Credentialing Associate

0 years

0 Lacs

Posted:3 days ago| Platform: SimplyHired logo

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Skills Required

Work Mode

On-site

Job Type

Full Time

Job Description

Job Title: Credentialing Associate

Location: Baner Road, Pune, Maharashtra, India (On-site)

Roles & Responsibilities:

  • Oversee credentialing processes ensuring compliance with regulatory standards.
  • Collect, review, and verify documentation (licenses, certifications, work history).
  • Maintain and update credentialing databases with accurate provider information.
  • Track credentialing status, expirations, and re-credentialing timelines using software tools.
  • Act as the primary contact for healthcare providers during the credentialing process.
  • Collaborate with HR and Legal teams to meet credentialing requirements.
  • Conduct audits to identify improvement areas and ensure compliance.
  • Prepare detailed reports on credentialing activities for leadership review.
  • Stay current with state and federal regulations.
  • Assist in developing and implementing credentialing policies aligned with best practices.

Job Type: Full-time

Work Location: In person

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