Credence Resource Management is a leader in providing innovative solutions and services focused on both IT and human resources, primarily serving government and commercial sectors.
Pune
INR 1.5 - 4.25 Lacs P.A.
Work from Office
Full Time
Role & responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: โข ERA & EOB โข ERA codes โข Insurance types โข Balance billing โข Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Nandani rohra /7709176585/ nandani.rohra@in.credencerm.com Kalim Khan/ 9881208270 /kalim.khan@in.credencerm.com
Pune
INR 1.25 - 5.0 Lacs P.A.
Work from Office
Full Time
Role & responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: โข ERA & EOB โข ERA codes โข Insurance types โข Balance billing โข Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Akshay Kate /8080791017/ akshay.kate@in.credencerm.com Ayesha Shaikh / 7753051577 /ayesha.shaikh@in.credencerm.com
Kharadi, Pune, Maharashtra
INR Not disclosed
Work from Office
Full Time
Proficient working on Advance Excel. Data Analysis and Reporting. Vlookup, Hlookup, SumIf, CountIf, Formatting, Pivot Tables, Excel Formulas etc. Proficient working on Excel and Advanced Excel. Comes with good communication skills. Comfortable working in night shifts. Job Types: Full-time, Permanent Pay: Up to โน400,000.00 per year Benefits: Commuter assistance Health insurance Life insurance Paid sick time Provident Fund Schedule: Evening shift Monday to Friday Night shift US shift Supplemental Pay: Overtime pay Performance bonus Experience: Advance Excel: 2 years (Required) Language: English (Required) Location: Kharadi, Pune, Maharashtra (Required) Shift availability: Night Shift (Required) Work Location: In person
Pune
INR 0.5 - 3.0 Lacs P.A.
Work from Office
Full Time
We are currently hiring for Prior Auth , Payment Posting AR callers EVBV Call : 7249231833 / WhatsApp : 8080791017 Job Discription Excellent Knowledge in Denials. Can perform HIPAA compliant auto and manual posting requirements. Executes daily payment posting batch reconciliation. Understanding of posting offsets, forward balance, and refund processing / posting. Familiar with denial and remarks codes to perform posting and assignment of AR appropriately. Familiar with secondary billing process while perform cash posting. Clear understanding on: ERA & EOB. ERA codes. Insurance types. Balance billing. Co-ordination of Benefits. Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices. Good verbal communication, written communication and presentation skills. Ability to consistently execute and accomplish tasks within deadlines. Basic knowledge of MS Office. Experience working on imagine systems and Advanced MD would be an added advantage. Desired Skills 1 4 Years of experience in US Medical RCM {Revenue Cycle Management} Willingness to work in US shifts. Highlights Best in Market Salaries. 3-week new hire training program. Transparent KRAs Enhance your Analytical/Decision Making. Cross functional Growth opportunities within 6 months for experienced candidates. Free Medical/Life insurance. Employee Centric & Compliant Policies. Free Home Pick & Drop Transportation. Fixed shifts post the training period [Rare changes in case of business requirements] 8:15 min login plus 45-minute break = 9-hour shifts. Job Category: Revenue Cycle Mangement Job Type: Full Time Job Location: Pune IN. Con. 7249231833 Email: akshay.kate@in.credencerm.com
Pune
INR 0.5 - 3.0 Lacs P.A.
Work from Office
Full Time
We are Hiring Join the Credence Global Services Team in Pune! Location: Pune (Work from Office Only) Role: AR Executive โ Revenue Cycle Management Prior Authorization Payment Posting EVBV / Rejection's Contact: Akshay Kate Phone: 7249231833 / WhatsApp: 8080791017 Email: akshay.kate@in.credencerm.com
Navi Mumbai
INR 3.0 - 6.0 Lacs P.A.
Work from Office
Full Time
Job Roles & Responsibilities : Recruitment & Head Hunting Handling the full life cycle of recruitment, i.e, sourcing to salary negotiation and ensuring candidate joins the company Sourcing suitable profiles through various job portals Cold Calling passive and active Job Seekers Scheduling candidates for interviews Screening the sourced profiles as per requirements Obtain references and carry out reference checks, escalating issues as appropriate Posting jobs on various job sites and social networking sites Briefing the candidate about the responsibilities, salary and benefits of the job Informing candidates about the results of their interviews and sharing real-time feedback Receiving and reviewing applications, managing interviews and creating a shortlist of candidates Follow-up/co-ordination with potential candidates Developing and implementing different candidate sourcing strategies Handling salary negotiation part with the candidate and the Onboarding team Implementation of HR Policies of the company during the end to end recruitment process Follow the code of conduct of the organization Candidate Requirements : Preferred Qualification Graduate Good communication skills Well versed with Job Portals like Naukri.com, etc. Preferred - Recruitment experience from for an International BPO domain.
