Credentialing Specialist InteliX Systems

4.0 - 8.0 years

0 Lacs

hyderabad, telangana

On-site

As a Credentialing Specialist/Coordinator at InteliX Systems, your role will involve performing Primary Source Verification (PSV) for provider credentials. This includes verifying medical education, residency and fellowship training, state licensure, board certification, work history, and malpractice history. You will be responsible for ensuring compliance with regulatory standards such as NCQA, URAC, JCAHO, and internal policies. This will require you to contact medical schools, licensing boards, hospitals, and other institutions to obtain and validate provider information. Accurate documentation of all communications, verification outcomes, and follow-up actions will be essential. You will...

Posted 5 days ago

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Credentialing Specialist R Systems International

1.0 - 5.0 years

6 - 10 Lacs

noida, uttar pradesh, india

On-site

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 detai...

Posted 3 weeks ago

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US Healthcare Onboarding Specialist Realign LLC

2.0 - 6.0 years

0 Lacs

noida, uttar pradesh

On-site

As a US Healthcare Onboarding Specialist at our office in Noida, your role will involve the following responsibilities: - Must have 1.5+ years of experience in US healthcare client Credentialing and Onboarding. - Highly communicative with onboarding candidates to ensure their retention until they join. - Experience in healthcare credentialing. - Ability to read and understand immunization reports, drug reports, and other health-related documents of candidates. - Familiarity with client background check (BGC) requirements and executing them through various BGC companies. - Conducting USA state-specific searches and fingerprinting. - Familiar with licensure validation processes. - Knowledge of...

Posted 3 weeks ago

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Credentialing Specialist r3 Consultant

1.0 - 5.0 years

0 Lacs

maharashtra

On-site

As a Credentialing Specialist at our growing organization in Hinjewadi, Pune, you will play a crucial role in ensuring compliance with credentialing standards and maintaining a robust provider network. Your responsibilities will include managing and updating healthcare providers" credentials, licenses, certifications, and affiliations, processing credentialing applications, verifying education and licensure, liaising with various stakeholders for approvals, tracking expiration dates, maintaining accurate records, and ensuring regulatory compliance. To excel in this role, you should have a Bachelor's degree in any discipline (Healthcare/Administration preferred) along with 1 to 5 years of exp...

Posted 1 month ago

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