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R Systems International
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Credentialing Specialist

Credentialing Specialist

R Systems International

1 - 5 years

|

6 - 10 Lacs

noida uttar pradesh india

Posted:2 days ago| Platform: Foundit logo

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Skills Required

attention to detail record keeping regulatory compliance data analysis credentialing standards

Work Mode

On-site

Job Type

Full Time

Job Description

Role & responsibilities

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

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R Systems International

Information Technology and Services

Gurgaon

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