Navi Mumbai
INR 14.0 - 18.0 Lacs P.A.
Work from Office
Full Time
Job Roles & Responsibilities : Compensation Strategy & Management: Lead the development and execution of the company's compensation strategy, ensuring alignment with business objectives and competitive market positioning. Oversee the design and administration of salary structures, job grades, and bonus/incentive plans. Manage annual compensation review cycles, ensuring data-driven decisions on pay increases, promotions, and bonuses. Analyze and benchmark compensation data to ensure competitive positioning and internal equity. Partner with senior leadership to develop and implement compensation plans that attract, retain, and motivate top talent. Benefits Administration: Oversee the design, implementation, and management of employee benefits programs, including health, wellness, retirement plans, insurance, and other employee perks. Ensure benefits offerings are competitive, cost-effective, and aligned with employee needs and expectations. Manage vendor relationships for benefits providers and regularly assess plan performance and employee satisfaction. Develop and communicate benefits strategies and policies to employees to ensure understanding and engagement. Compliance & Regulatory Management: Ensure compliance with all local, state, and central government laws and regulations related to compensation, benefits, and labor practices. Conduct regular audits to ensure policies and practices are compliant and identify areas for improvement. Stay up-to-date with changing labor laws, compensation regulations, and benefits trends, and proactively adjust company policies as necessary. Lead the preparation and submission of any government filings and reports related to compensation and benefits programs. Team Leadership & Development: Lead, mentor, and develop a high-performing HR team specializing in compensation, benefits, MIS and compliance. Build strong cross-functional relationships with other HR teams (Talent Acquisition, Employee Relations, etc.) and business leaders. Provide guidance on complex compensation-related matters, internal equity issues, and benefits program concerns. Reporting & Analytics: Develop and deliver regular reports and analytics related to compensation and benefits program performance, cost management, HR metrics and employee satisfaction. Use data to drive decisions and continuous improvement of compensation and benefits offerings. Provide leadership with insights into the effectiveness of compensation and benefits programs and recommendations for changes or enhancements. Education & Experience: Minimum Bachelor's degree in Human Resources, Business Administration, or related field. Minimum 12 years of HR experience, with at least 5 years in a leadership role managing compensation, benefits, and compliance in a large, fast-paced BPO environment. Strong knowledge of HR policies, practices, and legal regulations related to compensation, benefits, and compliance, especially within the BPO industry. Experience in designing, managing, and bench marking compensation structures, incentive plans, and benefits programs for large-scale, multi-location operations. Proven experience with HRIS systems, compensation and benefits software, and data analytics tools. Skills & Competencies: Strategic thinker with the ability to align compensation and benefits programs to business objectives and employee needs. Strong analytical skills with the ability to interpret data and make informed recommendations. Excellent communication and interpersonal skills, with the ability to engage effectively with executives, employees, and external partners. Deep understanding of compensation and benefits legislation, tax laws, and industry best practices. Demonstrated ability to manage complex projects, work under pressure, and meet deadlines. Strong leadership, team management, and mentoring
Navi Mumbai
INR 10.0 - 12.0 Lacs P.A.
Work from Office
Full Time
Job Roles & Responsibilities : Facilitate as HR contact for various employee activities Reiterate and continuously develop talent management framework within the team including goal-setting, career development, reward & recognition, and performance improvement plans Guide the development and implementation of employee-related programs and processes that support the business requirements of the company. Manage and resolve complex employee relations challenges in a positive and proactive manner through analyzing data, conducting investigations, and providing feedback to the respective stakeholders to ensure appropriate implementation of the POA/feedback Monitor and interpret trends & metrics around employee satisfaction, attrition and establish recommendations for improvements or enhancements based on data analysis Implement HR strategies that will attract, develop, and retain the breadth of talent who will drive the company's business goal. Act as brand ambassadors for the company and develop employee programs that promote the company to be an employer of choice Ensure compliance with company values, policy, procedures, and state and federal laws Define a structured Engagement Plan across business units Conducts skip level meetings and One-on-ones Meet with the Team Leaders, Assistant Managers, Managers/Teams at regular intervals to understand their concerns and to apprise them of any HR updates Generating floor intelligence report - A monthly discussion with the HOD of the program to discuss the major issues Grievance Handling - To understand employee grievance and to give them a permanent solution on the same Floor support - To conduct focus groups and one-on-ones with the Employee Engagement Committee to understand the motivation level on the floor and plan for activities accordingly Employee engagement activities Ensure the Employee Engagement Calendar created by the HR team drives Fun at work to have a high energy level environment on the work floor Policies - Implementation of HR Policies of the company and provides critical support and feedback in the process Code of conduct implementation - To ensure each employee follows the code of conduct of the organization Rewards and Recognition Facilitate the monthly program to recognize the talented and outstanding employees by ensuring nominations, ratification of data and analysis of the same Other activities as assigned Candidate Requirements : Minimum experience of 8+ years in an Employee relations/Business partnering role Must be flexible to work in US shifts Team management skills Should be able to ensure succession planning amongst team members Should be well versed with MS office and should have the ability to analyze obtained information/ data Plus point - Knowledge of labor/Industrial laws Preferred
Navi Mumbai
INR 3.0 - 6.0 Lacs P.A.
