Credentialing Specialist – Primary Source Verification (PSV)

Job Description

Career Opportunity – Credentialing Specialist – Primary Source Verification (PSV) at InteliX Systems Job Summary We are seeking a detail-oriented and experienced Credentialing Specialist/Co-Ordinator to join our team, with a primary focus on Primary Source Verification (PSV) . The ideal candidate will be responsible for verifying the credentials and qualifications of healthcare providers to ensure compliance with industry standards, regulatory bodies, and internal policies. This role is critical in maintaining the integrity and accuracy of our credentialing process. Location: KPHB, Hyderabad Shift: 6.30 PM – 3.30 AM IST Role & Responsibilities Perform Primary Source Verification (PSV) for provider credentials including, but not limited to: * Medical education * Residency and fellowship training * State licensure * Board certification * Work history and malpractice history Verify credentials in accordance with applicable regulatory standards such as NCQA, URAC, JCAHO, and internal policies. Contact medical schools, licensing boards, hospitals, and other institutions to obtain and validate provider information. Accurately document all communications, verification outcomes, and any follow-up actions required. Maintain and update provider records in the credentialing database (e.g., CAQH, MD-Staff, Ceipal). Collaborate with the credentialing team and other departments to resolve discrepancies and ensure timely processing. Assist in audits and internal reviews by preparing credentialing documentation as needed. Stay informed about changes in credentialing standards and regulations. Preferred Qualifications Experience working with hospitals, health plans, or credentialing verification organizations (CVOs). Required Qualifications Minimum 4–5 years of experience in credentialing, preferably in a healthcare or managed care environment. Strong working knowledge of Primary Source Verification (PSV) processes and regulatory standards (NCQA, URAC, JCAHO). Experience with credentialing databases and systems (e.g., CAQH, MD-Staff, Echo, Ceipal). Excellent attention to detail and accuracy. Strong organizational, communication, and time management skills. Ability to work independently in a fast-paced environment and handle confidential information with discretion. What we offer A competitive salary and benefits package. Opportunities for professional growth and career advancement. A dynamic and supportive work environment. The chance to work on exciting projects that make a difference. 📍Location: InteliX Systems, Hyderabad 📩Apply Now: Send your resume to swathi.kolisetty@intelixsys.com 📞Contact: 6301535020 Show more Show less