Credentialing Specialist

Year    TN, IN, India

Job Description

We are looking for an experienced

Credentialing Specialist

to handle the full process of

provider credentialing

and

payer enrollment

. You will ensure all healthcare providers meet necessary requirements and maintain up-to-date records for compliance.

Key Responsibilities:



Complete

initial and renewal credentialing

for healthcare providers. Manage

payer enrollment

with insurance companies. Keep provider records updated in credentialing systems (e.g., CAQH, PECOS). Check and verify licenses, certificates, and other documents. Ensure all work follows

healthcare regulations

(NCQA, CMS, HIPAA). Communicate with providers and insurance contacts to solve issues. Support audits by preparing credentialing files and reports.

Requirements:



Bachelor's degree or equivalent work experience. 2-3 years of experience in

healthcare credentialing

. Familiarity with credentialing software and portals (e.g., CAQH, PECOS, Availity).
Job Types: Full-time, Permanent

Pay: ?17,280.00 - ?30,000.00 per month

Benefits:

Paid sick time Paid time off
Experience:

Provider Credentialing: 2 years (Required)
Location:

Mandaveli, Chennai, Tamil Nadu (Required)
Shift availability:

Night Shift (Required)
Work Location: In person

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Job Detail

  • Job Id
    JD4702635
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    TN, IN, India
  • Education
    Not mentioned
  • Experience
    Year