Credentialing Specialist

Job Title: Credentialing Specialist

Location: Hyderabad, Telangana, India

Work Mode: Hybrid (3 Days Office / 2 Days WFH)
Employment Type: Full-Time | Permanent

Job Description:

We're Hiring! Join our growing Healthcare Operations team as a Credentialing Specialist and take ownership of end-to-end provider credentialing, client relationship management, and compliance reporting for US healthcare clients.

If you have 4+ years of hands-on experience in Provider Credentialing, CMS Compliance, and Client Servicing, this is your opportunity to grow with a fast-paced healthcare process organization.

Key Responsibilities:

• Manage end-to-end provider credentialing & re-credentialing in compliance with CMS and state-specific guidelines.
• Act as the primary client contact, providing status updates, compliance reports, and resolving escalations.
• Represent the credentialing team in client meetings covering application progress, compliance, and performance metrics.
• Load and maintain enrollment data, ensuring accuracy and regulatory compliance.
• Analyze enrollment & billing workflows to identify gaps and drive process improvements.
• Maintain client files, logs & documentation via SharePoint and internal tracking systems.
• Coordinate with clients on data discrepancies and ensure smooth cross-team communication.
• Support and train staff on updated processes, systems, and best practices.

Desired Candidate Profile:

• 4+ years of experience in Provider Credentialing / Enrollment Services.
• Strong knowledge of CMS guidelines & payer credentialing requirements.
• Proven experience working directly with US healthcare clients.
• Excellent client communication & stakeholder management skills.
• Strong analytical and problem-solving mindset, with a track record of driving process improvements.
• Hands-on experience with SharePoint, credentialing software, MS Excel.
• Ability to independently manage multiple client accounts simultaneously.

Why Join Us?

• Work with US healthcare clients in a growing global team.
• Hybrid work model — flexibility with 2 days WFH.
• Fast-track career growth in Healthcare Operations.
• Collaborative, learning-driven work culture.

Apply Now:

• Interested candidates can apply directly or share their updated resume at [email protected]