1323 Credentialing Jobs

Job Title: Quality - Credentialing Department: Credentialing / US Healthcare Operations Location: Pune Job Summary: As a Quality - Credentialing , you will be responsible for ensuring the accuracy, completeness, and compliance of credentialing processes for US healthcare professionals. Your role will focus on auditing credentialing files, validating documentation, and ensuring adherence to regulatory standards. You will work closely with credentialing associates to identify gaps, provide feedback, and support continuous improvement in credentialing quality and compliance. Key Responsibilities: Audit credentialing files and documentation to ensure accuracy and completeness. Validate provider ...

Designation: AR Caller / Senior AR Caller Experience: Minimum 1 years Strong understanding of UB04 claim forms and related processes Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore Email: manijob7@gmail.com Call or Whatsapp 9989051577

We are conducting a Walk-In Recruitment Drive at our Bangalore office for the below mentioned roles • Senior AR Associates • Analyst ( Voice ) • RCM Credentialing Specialists (Voice Process relevant 1+yrs exp in Physician or Hospital Billing is must Required Candidate profile Date: Friday, 31st October 2025 Time: From 4:00 PM onwards Job Location Bangalore Email: manijob7@gmail.com Call or Whatsapp 9989051577

This job is with Organon, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. Job Description We are looking for an experienced and proactive HRIS Support Specialist to drive the support of our Workday platform and its integrations. This role combines strong technical expertise, a solid understanding of HR business processes, the ability to troubleshoot issues and manage support incidents and tickets. Responsibilities Serve as the primary HRIS support liaison to handle HR related cases primarily around Workday Integrations and other technology issues around Workday. Ability to troubleshoo...

Job Title: Quality - Credentialing Department: Credentialing / US Healthcare Operations Location: Pune Job Summary: As a Quality - Credentialing , you will be responsible for ensuring the accuracy, completeness, and compliance of credentialing processes for US healthcare professionals. Your role will focus on auditing credentialing files, validating documentation, and ensuring adherence to regulatory standards. You will work closely with credentialing associates to identify gaps, provide feedback, and support continuous improvement in credentialing quality and compliance. Key Responsibilities: Audit credentialing files and documentation to ensure accuracy and completeness. Validate provider ...

At WE-CARE, we’re committed to connecting top healthcare talent with leading hospitals, clinics, and care facilities across the United States. Our team thrives on delivering exceptional recruiting solutions that drive quality care. We’re now looking for a passionate Healthcare Recruiter to help us continue our mission. Job Summary: We are seeking a dynamic and results-driven US Healthcare Recruiter to join our growing team. In this role, you will be responsible for sourcing, screening, and placing qualified healthcare professionals across various specialties and locations within the US healthcare system. Key Responsibilities: Source and recruit qualified healthcare professionals (RNs, LPNs, ...

Certified Industrial Hygienist (CIH) – India (Travel to UAE as required) Location: India (Remote / Flexible within India) Travel: Must be willing to travel to UAE for project assignments as and when required Employment Type: Full-time / Project-based About the Role We are seeking a Certified Industrial Hygienist (CIH) to support our occupational health and safety projects across India and the UAE. The ideal candidate will possess valid CIH certification from ABIH / Board for Global EHS Credentialing (BGC) and be listed on the official BGC roster. Key Responsibilities Conduct industrial hygiene assessments, exposure monitoring, and risk evaluations. Develop and implement IH programs, sampling...

As a Trainee IT Recruiter at Avacend Solutions Private Limited in Chennai, you will be responsible for sourcing candidates through job portals, databases, and networking. You will screen resumes, conduct initial interviews, handle documentation, credentialing, and background verification, and provide onboarding support to ensure compliance. This role requires 0-2 years of experience in US IT Recruitment, a graduate degree, strong exposure to the US IT Staffing lifecycle, excellent communication and negotiation skills, familiarity with US compliance, credentialing, and documentation, and the ability to work in a fast-paced, performance-driven environment. Key Responsibilities: - Source candid...

