Job DescriptionCredentialing Specialist
nEmployment Type: Full time
nLocation: Hyderabad
nExperience: 3 to 5 Years
nJoining: Immediate to 30 Days
nShift: US Shift / Night Shift - 5PM to 2AM IST
nWork Model: 4 Days Work From Office, 1 Day Work From Home.
nObjective and Overall Purpose:
nIndividuals 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 strong organizational skills, attention to detail and ability to multi-task. Basic to intermediate knowledge of Excel is required.
nTasks and Responsibilities:
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- Maintain records for individual rendering Providers who have been credentialed and/or have applied for credentialing.n




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

📌 Credentialing Specialist (Hyderabad)
🏢 NationsBenefits India
📍 Hyderabad