Hyderabad Telangana Credentialing specialist Jobs – 3 Open Jobs Today

Credentialing Specialist, Contracts
Nimble Solutions —Hyderabad, Telangana
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Quick apply
Security Monitoring and Badging Specialist
Pinkerton —Hyderabad, Telangana
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Data Engineer
NationsBenefits, LLC —Hyderabad, Telangana
- Weekend availability
- Microsoft Excel
- Computer Science
- SQL
- Commuter assistance
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Security Monitoring and Badging Specialist
Pinkerton —Hyderabad, Telangana
Pinkerton is an inclusive employer who seeks candidates with diverse backgrounds, experiences, and perspectives to join our network of industry subject matter…

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Credentialing Specialist, Contracts

Nimble Solutions -
Hyderabad, Telangana

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Job details

Qualifications

Microsoft Word
Microsoft Excel
Microsoft Outlook
Microsoft Office
Analysis skills
Bachelor's degree
Business Administration
Typing
Communication skills

Full job description

Description:

Responsibilities

Manage end-to-end provider and facility credentialing and recredentialing processes for assigned client accounts.
Prepare, submit, track, and maintain payer enrollment and participation applications for Medicare, Medicaid, and all major commercial payers.
Verify provider and facility credentials, including state licenses, NPI, DEA, malpractice coverage, CAQH profiles, board certifications, accreditations,and other required documentation.
Maintain accurate, organized, and audit-ready credentialing records within internal databases, payer portals, and client systems.
Monitor application status and perform timely follow-ups with payers to ensure prompt approvals and minimize enrollment delays.
Communicate effectively with providers, facilities, payers, and internal stakeholders to resolve credentialing and enrollment issues.
Proactively monitor upcoming expirations and initiate renewals to ensure uninterrupted provider and facility participation in payer networks.
Collaborate with Contracting, Revenue Cycle Management (RCM), and Billing teams to align credentialing activities with payer contracts and claim submission readiness.
Prepare and share regular credentialing and enrollment status reports with clients, providing accurate updates on pending, approved, and outstanding items.
Stay current with CMS regulations, Medicare and Medicaid guidelines, NCQA standards, and commercial payer credentialing requirements to ensure compliance.

Requirements:

Qualifications

Associate's or Bachelor's degree preferred, preferably in Healthcare Administration, Business Administration, or a related field.
Minimum 2 years of provider credentialing and payer enrollment experience, preferably within an RCM vendor, healthcare organization, or multi-client environment.
Strong knowledge of Medicare, Medicaid, and commercial payer credentialing and enrollment processes.
Hands-on experience with PECOS, CAQH, NPPES, payer portals, and credentialing/enrollment software.
Facility credentialing experience is highly preferred and will be considered a Significant advantage.
Strong understanding of provider and facility enrollment requirements for government and commercial health plans.
Excellent organizational, documentation, and analytical skills with strong attention to detail.
Ability to manage multiple client accounts, priorities, and deadlines simultaneously.
Strong typing skills with the ability to maintain accurate and timely documentation.
Excellent verbal and written communication skills, including the ability to professionally communicate with clients, providers, facilities, and payer representatives.
Ability to independently prepare and present client status updates and credentialing progress reports.
Proficiency in Microsoft Office Suite, including Excel, Word, Outlook, and credentialing management systems.

Preferred Skills

Expertise in both Provider and Facility Credentialing.
Strong working knowledge of Medicare, Medicaid, and all major commercial payers.
Experience managing credentialing activities across multiple clients and payer networks.
Client-facing experience with status reporting and stakeholder communication.

Ability to identify, troubleshoot, and resolve credentialing and enrollment issues

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Credentialing Specialist, Contracts

Security Monitoring and Badging Specialist

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