
Credentialing Specialist
7 days ago
Key Responsibilities:
Credential Verification:
Conduct primary source verification of education, licenses, certifications, and work history.
Perform background checks including criminal records and disciplinary actions.
Compliance & Regulation:
Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory bodies.
Monitor expiration dates and initiate timely renewals of credentials.
Documentation & Database Management:
Maintain accurate records in credentialing software (e.g., CAQH, PECOS, NPPES).
Track and update provider profiles and credentialing logs.
Communication & Coordination:
Liaise with providers, payers, and internal departments to resolve discrepancies.
Respond to inquiries and facilitate credentialing-related communication.
Audit & Reporting:
Prepare for internal and external audits.
- Generate reports on credentialing status and compliance metrics.
-
Credentialing Specialist
5 days ago
Chennai, Tamil Nadu, India Cmpms Global Full time ₹ 9,00,000 - ₹ 12,00,000 per yearJob Title: Senior Credentialing SpecialistExperience: 5 to 8 YearsUS Shift: 4:30 Pm to 1:30 AmMode of Work: Work From OfficeWork Location: Chennai - ValasaravakkamTransportation: Cab Provided (Only for Female Employees)Interested candidates send your cv to Job Summary:We are seeking an experienced Credentialing Specialist with a strong background in Accounts...
-
Credentialing Specialist
2 days ago
Noida, Uttar Pradesh, India Dentistry Billing & Consulting Full time ₹ 4,00,000 - ₹ 8,00,000 per yearAs a Credentialing Specialist at our company located in Noida, M2 Business Park, you will play a crucial role in the healthcare or dental credentialing process. Your primary responsibilities will include: - Processing and maintaining credentialing and recredentialing applications for healthcare/dental providers. - Verifying licensure, education, training,...
-
Credentialing Specialist
3 days ago
Chennai, Tamil Nadu, India EL Revgen Healthcare Solutions Full time US$ 90,000 - US$ 1,20,000 per yearJob Summary:We are seeking a dedicated and detail-oriented Credentialing Specialist with at least 2 years of experience working in a provider office. The ideal candidate will manage the full lifecycle of provider credentialing and payer enrollment processes to ensure timely billing and revenue recognition within the Revenue Cycle Management (RCM)...
-
healthcare credentialing specialist
4 weeks ago
Chennai, Tamil Nadu, India Skillra Technologies Full timeAbout the RoleWe are seeking a Healthcare Credentialing Specialist with strong experience in managing provider enrollment, credentialing, and compliance with regulatory guidelines. The ideal candidate will have a keen eye for detail, excellent communication skills, and the ability to work collaboratively with providers, payers, and internal teams.Key...
-
healthcare credentialing specialist
4 weeks ago
Chennai, Tamil Nadu, India Skillra Technologies Full timeAbout the RoleWe are seeking a Healthcare Credentialing Specialist with strong experience in managing provider enrollment, credentialing, and compliance with regulatory guidelines. The ideal candidate will have a keen eye for detail, excellent communication skills, and the ability to work collaboratively with providers, payers, and internal teams.Key...
-
healthcare credentialing specialist
4 weeks ago
Chennai, Tamil Nadu, India Skillra Technologies Full timeAbout the Role We are seeking a Healthcare Credentialing Specialist with strong experience in managing provider enrollment, credentialing, and compliance with regulatory guidelines. The ideal candidate will have a keen eye for detail, excellent communication skills, and the ability to work collaboratively with providers, payers, and internal teams. Key...
-
healthcare credentialing specialist
3 weeks ago
Chennai, Tamil Nadu, India Skillra Technologies Full timeAbout the RoleWe are seeking a Healthcare Credentialing Specialist with strong experience in managing provider enrollment, credentialing, and compliance with regulatory guidelines. The ideal candidate will have a keen eye for detail, excellent communication skills, and the ability to work collaboratively with providers, payers, and internal teams.Key...
-
Credentialing Specialist
1 week ago
Noida, Uttar Pradesh, India Provana Full time ₹ 9,00,000 - ₹ 12,00,000 per yearPlease share cv @ or ping me @ Key Responsibilities:Credential Verification:Conduct primary source verification of education, licenses, certifications, and work history.Perform background checks including criminal records and disciplinary actions.Compliance & Regulation:Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory...
-
Credentialing Analyst
2 weeks ago
Noida, India Revsyntech Full timeWe are looking for a Credentialing Specialist with hands-on experience in US healthcare provider enrollment and credentialing. The ideal candidate will be responsible for managing provider applications, maintaining compliance with payer requirements, and ensuring timely approvals through accurate documentation and proactive follow-ups. Role &...
-
Credentialing Analyst
2 days ago
Noida, Uttar Pradesh, India Revsyntech Full time ₹ 5,00,000 - ₹ 12,00,000 per yearWe are looking for a Credentialing Specialist with hands-on experience in US healthcare provider enrollment and credentialing. The ideal candidate will be responsible for managing provider applications, maintaining compliance with payer requirements, and ensuring timely approvals through accurate documentation and proactive follow-ups.Role &...