Role Overview: As a Credentialing Specialist at Dynamed Healthcare Solutions, located in Kochi, your primary responsibility will be to process and verify credentials of medical staff. You will play a crucial role in ensuring compliance with regulatory requirements and maintaining accurate records. Your role will involve regular communication with healthcare providers and organizations, addressing credentialing inquiries, and delivering exceptional customer service. Moreover, you will be responsible for handling Medicare credentialing processes and ensuring the accuracy and currency of all documentation. Key Responsibilities: - Process and verify credentials of medical staff - Ensure complian...

Job Summary We are seeking a data-driven and strategically minded Strategic Compensation Specialist on a senior level to bridge business goals with workforce performance. Design and run Neolytix’s pay-for-performance engine. Translate company/department goals into role-level incentive plans with clear metrics, guardrails, and ROI. Govern the full cycle—design, communication, tracking, reporting, and payout approval. Key Responsibilities What you’ll do Architect incentives: Build department- and role-level incentive frameworks tied to revenue, gross margin, quality, productivity, and client outcomes. Translate goals to plans: Convert departmental OKRs (incl. your L2 “core” vs L3 “extra-mile”)...

As a Credentialing Specialist at our growing organization in Hinjewadi, Pune, your role is critical in ensuring compliance with credentialing standards and maintaining a strong provider network. Key Responsibilities: - Manage and maintain up-to-date records of healthcare providers credentials, licenses, certifications, and affiliations. - Coordinate and process initial credentialing and re-credentialing applications for providers in accordance with company policies and regulatory standards. - Conduct thorough verification of education, training, experience, and licensure through primary sources. - Liaise with insurance companies, hospitals, and credentialing bodies to ensure timely approvals...

Company Description The American Board of Education (ABE) is a U.S.-based 501(c)(3) Public Charity and global leader in professional education, certifications, and credentialing. ABE, headquartered in Los Angeles, California, is dedicated to accrediting post-secondary institutions and career colleges worldwide. ABE assesses academic quality, instructional delivery, and student outcomes while supporting partner institutions in curriculum development and standardized program delivery. Beyond accreditation, ABE offers strategic advisory services to enhance institutional performance and academic innovation and empowers underserved communities through sustainable educational models. Its flagship ...

About Certify: At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our platform is the ultimate source of truth for provider data, offering unparalleled ease and trust while making data easily accessible and actionable for the entire healthcare ecosystem. What sets us apart? Our cutting-edge, API-first, UI-agnostic, end-to-end provider network management platform automates licensing, enrollment, credentialing, and network monitoring like never before. With direct integrations into hundreds of primary sources, we have an unbeatable advantage in enhancing visibility into the ent...

Company Description Dynamed Healthcare Solutions is at the forefront of the healthcare industry, offering cutting-edge solutions to redefine the standards of care. Our dedication to innovation and excellence, combined with advanced technology and a dedicated team, enables us to optimize healthcare processes and elevate patient care standards globally. We focus on developing groundbreaking medical devices and innovative software solutions, ensuring each offering meets the evolving needs of healthcare providers. Our vision is to lead the future of healthcare, advancing patient care and outcomes. Role Description This is a full-time on-site role for a Credentialing Specialist located in Kochi. ...

Medical Senior Content Writer (Credentialing & RCM) (Night Shift - Remote) - Work from Home Our client is looking for a senior medical content writer for their US Medical Credentialing & RCM business Domain working 100% Remote in US hours, 9am EST - 6pm EST. This is a full time role working 40 hours/week starting ASAP. We’re looking for someone who can: - Write website copies, blog posts, articles, press releases, product descriptions, and similar creative content, -Create engaging, high-level content aimed at healthcare decision-makers, driving lead generation and brand positioning across services like RCM, billing, credentialing. -with direction from the SEO Manager, you would develop comp...