Work from Office
Full Time
Job Roles & Responsibilities : Facilitate as HR contact for various employee activities Define a structured Engagement Plan across business units Conducts skip level meetings and One-on-ones Meet with the Team Leaders/Managers and Teams at regular intervals to understand their concerns and to apprise them of any HR updates Grievance Handling - To understand employee grievance and to give them a permanent solution on the same SPOC for Internal Job Postings - To communicate current openings to all the employees and co- ordinate interviews, conduct interviews and close the requirement within TAT Employee engagement activities - Fun at work activities to have a high energy level on the work floor Policies - Implementation of HR Policies of the company and provides critical support and feedback in the process Performance Management system - To ensure employees who are part of the performance enhancement plan acknowledge their plan of actions which was implemented by their supervisors Code of conduct implementation - To ensure each employee follows the code of conduct of the organization Rewards and Recognition Facilitate the monthly program to recognize the talented and outstanding employees by ensuring nominations, ratification of data and analysis of the same Background verification Initiate discussion with employees who receive negative report and close the case within Candidate Requirements : Preferred Qualification MBA HR Excellent communication skill Worked on MS excel or WPS spreadsheet Worked on Canva or Poster my wall to create posters Flexible working in night shift
Navi Mumbai
INR 12.0 - 14.0 Lacs P.A.
Work from Office
Full Time
Job Roles & Responsibilities : Develop sustainable talent acquisition, hiring plans and strategies Design, plan and execute employer branding activities Encourage/coach employees to be brand ambassadors for the organization Plan and execute employee referral programs Use HRIS, Recruitment Marketing tools โข Source and find candidates qualified for open positions Perform analysis of hiring needs and provide employee hiring forecast Design, plan and execute selection processes (conduct interviews and screening calls, administer psychometric tests, aptitude tests, etc.) Find and eradicating bottlenecks in the recruiting process Perform candidate and employee satisfaction evaluations and workshops Plan procedures for improving the candidate/employee experience Suggest measures for improving employee retention Lead, oversee and supervise members of the recruiting team Use sourcing methods for hard-to-fill roles Handle team of field recruiters and their performance Attend career and college fairs, and similar events Determine and drive teams KPIs Create and present Monthly business reviews with the HR line management Managing stakeholders of various departments with regards to recruitment activities Candidate Requirements : Minimum 12 years of experience in the recruitment domain including minimum 2 year as an Manager or similar HR role In-depth knowledge of full-cycle recruiting and employer branding techniques Familiarity with a variety of different selection methods (interviews, assignments, aptitude tests etc.) Hands on experience with posting jobs on social media and job boards Experience with HRIS, ATS, Sourcing and Recruitment Marketing tools Ability to motivate employees Critical thinker and problem-solving skills Team player Good time-management skills Great interpersonal and communication skills Strong knowledge
Kharadi, Pune, Maharashtra
INR Not disclosed
On-site
Full Time
Should have excellent communication skills Should have experience in training new hire batches Should have experience in training new joiner BPO batches Minimum 1 year experience as an international bpo trainer Should be comfortable working in US shifts Job Types: Full-time, Permanent Pay: โน300,000.00 - โน750,000.00 per year Benefits: Commuter assistance Health insurance Life insurance Paid sick time Provident Fund Schedule: UK shift Experience: Trainer: 1 year (Required) Language: English (Required) Location: Kharadi, Pune, Maharashtra (Required) Shift availability: Night Shift (Required) Work Location: In person
Pune
INR 3.0 - 5.0 Lacs P.A.
