Credentialing Specialist

As a Credentialing Specialist (Provider Enrollment) at our office in Pune, you will play a crucial role in maintaining accurate provider profiles on various databases such as CAQH, PECOS, NPPES, and CMS. With a minimum of 1-3 years of experience in credentialing, your primary responsibility will be to ensure that all provider profiles are up to date and compliant with regulatory requirements. Your key responsibilities will include collaborating with providers to update their CAQH files in accordance with CMS Medicare/Medicaid and Managed Care Organizations regulations. Additionally, you will be responsible for monitoring and maintaining the credentialing, re-credentialing, and contracting processes with insurance companies. To excel in this role, you should possess strong skills in credentialing, insurance eligibility, and enrollment. You will also be required to keep track of expiration dates for state DEA licenses, board certifications, and malpractice insurance for individual providers. This is a full-time position with day shift and morning shift schedules. As the nature of the work requires in-person presence, you will be expected to work from our office location in Pune. If you are a detail-oriented individual with a passion for ensuring provider compliance and maintaining accurate credentialing records, we encourage you to apply for this exciting opportunity.,