Job Title: Director of Operations - Revenue Cycle Management (RCM) Company: Nath Outsourcing Solutions Pvt. Ltd. (NOS) Location: Mohali Job Type: Full-time About Nath Outsourcing Solutions (NOS): NOS is a leading provider of end-to-end solutions for the US Healthcare Industry. Since 2003. Position Overview: We are seeking a strategic and results-driven Director of Operations to lead our Revenue Cycle Management (RCM) practice. This senior leadership role is critical for driving operational excellence, scaling our services, and ensuring the highest levels of client satisfaction and financial performance. The ideal candidate will be a visionary leader with a proven track record of optimizing l...

Essential Duties and Responsibilities: CAQH set-up and CAQH re-attestations. Facilitation of state licensing, DEA registration. Completion & Submission of provider enrollment applications. Follow-up and check status of applications with payors. Complete appropriate steps for updating and maintaining Provider Enrollment Databases and to ensure claims processed timely and accurately. Manage delegated contracts, monthly roster submission, review, and data entry. Maintain charge and fee schedule updates. Analyze provider contract linkage. Also responsible for EDI&EFT set up between billing software and insurance company. Required Skills and Qualifications: Graduate in any discipline. Excellent w...

EXPERIENCE: MINIMUM 1 YEAR EXPERIENCE IN AR CALLING/PRIOR AUTHORIZATION( VOICE)/CREDENTIALING( VOICE) LOCATION: CHENNAI NEED ONLY IMMEDIATE TO 1 WEEK JOINERS INTERESTED CAN SHARE CV TO ARUNA HR 6374451871 OR 9385437168

AR Caller - SR AR Caller - Denial Voice Exp - 1yr to 6yrs Salary - 40k to 42k Job Location - Chennai Immediate joiner/15 days notice will accept Denial Voice Exp Mandatory Feel Free to Call 8122771407 or Whatsapp ur Resume For Very Quick Response

Hiring for Us Healthcare! Credentailing and Charge Entry Job Location : Pune Salary : Decent Hike from Current take home Both Voice and non Voice Candidate Can apply Exp- 1yr to 3yrs only Virtual Interview Night Shift Anushya 8122771407

Job Role : Credentialing Specialist ( Provider Enrollment ) - Voice & Non Voice Experience: 1 to 5 years Salary: Up to 52,000 Location: Pune (Work from Office) Shift: Day/Night Shift Location : Pune Interested Call/WhatsApp: 6379093874 (Sangeetha )

Hiring AR Caller - SR AR Caller Location - Chennai, Pune, Bangalore Exp- 1yr to 6yrs Salary - Decent Hike As Per Market Denial Voice Exp Mandatory Feel Free to Call Or Whatsapp UR Resume Anushya 8122771407

Hiring AR Credentialling Voice process ( US Health Care ) Exp : 1 to 5 yrs Salary : 40 K max Location : Bangalore Online Interview / Work from office Relieving letter is not mandatory. Conatct : 9976707906 - Saranya, HR Reference are welcome.. Required Candidate profile Skills : # Min 1 year experience in AR Credentialling Voice / Semi Voice Process in US Health Care. # Looking Immediate Joiners # Willing to relocate Bangalore # Willing to work Night Shift Perks and benefits # Two way Cab Facility available

Overview: As a Credentialing Executive, you will play a crucial role in ensuring that our healthcare organization maintains compliance with regulatory standards and delivers high-quality care by thoroughly vetting and credentialing healthcare providers Your attention to detail, understanding of healthcare regulations, and ability to build strong relationships will be instrumental in facilitating the credentialing process and maintaining accurate provider databases. Responsibilities: Provider Credentialing: Manage the credentialing process for healthcare providers, including physicians, nurse practitioners, physician assistants, and allied health professionals This involves collecting, verify...

Job description: Looking for a Male Nurse with minimum of 3 years of experience. Must have worked as an Industrial or Occupational health nurse. Job Location - Hyderabad, Kokapet Village Qualification - BSc/GNM Registration - Telangana nursing council working Hours - 8 hours, 6 days a week (Rotational shift) Key Responsibilities (Critical responsibilities and skills of this position, listed in order of importance) Assist the Physician with the management of cases and act as the first point of contact for patients, triage incoming cases, level of complexity and urgency of the request. Schedule patient calls with the appropriate team members and ensure that incoming questions or requests from ...