Credentialing Specialist

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

ravali.gouni@eclathealth.com