Credentialing Specialist

Job Description

Job Description: We are seeking a detail-oriented and proactive Credentialing Analyst to manage the end-to-end credentialing process for healthcare providers. This role involves timely onboarding, payor credentialing, documentation, and compliance tracking to ensure all providers meet regulatory and client requirements. Key Responsibilities: Respond promptly to credentialing-related emails and follow-ups within 24 hours. Manage onboarding of new providers, including welcome communication, documentation, and source verification. Handle Collaborative Agreements and update provider records in systems like Athena and CredentialMyDoc (CMD). Submit and track payor applications and rosters; ensure follow-ups with payors. Allocate and prioritize tasks via CMD based on daily workload. Maintain and update CAQH profiles every 120 days for active providers. Conduct monthly OIG verifications and ensure compliance with client requirements. Prepare regular reports on credentialing holds, provider onboarding status, and facility credentialing by payor. Participate in weekly calls with internal stakeholders and clients. Maintain and update SOPs related to credentialing. Requirements: Prior experience in healthcare credentialing or provider onboarding preferred. Strong attention to detail, communication, and time management skills. Excellent communication skills in English, both written and verbal. Strong attention to detail, organization, and time management. Familiarity with systems like Athena, CMD, and CAQH is an advantage. Qualification: Graduation in any stream. Prior experience in healthcare credentialing or provider onboarding is preferred. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Supplemental Pay: Shift allowance Work Location: In person