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← Acurus Solutions Private Limited

Credentialling Specialist

Acurus Solutions Private Limited
Location
Royapettah, Tamil Nadu, India
Posted
2 months ago
Department
Revenue Cycle Management
What they actually want (must-haves)
  • 3+ years of credentialing experience in a healthcare, managed care, or hospital setting
  • Strong knowledge of credentialing standards (NCQA, URAC, CMS) and primary source verification processes
  • Experience with credentialing software/databases (CAQH, MD-Staff)
  • Familiarity with payer enrollment processes (Medicare, Medicaid, commercial insurers)
  • Excellent attention to detail and organizational skills
  • Strong written and verbal communication skills
Nice to have
  • Bachelor's degree preferred
  • Experience with delegated credentialing audits
  • Knowledge of state-specific licensing requirements
  • Prior experience supporting medical staff committees or credentialing committees
What the job really is

The Credentialing Specialist will manage the entire credentialing and re-credentialing process for healthcare providers, ensuring compliance with various standards. Daily tasks include verifying provider credentials, maintaining accurate files in databases, coordinating with payers for enrollment, and preparing documentation for committee reviews. The role requires strong organizational skills and attention to detail while handling sensitive information in a fast-paced environment.

Things to weigh
  • No salary listed
  • Requires strong attention to detail and organizational skills
  • Fast-paced environment may lead to high stress levels
Job score3/5
Benefits1/5
Freshness5/5
Career value4/5
Role clarity5/5
Pay transparency0/5

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