Role Description The Credentialing Specialist is a full time, on-site role based in the Mohali district. This position is responsible for managing the end-to-end credentialing process for medical providers, including collecting, reviewing, and maintaining accurate documentation and ensuring compliance with payer and regulatory requirements.
Day-to-day tasks include validating licenses and certifications, processing applications for insurance panels such as Medicare, monitoring credentialing timelines, and maintaining up-to-date records in internal systems. The role involves regular communication with healthcare providers, insurance companies, and internal teams to resolve issues, clarify requirements, and provide status updates.
The Credentialing
Specialist also supports continuous process improvement, helps ensure that all credentialing activities meet quality and compliance standards, and provides professional customer service to stakeholders.
**Qualifications
- EXPERIENCE IN US HEALTHCARE CREDENTIALING
- Candidates should possess strong Credentialing and Medical Staff Credentialing skills for managing provider enrollment and compliance.
- Candidates should possess effective Communication and Customer Service skills to interact with providers, payers, and internal teams professionally.
- Candidates should possess experience with Medicare and other insurance payer requirements to handle enrollment and re-credentialing processes.
- Candidates should possess attention to detail, organizational skills, and the ability to manage multiple credentialing files and deadlines.Relev
- ant experience in healthcare administration, provider enrollment, or a similar credentialing role is beneficial.
- Knowledge of regulatory standards, medical licensing processes, and basic medical terminology is an advantage.
- Proficiency with office software and credentialing or practice management systems is preferred.**