Credentialing Analyst

Nath Outsourcing Solutions Pvt. Ltd.; Sahibzada Ajit Singh Nagar; On-site; INR 400,000 - 600,000; Full time

Job summary

Nath Outsourcing Solutions Pvt. Ltd. in Sahibzada Ajit Singh Nagar is seeking a Credentialing Analyst to manage provider credentialing and re-credentialing.

You will collect, verify, and update provider information with payers and regulatory bodies, review applications for accuracy, monitor status, and ensure compliance with payer, government, and organizational requirements. Day-to-day duties include maintaining records in internal systems, coordinating with providers and internal teams,

Qualifications

• Strong HR management skills to coordinate provider documentation, enrollment, and compliance-related processes.
• Experience with HRIS and related databases to maintain provider records and credentialing data.
• Excellent analytical skills to review applications, identify inconsistencies, and ensure payer/regulatory alignment.
• Knowledge of benefits administration or provider enrollment concepts as they relate to payers and networks.

Responsibilities

• Manage provider credentialing and re-credentialing processes, including collecting, verifying, and updating provider information with payers and regulatory bodies.
• Review credentialing applications for accuracy and monitor credentialing status to ensure compliance.
• Maintain accurate records in internal systems and coordinate with providers and internal teams.
• Support audits or quality checks and collaborate with operations and HR-related functions to ensure proper enrollment and reimbursement eligibility.

Skills

HR Management

HRIS

Analytical skills

Provider enrollment

Communication skills

Education

Bachelor’s degree in business/healthcare administration/HR

Tools

HRIS

Job description

Company Description

Nath Outsourcing Solutions Pvt. Ltd. (NOS), founded in 2003, provides end-to-end services to clients in the U.S. healthcare industry with a focus on Revenue Cycle Management. The organization understands the operational challenges healthcare providers face, including complex payer rules, changing regulations, and increasing business costs. NOS combines advanced technology with deep expertise in managed care, coding, compliance, and payer requirements to deliver strong financial and operational outcomes. A motivated team of skilled professionals supports clients by managing complex processes so providers can focus more on patient care. The company emphasizes high performance, specialized knowledge, and continuous improvement in its service delivery.

Role Description

This is a full-time, on-site Credentialing Analyst role based in Sahibzada Ajit Singh Nagar. The Credentialing Analyst will manage provider credentialing and re-credentialing processes, including collecting, verifying, and updating provider information with insurance payers and regulatory bodies. The role involves reviewing applications for accuracy, monitoring credentialing status, and ensuring compliance with payer, government, and organizational requirements. Day-to-day responsibilities include maintaining accurate records in internal systems, coordinating with providers and internal teams, resolving credentialing issues, and supporting audits or quality checks. The individual will collaborate closely with operations and HR-related functions to help ensure providers are properly enrolled and eligible for reimbursement.

Qualifications

• Strong HR Management and Human Resources (HR) skills to coordinate provider documentation, enrollment, and compliance-related processes.
• Experience with Human Resources Information Systems (HRIS) and related databases to maintain accurate provider records and credentialing data.
• Excellent Analytical Skills to review applications, identify inconsistencies, and ensure alignment with payer and regulatory requirements.
• Knowledge of Benefits Administration or provider enrollment concepts as they relate to payers, networks, and healthcare plans.
• Bachelor’s degree in business, healthcare administration, human resources, or a related field, or equivalent relevant experience.
• Strong attention to detail, organizational skills, and ability to manage multiple credentialing tasks and timelines.
• Effective written and verbal communication skills for interaction with providers, payers, and internal stakeholders.
• Prior experience in U.S. healthcare credentialing, provider enrollment, or revenue cycle management is preferred.