907 Credentialing Jobs

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience. • Experience using PECOS, processing enrollment with Medicaid, and using CAQH • Excellent communication skills

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

Required Candidate profile 2+ years experience in US Healthcare Revenue Cycle Management. Should have an experience in Provider Enrollment/Credentialing. Good understanding and working experience of End-to-End Claim Resolution model. Excellent interpersonal, verbal, and written communication skills Demonstrate ability to work in challenging and changing work environments and apply methodologies to best-fit solutions. Job description Continual development to be an expert with knowledge of respective clients Credentialing specialties. Report any system downtime to respective Supervisors and manage the work in such situations. persuasively; provides clarification; responds well to questions; participates in and contributes to meetings. Follows policies and procedures; Completes tasks correctly and on time; Supports organization's goals and values. Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Willing to put in the necessary time to accomplish goals. Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. Provide trend analysis of issues and solutions to the Supervisors. Ensure complete adherence to TAT and SLAs as defined by the client. Maintain patient confidentiality and strict adherence to HIPAA. Attending meetings and training to enhance Credentialing knowledge. Ability to manage the day-to-day activities. Role: Credentialing Specialist Employment Type: Permanent Shift: Night Shift

Looking for a Female Nurse with minimum of 3 years of experience. Must have worked as an Industrial or Occupational health nurse. 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 existing patients are efficiently managed. Provide patient advocacy services to ensure optimal outcomes. Consolidate suggestions for addition of new specialists to the network provider list after positive experience with the firm clinicians for further vetting, credentialing and network addition. Research medical conditions to help patients understand their medical situation, and arrange medical record reviews. Facilitate medical appointments and responses from medical providers. Provide advice and guidance on hospital transfers whereby the necessary logistics would be using the Client’s emergency response vendor where relevant and assist with hospital discharge planning. Assist the Physician with administrative documentation. Administrative patient intake responsibilities including ensuring participant consent has been signed and documented, including disclaimers regarding responsibility of the employee / patient to verify their healthcare benefits coverage, eligibility, insurer network, etc. Ensure that case documentation is completed, and that policies and protocols are in place and updated accordingly. Assist as necessary with awareness drives and related presentations regarding services. Manage all relevant aspects of patient clinical records to include filing, archiving, etc. Required Qualifications (Brief description of the educational background needed to perform the job) Must have completed B.sc Nursing or GNM Must have valid Registration with the Maharashtra Nursing Council Job Type: Full-time Pay: ₹30,000.00 - ₹35,000.00 per month Benefits: Health insurance Paid time off Provident Fund Experience: Occupational health nurse: 1 year (Required) License/Certification: Telangana nursing council registration (Required) Location: Hyderbad, Telangana (Required) Shift availability: Overnight Shift (Preferred) Night Shift (Preferred) Work Location: In person

