Credentialing Specialist

Company Description Digiclarity Global Solutions supports private medical practices in growing and sustaining their businesses through comprehensive revenue cycle management services. The organization specializes in medical billing, medical coding, and end-to-end revenue cycle management for physician practices across the United States. With a strong focus on client care, Digiclarity aims to deliver reliable, high-quality support that helps providers maintain financial health and operational efficiency. The company's mission is to be the trusted revenue cycle management partner, allowing healthcare providers and patients to focus on delivering and receiving care.

Role Description The Credentialing Specialist is a full-time, on-site role based in Chennai. This role is responsible for managing end-to-end credentialing processes for medical staff, including collecting and verifying provider information, completing applications, and maintaining accurate credentialing records. The Credentialing Specialist will coordinate with providers, payers, and internal teams to ensure timely enrollment with Medicare and other insurance networks, and to resolve any credentialing-related issues. Daily activities include tracking application statuses, updating internal systems, preparing reports, and responding to inquiries from providers and clients. The role also involves maintaining compliance with regulatory requirements and organizational policies while delivering professional, service-oriented support.

Qualifications

• Candidates should possess strong skills in Credentialing and Medical Staff Credentialing, with experience managing provider enrollment and verification processes.
• Candidates should possess solid Communication and Customer Service skills to interact effectively with providers, payers, and internal stakeholders.
• Candidates should possess knowledge of Medicare and related payer requirements, including familiarity with enrollment rules and documentation standards.
• Attention to detail, organizational skills, and the ability to manage multiple cases and deadlines in a fast-paced environment.
• Experience in medical billing, healthcare administration, or revenue cycle management is beneficial.
• Proficiency with office productivity tools and credentialing or practice management systems.
• Relevant academic background in healthcare administration, business, or a related field, or equivalent professional experience.