Work from Office
Full Time
Key Responsibilities: Act as the point of contact for all recruitment vendors supporting BPO hiring. Work closely with internal recruitment teams to understand hiring needs and communicate them to vendors. Ensure timely submission of quality candidates from vendors as per job specifications. Coordinate interview schedules between vendors, candidates, and internal hiring managers. Strong understanding of BPO industry hiring needs and challenges. Excellent communication, negotiation, and relationship management skills. Proficient in MS Office (Excel, PowerPoint) Preferred Skills: Experience managing multiple third-party agencies. Exposure to volume and niche hiring practices. Ability to handle pressure and meet tight deadlines. Analytical mindset with attention to detail. Contact Piyush Parekh on 8999661072
Pune
INR 1.25 - 4.75 Lacs P.A.
Work from Office
Full Time
Looking for minimum 1 year experience in Prior Authorization Submit and follow up on prior authorization requests to insurance companies and workers' compensation carriers Communicate with providers, adjusters, and case managers to ensure timely approvals Maintain accurate documentation and reports Assist in resolving denied authorizations or delays Experience in initiating Auth Interested candidates, kindly share your CVs to Akshay - akshay.kate@in.credencerm.com / 7249231833 HR Sneha- sneha.minj@in.credencerm.com / 7758931407
Pune
INR 15.0 - 30.0 Lacs P.A.
Work from Office
Full Time
Job Roles & Responsibilities: The Data Architect needs to be able to have an end-to-end vision, and to see how a logical design will translate into Databases, and how the Data will flow through the successive Stages involved. Candidate will need to be able to address issues of Data Migration (Validation, Clean-up and Mapping), and will need to understand the importance of Data Dictionaries. Design and implement effective database solutions and models to store and retrieve company data. Examine and identify database structural necessities by evaluating client operations, applications, and programming. Develops database solutions by designing proposed system; defining database physical structure and functional capabilities, security, back-up, and recovery specifications. Assess database implementation procedures to ensure they comply with internal and external regulations. Experienced in databases technologies including schema design, query tuning, performance optimization, and diagnostics gathering. Knowledge of foundation infrastructure requirements such as Networking, Storage, and Hardware optimization. Install and organize information systems to guarantee company functionality. โข Prepare accurate database design and architecture reports Oversee the migration of data from legacy systems to new solutions. Monitor the system performance by performing regular tests, troubleshooting and integrating new features. Recommend solutions to improve new and existing database systems. Educate staff members through training and individual support. Offer support by responding to system problems in a timely manner. Commissioning and decommissioning of data sets. Processing confidential data and information according to guidelines. Helping develop reports and analysis. Managing and designing the reporting environment, including data sources, security, and metadata. Supporting the data warehouse in identifying and revising reporting requirements. Supporting initiatives for data integrity and normalization. Providing technical expertise on data storage structures, data mining, and data cleansing. High-level experience in methodologies and processes for managing large scale databases. Demonstrated experience in handling large data sets and relational databases. Understanding of addressing and metadata standards. Candidate Requirements: Minimum Experience - 12 + years in MS SQL, currently designated as DB architect. Skills Required: MS SQL, SSIS, SSRS, MSBI, reporting services (Power BI is preferred), database structure systems and data mining. Must possess excellent communication skills(verbal and written). Should be able to prepare DB documentation, including architecture
Pune
INR 4.0 - 6.0 Lacs P.A.
Work from Office
Full Time
Job Roles & Responsibilities Conduct Training Sessions: Deliver comprehensive training sessions for employees involved in Revenue Cycle Management, ensuring a deep understanding of relevant processes and compliance standards. Training Material Development: Create and update training materials, manuals, and documentation specific to Revenue Cycle Management procedures and best practices. Needs Assessment: Collaborate with management to assess training needs within Revenue Cycle Management team, identifying areas for improvement and skill development. Adapt Training Methods: Tailor training methods to address different learning styles and ensure optimal comprehension and application of Revenue Cycle Management strategies. Feedback and Evaluation: Provide constructive feedback to trainees, offering guidance for improvement. Evaluate the effectiveness of training sessions and implement enhancements as needed. Call Calibration Sessions: Attend internal and external call calibration sessions to ensure consistency in evaluating and scoring calls within the RCM team. Provide insights and feedback to enhance call quality. Stay Updated: Stay abreast of all updates, changes, and advancements within the Revenue Cycle Management domain. Keep training materials current and incorporate the latest industry best practices into training sessions. Execution of Policies: Demonstrate the ability to execute policies, processes, and procedures of the organization effectively within the training context. Compliance Assurance: Ensure full compliance with all company, departmental, legal, and regulatory requirements in the delivery of Revenue Cycle Management training programs. Candidate Requirements Experience: Proven experience of 2+ yrs. with a focus on Revenue Cycle Management, preferably working as a Trainer role. Familiarity with Revenue Cycle Management processes, compliance standards, and industry regulations. Preferred Qualification: Graduate from any stream Communication Skills: Excellent verbal and written communication skills, with the ability to convey complex information in a clear and understandable manner. Adaptability: Ability to adapt training approaches to accommodate various learning styles and levels of expertise within the Revenue Cycle Management team. Organizational Skills: Strong organizational skills to manage training schedules, materials, and documentation effectively. Team Collaboration: Collaborate with management to stay updated on industry changes and ensure training programs align with current best practices.