We are seeking an experienced and detail-oriented Certification Exam Development Manager to lead the design, development, and maintenance of certification exams that uphold the highest standards of validity, reliability, and fairness. This role is critical in ensuring Oracle industry-recognized professional certifications accurately assess candidate competencies. Career Level - IC3 Responsibilities About Oracle University Oracle University (OU) is committed to providing world-class training and an unbeatable educational experience. OU focuses on delivering superior training that enhances the adoption of Oracle technologies. As one of the largest corporate training organizations in the world, OU helps make technology strategies successful with the help of complete, flexible, and customized learning solutions that are delivered globally. The goal is to provide every OU student with a highly engaging learning experience through a range of learning products and services. Roles and Responsibilities Manage the end-to-end exam development process for Oracle Cloud Applications and Oracle Cloud Infrastructure on Oracle MyLearn and Oracle Cloud Success Navigator platforms Contribute to all aspects of high-impact certification projects from start to finish, working in close collaboration with product development engineering, consultants, partners, instructional designers, psychometricians, and other Subject Matter Experts (SMEs) Define the intent and scope of exams for specific target audiences and job roles Perform Job Task Analysis (JTA), create exam blueprint design Manage item banks, blueprint development, and psychometric analysis to ensure test integrity and performance Conduct item review workshops and training sessions for SMEs and item writers Provide guidance and training on Oracle style guidelines and best practices for item writing Conduct item analysis and review statistical data to improve exam quality Manage multiple projects simultaneously, ensuring timely delivery of high-quality exam content Implement Certification industry standards and best practices in examdeliverables Stay up-to-date with latest trends and best practices in instructional design, certification exam development, and psychometrics Build a strong technical understanding of the product line to effectively engage with consultants, engineering teams, subject matter experts (SMEs), and instructors Own and drive the Go-to-Market strategy to ensure the success of certification exams To be successful in this role, we need someone who has: Experience in conducting Job Task Analysis, facilitating item writing workshops and training SMEs Knowledge of Certification development standards and models Experience in designing and developing exams Exceptional writing, editing, and proofreading skills Understanding of what it takes to produce candidate value in an exam Professionalism and confidence to defend exams, processes, and exam content Strong knowledge of psychometric principles and their application in exam development Excellent project management skills with the ability to manage multiple projects simultaneously Strong analytical skills with the ability to interpret complex data and make data-driven decisions Excellent written and verbal communication skills, with the ability to convey complex concepts clearly to diverse audiences Proven ability to work in a fast-paced environment with geographically distributed stakeholders Basic Qualifications Bachelors degree in Science or Engineering 5+ years of experience in certification exam development or credentialing, preferably in a tech or cloud-based environment Knowledge of certification industry standards and best practices Deep understanding of Oracle Cloud Applications (ERP, HCM, SCM, or CX) or experience working in the Oracle partner/customer ecosystem Previous experience with certification exams as an SME Technical writing and editing experience Any related-industry professional certification credentials Exposure to AI authoring/development tools Qualifications Career Level - IC3

Key Responsibilities: Credential Verification: Conduct primary source verification of education, licenses, certifications, and work history. Perform background checks including criminal records and disciplinary actions. Compliance & Regulation: Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory bodies. Monitor expiration dates and initiate timely renewals of credentials. Documentation & Database Management: Maintain accurate records in credentialing software (e.g., CAQH, PECOS, NPPES). Track and update provider profiles and credentialing logs. Communication & Coordination: Liaise with providers, payers, and internal departments to resolve discrepancies. Respond to inquiries and facilitate credentialing-related communication. Audit & Reporting: Prepare for internal and external audits. Generate reports on credentialing status and compliance metrics.

Experienced Medical Biller – Ophthalmology Location: Remote (U.S. payor experience required) Schedule: Monday – Friday, 10:00 AM – 6:00 PM EST Employment Type: Full-time (contract or employee depending on arrangement) About the Role We are seeking a highly experienced Medical Biller with extensive ophthalmology billing expertise to join our team. The ideal candidate will have several years of proven success in U.S. medical billing, excellent references, and a strong understanding of insurance payor policies, prior authorizations, and credentialing. This position requires consistent communication, responsiveness, and proactive problem-solving throughout the workday. Key Responsibilities Full-Cycle Ophthalmology Billing Manage front- and back-end billing processes: eligibility & benefits verification, charge entry, claim submission, payment posting, appeals, and collections. Provide cost estimates to patients for office visits and surgeries. Monitor claims to ensure timely submission and payment. Insurance & Payor Communication Call insurance companies to resolve claim issues, verify coverage, and obtain prior authorizations. Handle credentialing and enrollment with new payors as needed. Confirm PCP referrals are valid and complete at least 3 days prior to scheduled appointments. Surgical & Clinical Coordination Prepare and update cost estimates for surgeries. Maintain and update surgery grids on Microsoft Teams. Track prior authorizations and ensure all documentation is complete before scheduled procedures. Compliance & Documentation Manage medical record requests and support audits. Ensure billing practices comply with U.S. healthcare regulations and ophthalmology-specific coding standards. Collaboration & Responsiveness Remain available for Google Meet/phone calls during working hours. Actively monitor Microsoft Teams and respond promptly to staff questions and requests. Work closely with the administrative and clinical teams to ensure smooth revenue cycle management. Qualifications Experience: Minimum 5+ years of U.S. medical billing experience (ophthalmology strongly preferred). References: Must provide legitimate professional references. Technical Skills: Strong proficiency in EMR/EHR billing systems, payor portals, and claim submission platforms. Communication: Fluent in English (spoken and written), with excellent phone etiquette and professional demeanor. Technical Setup: Reliable IT system, fast internet connection , and a professional work environment for calls and meetings. Knowledge Base: In-depth understanding of U.S. medical billing regulations, ICD-10/CPT codes (especially ophthalmology), insurance benefits, and prior authorization workflows. Preferred Attributes Prior experience with surgical and subspecialty ophthalmology billing. Strong organizational skills with attention to detail. Ability to work independently while staying responsive to the team. Comfortable with real-time problem solving and multitasking in a fast-paced environment. Compensation Competitive and commensurate with experience. Details will be discussed during the interview process. Job Type: Full-time Pay: ₹80,000.00 - ₹90,000.00 per month Benefits: Paid time off

