing

provider credentialing files

for review and approval.
Maintain

current credentials data

for all Physicians and Advanced Providers. Send reminders, update databases, and share updated credentials with external parties (e.g., managed care organizations, medical staff offices).
Provide

customer service and credentialing support , including obtaining copies of credentials, generating profiles, and completing paperwork as needed.
Follow up to ensure all required

paperwork and credential copies

are obtained.
Scan all provider/employee/contractor documents into electronic files.

Update and organize electronic files

as needed.
Provide

support for onboarding, hospital credentialing, and medical licensure efforts

when required.

Competencies (Knowledge/Skills/Abilities):
Strong

relationship-building skills

to maintain effective working relationships.
Ability to

communicate effectively

both

verbally and in writing .
Excellent time management : Ability to

multi-task, prioritize , and

meet deadlines

in a fast-paced environment.
Proficiency in Microsoft Office Suite

(Excel, Outlook, PowerPoint, Word).
Strong attention to detail, organizational, and analytical skills .

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