Credentialing Specialist

3 days ago


Hyderabad, Telangana, India Eclat Health Solutions Full time ₹ 5,00,000 - ₹ 10,00,000 per year

Job Description:

Role: Senior Associate Credentialing

Location: Hyderabad

Timings: Night shift (6:30 PM to 3:30 PM)

Role & responsibilities :

1.Application management: Complete and submit provider credentialing and re-credentialing applications to health plans and other entities.

2.Record maintenance: Compile, update, and maintain accurate, confidential, and current data on all providers.

3.Primary source verification: Verify credentials like licenses, degrees, and certifications directly with the issuing sources.

4.Document tracking: Track and maintain copies of current state licenses, DEA certificates, and malpractice coverage.

5.Compliance and reporting: Monitor applications for potential issues and ensure providers meet current health plan and regulatory requirements.

6.System and database management: Set up and maintain provider information in credentialing databases and systems.

7.Coordination: Collaborate with various internal and external stakeholders, such as the medical staff office, compliance, finance, and insurance companies.

8.Privileging: Process and track applications for the appointment and reappointment of provider privileges.

Preferred candidate profile :

Provider Credentialing Experience

open for Night shifts

communication skills

Perks and Benefits:

2 Way cab facility

Dinner facility

Transport Allowance

Interested can share resumes



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