As a Clinical Referral Specialist at Workplace Options, you will be responsible for assisting the Workplace Options Counselling and Legal Service Delivery teams in identifying available providers for clients in need of short-term counselling assistance around the world. **Key Responsibilities:** - Review clinical intakes. - Identify clients" needs and match the appropriate provider with the client using our proprietary database. - Recruit counsellors and attorneys to the Workplace Options network. - Enter provider information into our database/case management system. - Maintain strict confidentiality of our clients" information. - Communicate provider information to our clients. - Proactively manage caseload. - Perform any additional tasks pertinent to the position as deemed appropriate by management. **Qualifications/Skills:** - Bachelor's Degree required. - Able to work in a fast-paced work environment. - Capable of multitasking while maintaining a high level of quality and productivity. - Proficiency in navigating varying databases and the internet. - Effective team player in a team environment. - Proficiency with proprietary and unique software applications. - Flexibility to adapt to work volume and flow during peak times. - Excellent interpersonal, written, and oral communication skills. - High level of literacy with software applications including Excel and Word. - Strong research skills - adept at performing web research creatively, quickly, and efficiently. Can prepare ad hoc client reports accurately and swiftly. - Experience in recruitment, sales, or credentialing position preferred. At Workplace Options, employee wellbeing is a top priority. We offer a range of benefits and initiatives to support our employees" health and development: - Group Mediclaim Insurance for 6 lacs INR. - Accident Insurance. - Gym reimbursement. - Tuition reimbursement. - EAP Support Services. - Mentorship program. - WPO Cares. - Employee exchange program. - Comprehensive training provided for this position. Workplace Options is committed to fostering a diverse and inclusive workplace where individuals feel empowered to bring their whole selves to work. We actively seek out and value diverse voices for the unique insights they bring, promoting collaboration, innovation, belonging, and personal growth. For more information about Workplace Options, please visit our website at www.workplaceoptions.com. You can also check out our short videos "Human-Powered Care" and "The WPO Global Experience" for an overview of what we do. Please note that Workplace Options collects and processes personal data in accordance with applicable data protection laws. If you are a European job applicant, refer to our Privacy Notice for further details available at https://www.workplaceoptions.com/privacy-notice-for-recruitment/.,

