Responsibilities

- Conduct Primary Source Verification by contacting licensing boards, educational institutions, and other relevant entities.
- Responsible for data entry and maintaining provider information in online credentialing databases and systems (e.g., CAQH, DEA, Provider Profiles).
- Verify the accuracy and validity of provider credentials, licenses, and certificates.
- Ensure compliance with federal, state, and organizational credentialing requirements.
- Maintain accurate and up-to-date provider profiles in the credentialing department.
- Track and monitor credential expiration dates and recredentialing timelines.
- Initiate and manage the recredentialing process for healthcare providers.
- Ensure providers meet ongoing credentialing requirements.
- Maintain accurate and organized records of credentialing activities.




- Address credentialing inquiries and emails and resolve issues promptly.
- Familiarity with CAQH, license validation, 24/7 coverage, attestation dates, specialty verification, DEA, and other external websites related to credentialing.
- Collect and review initial credentialing applications and supporting documentation.
- Monitor development process and follow up with providers as needed until confirmation of in-network status is received.
- Maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all providers.

Skills: Data Entry, credentialing

Experience: 2.00-6.00 Years

📌 Process Specialist - Credentialing (Chennai)
🏢 Thryve Digital
📍 Chennai