Executive Credentialing

1 week ago

Bengaluru Karnataka, India Teleradiology Solutions (TRS) Full time

**Job Information**:
Industry

**Health Care**

Date Opened

**09/29/2025**

Job Type

**Full time**

Work Experience

**0-1 year**

City

**Bangalore North**

State/Province

**Karnataka**

Country

**India**

Zip/Postal Code

**560048**

**Job Description-Intern/Credentialing Executive**

**Who are we & what do we do?**

The Credentialing Team is responsible for ensuring that healthcare professionals meet all necessary requirements to practice within a healthcare organization. This includes verifying the qualifications, licenses, certifications, and professional history of doctors, nurses, and other healthcare providers. The team ensures compliance with all relevant regulatory standards, accreditation bodies, and organizational policies.

**Key Responsibilities**:

- **
Primary Source Verification (PSV)**:

- Verify professional licenses, board certifications, and educational qualifications directly from the issuing authorities.
- Contact previous employers, educational institutions, and licensing bodies to confirm credentials.
- ** Document Management**:

- Maintain organized and up-to-date files of all credentialing documents.
- Ensure timely renewals of certifications and licenses, and track expiration dates.
- Update and maintain credentialing software/databases with all relevant information.
- ** Compliance and Accreditation**:

- Ensure that all credentialing activities meet the requirements of regulatory agencies, such as The Joint Commission and state medical boards.
- Prepare credentialing files for internal audits or external accreditation processes.
- ** Provider Enrolment**:

- ** Communication**:

- Serve as the liaison between healthcare providers and various institutions (hospitals, insurance companies, etc.).
- Coordinate with internal departments (HR, medical staff services, etc.) to ensure that all credentialing processes are completed on time.
- ** Problem Solving and Issue Resolution**:

- Handle discrepancies or issues that arise during the verification process.
- Investigate and resolve any red flags or inconsistencies in a provider’s history or documentation.
- ** Process Improvement**:

- Identify opportunities to streamline credentialing processes for faster, more efficient workflows.
- Keep updated with changes in industry standards and credentialing regulations to ensure the team is following best practices.

**Skills & Qualifications**:

- Strong attention to detail and organizational skills.
- Excellent communication skills, both verbal and written.
- Ability to manage multiple tasks and prioritize work in a fast-paced environment.
- Knowledge of credentialing systems.
- Familiarity with healthcare regulations, standards, and best practices in credentialing.

**Educational Requirements**:

- Bachelor’s degree or equivalent experience in healthcare administration, business, or a related field.
- Previous experience in credentialing or medical staff services preferred.

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