Job Summary: As a US Healthcare Credentialing Specialist working the night shift in Mohali, you will be responsible for managing the credentialing process for healthcare providers, ensuring compliance with regulatory standards and payer requirements. Your primary objective will be to facilitate the enrollment and credentialing of providers with insurance networks and government agencies, enabling them to deliver healthcare services effectively. This role demands meticulous attention to detail, strong organizational skills, and the ability to work efficiently during night hours to align with US time zones. Key Responsibilities: Provider Credentialing: Manage the credentialing process for healthcare providers, including physicians, nurses, therapists, and other allied health professionals, ensuring accurate and timely completion of credentialing applications and related documentation. Credentialing Verification Organization (CVO) Liaison: Serve as a liaison between the organization and Credentialing Verification Organizations, ensuring the timely submission and verification of provider credentials, licenses, certifications, and other required documentation. Payer Enrollment: Facilitate the enrollment of providers with various insurance networks, Medicare, and Medicaid programs, adhering to payer-specific requirements and timelines to ensure uninterrupted reimbursement for services rendered. Provider Database Maintenance: Maintain up-to-date provider information in credentialing databases and software systems, ensuring accuracy and completeness of provider profiles, credentials, and contract details. Compliance Monitoring: Monitor compliance with regulatory standards, accreditation requirements, and payer guidelines related to provider credentialing and enrollment, identifying and addressing any discrepancies or issues promptly. Credentialing Audits and Reviews: Conduct periodic audits and reviews of credentialing files and documentation to ensure compliance with internal policies, external regulations, and industry best practices. Credentialing Committee Support: Provide administrative support to credentialing committees, including scheduling meetings, preparing agenda materials, recording meeting minutes, and facilitating the review and approval of provider applications. Communication and Follow-Up: Communicate regularly with healthcare providers, internal stakeholders, and external agencies to provide updates on credentialing status, resolve issues, and address inquiries in a timely and professional manner. Quality Assurance: Ensure the quality and integrity of credentialing processes and data, implementing quality assurance measures and continuous improvement initiatives to enhance efficiency and accuracy. Night Shift Availability: Be available to work during night hours to accommodate communication with US-based stakeholders, including providers, payers, and credentialing organizations. Requirements: Bachelor's degree in healthcare administration, business management, or a related field preferred. Previous experience in healthcare credentialing, provider enrollment, or healthcare administration, preferably in a US-based healthcare setting. Knowledge of credentialing standards, regulations, and processes, including CAQH, NPDB, and Medicare/Medicaid enrollment requirements. Familiarity with credentialing databases and software systems, such as NAMSS PASS, MD-Staff, or Cactus. Strong organizational skills, attention to detail, and the ability to manage multiple tasks and priorities effectively. Excellent communication skills, both verbal and written, with the ability to communicate diplomatically and professionally with internal and external stakeholders. Proficiency in Microsoft Office applications, including Word, Excel, and Outlook. Ability to work independently and collaboratively within a team, demonstrating flexibility and adaptability in a fast-paced healthcare environment. Benefits: Competitive salary package with night shift differential. Opportunities for professional development and advancement. Supportive and collaborative work environment. Opportunity to contribute to the delivery of quality healthcare services in the US market. Join our team as a US Healthcare Credentialing Specialist and play a vital role in ensuring the integrity and efficiency of provider credentialing processes! Job Types: Full-time, Permanent Pay: From ₹40,000.00 per month Benefits: Paid sick time Paid time off Experience: total work: 2 years (Required) Location: Mohali, Punjab (Required) Work Location: In person

