Credentialing Specialist (Healthcare Domain)

Job Description:
We are looking for a Credentialing Specialist to join our team in the healthcare domain. The ideal candidate will be responsible for ensuring healthcare providers meet compliance requirements, managing credentialing processes, and maintaining up-to-date records.

Responsibilities:

• Manage and process credentialing and re-credentialing applications for healthcare providers.
• Verify qualifications, certifications, and licenses to ensure compliance with industry standards.
• Maintain and update provider information in the credentialing database.
• Communicate with healthcare professionals, insurance providers, and regulatory bodies.
• Ensure compliance with healthcare regulations, accreditation standards, and payer requirements.
• Handle audits and respond to credentialing-related inquiries.
• Identify and resolve any discrepancies in credentialing documentation.

Requirements:

• Bachelor's degree in healthcare administration, business, or a related field (preferred).
• 2+ years of experience in credentialing, provider enrollment, or healthcare compliance.
• Strong knowledge of credentialing regulations and industry standards.
• Experience with credentialing software and healthcare databases.
• Excellent attention to detail, organizational, and communication skills.
• Ability to manage multiple tasks efficiently and meet deadlines.

Preferred Skills:

• Knowledge of NCQA, JCAHO, and CMS credentialing guidelines.
• Experience working with insurance providers and healthcare networks.
• Strong analytical and problem-solving skills.

📍 Location: Coimbatore
💼 Job Type: In Office - Full time
📧 To Apply:Send your resume to Shifana.u@247mbs.com or +91 6381401783

https://www.linkedin.com/posts/shifana-u-012666235_info-hub-consultancy-services-pvt-ltd-sf-activity-7295793619213393921-KVU_?utm_source=share&utm_medium=member_desktop&rcm=ACoAADqm5o4BZQilF8hhkMrFTxit3IAPUVlycQw