Key Responsibilities:
Perform primary source verification (PSV) for licenses, certifications, insurance, and NPDB
Manage credentialing/re-credentialing files and ensure timely renewals
Maintain and update credentialing database and CAQH profiles
Handle provider data updates, terminations, and demographic changes
Coordinate with internal teams, providers, and health plans
Ensure compliance with NCQA, HIPAA, and regulatory guidelines
Provide follow-ups on pending files and maintain accurate documentation
Requirements:
3+ years of experience in US Healthcare credentialing
Solid communication, organizational, and problem-solving skills
Basic computer skills (MS Office, scanning tools, etc.)
Ability to work independently and manage multiple tasks
Job Types: Full time, Permanent
Pay: ₹500,000.00 - ₹800,000.00 per year
Perks:
Health insurance
Life insurance
Provident Fund
Experience:
Credentialing: 1 year (preferred)
US Healthcare: 1 year (preferred)