Kharadi, Pune, Maharashtra
INR 2.0 - 6.5 Lacs P.A.
On-site
Full Time
Should have minimum 1 year experience as a Compliance Executive Should have mandatory hands on experience in Root Cause Analyst Should have experience in Risk & Fraud Management Should have hands on experience in using QC Tools Should have experience in Call Calibrations Should have experience in Internal Audit Should have experience in Compliance Management Should have experience in Risk Assurance & Risk Management Job Types: Full-time, Permanent Pay: โน200,000.00 - โน650,000.00 per year Benefits: Commuter assistance Health insurance Life insurance Paid sick time Provident Fund Schedule: US shift Ability to commute/relocate: Kharadi, Pune, Maharashtra: Reliably commute or planning to relocate before starting work (Required) Experience: Compliance Executive: 1 year (Required) Language: English (Required) Work Location: In person
Kharadi, Pune, Maharashtra
INR Not disclosed
On-site
Full Time
Should have minimum 1 year experience as a Compliance Executive Should have mandatory hands on experience in Root Cause Analyst Should have experience in Risk & Fraud Management Should have hands on experience in using QC Tools Should have experience in Call Calibrations Should have experience in Internal Audit Should have experience in Compliance Management Should have experience in Risk Assurance & Risk Management Job Types: Full-time, Permanent Pay: โน200,000.00 - โน650,000.00 per year Benefits: Commuter assistance Health insurance Life insurance Paid sick time Provident Fund Schedule: US shift Ability to commute/relocate: Kharadi, Pune, Maharashtra: Reliably commute or planning to relocate before starting work (Required) Experience: Compliance Executive: 1 year (Required) Language: English (Required) Work Location: In person
Kharadi, Pune, Maharashtra
INR 3.0 - 5.5 Lacs P.A.
On-site
Full Time
Should have mandatory 2 Years experience in NON IT Recruitment Should have hands on experience in using Naukri, LinkedIn & Indeed Should have mandatory experience in Bulk Hiring & Volume Hiring Should have compulsory experience in Vendor management Job Types: Full-time, Permanent Pay: โน300,000.00 - โน550,000.00 per year Benefits: Commuter assistance Health insurance Life insurance Paid sick time Provident Fund Schedule: UK shift Work Location: In person
Pune
INR 1.5 - 4.25 Lacs P.A.
Work from Office
Full Time
Role & responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: โข ERA & EOB โข ERA codes โข Insurance types โข Balance billing โข Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Candidate Requirements: Willingness to work in US shifts Minimum 1 year experience in Medical RCM {Revenue Cycle Management} Candidate should have good knowledge of denials Share your CV Diya Dhanani/7758938726/ diya.dhanani@in.credencerm.com
India
INR 3.0 - 6.5 Lacs P.A.
On-site
Full Time
TNA (Training need analysis) - Analyze the call monitoring data to determine the areas of opportunities. TNI - Identify the training needs bas Identify the bottom performers and discover the AOIs Propose preventive and corrective actions to the stakeholders, get a buy-in and execute collaboratively to impact the performance positivel Organize and facilitate call listening sessions. Conduct daily/weekly briefing Conduct training for on-floor agents to improve productivity Investigate internal and external complaints Participate in the design of call monitoring formats and quality standards Act as a Subject Matter Specialist on Quality improvements for the assigned portfolios Conduct special / critical audits besides the regular call monitoring โ Payment calls, specific dispositions, credits, etc Job Types: Full-time, Permanent Pay: โน300,000.00 - โน650,000.00 per year Benefits: Commuter assistance Health insurance Life insurance Paid sick time Provident Fund Schedule: UK shift Work Location: In person
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