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Credentialing Specialist InteliX Systems

4.0 - 8.0 years

0 Lacs

hyderabad, all india

On-site

As a Credentialing Specialist/Coordinator at InteliX Systems, your role will involve performing Primary Source Verification (PSV) for provider credentials, including 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 by contacting 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, as well as maintaining and updat...

Posted 2 days ago

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