Senior Operation Associate - Credentialing

Iopex; Chennai District; On-site; INR 600,000 - 1,000,000; Full time

Job summary

IOpex in Chennai is seeking a Credentialing Specialist to manage provider credentialing files, perform Primary Source Verifications, and ensure database accuracy for compliant onboarding without payer enrollment.

You will coordinate with state boards, medical schools, and training programs, conduct sanction screenings, and maintain audit-ready records in the credentialing system, aligning with NCQA, Joint Commission, and HIPAA standards.

Qualifications

• Experience with provider credentialing and PSV processes.
• Familiarity with NCQA, Joint Commission, HIPAA standards.
• Ability to gather, review licenses, DEA, board certifications, malpractice coverage.

Responsibilities

• Collect and review provider credentials (licenses, DEA, board certifications, malpractice coverage).
• Perform PSV by verifying credentials with state boards, medical schools and training programs.
• Run sanction screenings using OIG, SAM, and NPDB databases.
• Monitor renewals and prompt providers for upcoming license/DEA/certification expirations.
• Maintain audit-ready digital files and accurate credentialing records.

Skills

Verification Portals

Standards

Tools

Credentialing platforms

MS Excel/Word

Job description

Job Summary:

The Credentialing manages provider credentialing files, performs Primary Source Verifications (PSV), and ensures database accuracy. This role ensures all providers meet NCQA, regulatory, and internal standards for smooth onboarding without handling payer enrollment.

Key Responsibilities:

• Document Collection: Gather and review provider credentials (medical licenses, DEA, board certifications, malpractice coverage).
• Primary Source Verification (PSV): Verify credentials directly with state boards, medical schools, and training programs.
• Sanction Screenings: Run background checks via OIG, SAM, and NPDB databases.
• Tracking: Monitor and prompt providers for upcoming renewals (licenses, DEAs, certifications).
• Database & File Maintenance: Maintain clean, audit-ready digital files and accurate records in the credentialing database.

Key Tools & Skills:

• Verification Portals: State Boards, OIG, SAM.gov, NPDB, FSMB
• Software: Credentialing platforms , MS Excel/Word
• Standards: NCQA, Joint Commission (TJC), HIPAA