Credentialing Specialist

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