Credentialing Specialist

Job Title:

Experience:

Location:

Company Overview:

Credentialing Specialist

Key Responsibilities:

• Manage and maintain up-to-date records of healthcare providers’ credentials, licenses, certifications, and affiliations.
• Coordinate and process initial credentialing and re-credentialing applications for providers in accordance with company policies and regulatory standards.
• Conduct thorough verification of education, training, experience, and licensure through primary sources.
• Liaise with insurance companies, hospitals, and credentialing bodies to ensure timely approvals.
• Monitor and track expiration dates for licenses and certifications and proactively follow up for renewals.
• Maintain accurate and organized electronic and physical credentialing files.
• Ensure compliance with NCQA, URAC, and other regulatory requirements.
• Prepare and submit credentialing reports for audits and internal use.

Qualifications & Skills:

• Bachelor’s degree in any discipline (Healthcare/Administration preferred).
• 1 to 5 years of experience in credentialing or healthcare administration.
• Strong understanding of credentialing standards, healthcare regulations, and compliance.
• Excellent communication and organizational skills.
• High attention to detail and ability to manage multiple tasks simultaneously.
• Proficiency in MS Office (Excel, Word, Outlook) and credentialing software/tools is an added advantage.

What We Offer:

• Competitive salary up to ₹6 LPA based on experience and skillset.
• Opportunity to work in a dynamic and growth-oriented environment.
• Supportive team culture and ongoing professional development.