Credentialing Specialist
Employment Type: Full-time
Location : Hyderabad
Experience: 3 to 5 Years
Joining: Immediate to 30 Days
Shift: US Shift / Night Shift - 5PM to 2AM IST
Work Model: 4 Days Work From Office, 1 Day Work From Home.
Objective and Overall Purpose:
Individuals in the Credentialing Specialist role will be responsible for overseeing the credentialing and re-credentialing of providers that participate in the various NationsBenefits provider networks. This individual will communicate directly with hearing and vision care providers and work collaboratively with the Provider Support, Hearing, and Vision operations teams. This role requires excellent interpersonal skills to communicate effectively. They must be a positive, energetic individual with solid organizational skills, attention to detail and ability to multi-task. Basic to intermediate knowledge of Excel is required.
Tasks and Responsibilities:
- Maintain records for individual rendering Providers who have been credentialed and/or have applied for credentialing.
- Process, record,



and track Provider Credentialing documents and data in processing systems.
- Effectively manage follow up calls and email.
- Monitor faxes, files and other sources of incoming Provider data notifications to ensure that Provider credentialing data is processed in a timely manner.
- Communicate with providers to obtain updated documents as needed during and after credentialing process.
- Maintain and properly store both electronic and hard copies of credentialing files.
- Update provider records and review for completeness and accuracy.
- Synthesize and report on data related to credentialing status and attainment.
- Draft, send, track and update Provider credentialing approval letters.
- Review Provider applications prior to Credentialing Committee meetings to identify possible issues in applications.
- Coordinate with Network Accuracy Specialist to reconcile gaps in information on providers between our system and the Cre

📌 English Specialist (Hyderabad)
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📍 Hyderabad