About Us: As a pioneer in Healthcare, Manipal Hospitals is among the top healthcare providers in India serving over 5 million patients annually. Today we stand as an integrated network with a pan-India footprint of 37 hospitals across 19 cities with 10,500 beds, and a talented pool of over 5,600 doctors and an employee strength of over 20,000. Job Description Provides clinical and administrative direction for the clinical operation of medical departments and services. Responsible for the co-ordination and oversight of all medical care and support clinical related quality monitoring /accreditation/quality assurance. Roles & Responsibilities Responsible for overall co-ordination and oversight of all medical care provided at the unit and quality of clinical services rendered Ensure statutory compliances with regards to MTP, PCPNDT, AERB, Radiation Safety etc Analyze department mix and need for consultants Participate in tariff revision and clinical compensation patterns Analyze performance of retainers Monitor & Rationalize Doctor cost Rationalization of surgical & Medical Charges Responsible for the clinician / clinical related quality monitoring/accreditation /quality assurance services Co-ordinate and conduct medical Advisory Board, Clinical HOD Committee, departmental meetings. Participate and key contributor to Infection Control Committee, Pharmacy and Therapeutic Committee, Ethics Committee, Blood transfusion Committee, CPR analysis Committee. To Oversee reporting and communication of quality improvement initiatives, quality and patient safety awareness, safety culture survey administration, and recognition programs Addressing requirement of consultants and recruitment of consultants Induction, On boarding, Credentialing and privileging, formulating Contracts with inputs from Hospital Director for the new Consultants. Training and re privileging and monitoring performance and appraisal of the Consultants and maintaining personnel file with all the documents. Addressing any clinical governance related issues and initiating appropriate action when necessary Addressing of clinical Patient concerns/ complaints / potential medico legal complaints in coordination with treating Doctor. To review, peer review and formulate the draft reply for the medico legal cases with inputs from the treating team. Submit all documents and the draft version to the legal team. To maintain medicolegal tracker and follow up on active cases Conducting morality Mortality meetings periodically and review cases Audit-Clinical billing codes To provide clinical input to Unit Head whenever required for medico legal cases received Any new projects for MHEPL as per the Medical Admin with regard to clinical assessment To engage with the team through various initiatives like training, performance management, continual feedback, coaching and reward and recognize people to motivate them to deliver desired results Recommend junior clinical manpower for effective functioning of clinical departments Evaluate and initiate academic activities and programs like DNB/FNB/ Fellowship/ Training and certification Courses Ensure training of doctors on patient safety, service excellence initiatives and healthcare communication Prepare the biomedical equipment capital expenditure budget based on inputs from clinicians and biomedical department. Planning, rationalizing and optimizing the utilization of the equipment and providing inputs for procurement Oversight of medical records department and initiate digitization, Electronic records where feasible Conduct awareness programs, campaigns and drives for dissemination of service excellence initiatives, patient experience videos, effective communication strategies Medical Audits and facilitator of JCI/NABH Accreditation What We Are Looking For: Qualification : MBBS + MHA Minimum 10 years of experience in Medical Superintendent role. Proven team leadership skills with the ability to work effectively in a highly collaborative team environment. What We Offer: Competitive salary and benefits package Opportunities for professional development and career growth A collaborative and inclusive work environment How to Apply: Ready to make your mark with us? Apply now by sending your resume to deepika.banerjee@manipalhospitals.com

About the job About Client: Our Client is a global IT services company headquartered in Southborough, Massachusetts, USA. Founded in 1996, with a revenue of $1.8B, with 35,000+ associates worldwide, specializes in digital engineering, and IT services company helping clients modernize their technology infrastructure, adopt cloud and AI solutions, and accelerate innovation. It partners with major firms in banking, healthcare, telecom, and media. Our Client is known for combining deep industry expertise with agile development practices, enabling scalable and cost-effective digital transformation. The company operates in over 50 locations across more than 25 countries, has delivery centers in Asia, Europe, and North America and is backed by Baring Private Equity Asia. Job Title : Business Analyst US Healthcare Domain Key Skills : Business, HL7, FHIR, X12, BRDs, FRDs, Use Cases, Traceability Matrices. Experience : 6-8 Years Location: PAN INDIA Education Qualification : Any Graduation Work Mode : Hybrid Employment Type : Contract to Hire Notice Period : Immediate - 10 Days. Job Description : Key Responsibilities: Strategic Analysis & Solutioning: Lead end-to-end business analysis for large-scale healthcare IT projects. Partner with business leaders to identify opportunities for digital transformation and operational efficiency. Define and document high-level business requirements, functional specifications, and solution architecture inputs. Conduct feasibility studies, gap analysis, and impact assessments for new initiatives. Domain Expertise – US Healthcare: Deep understanding of Claims lifecycle: submission, adjudication, payment, and denial management. Expertise in Provider workflows: credentialing, contracting, network management, and data governance. Strong knowledge of Care Management: utilization review, case management, disease management, and appeals. Familiarity with Medicare/Medicaid regulations, HIPAA compliance, and value-based care models. Technical Collaboration: Collaborate with product owners, architects, and developers to translate business needs into scalable solutions. Drive API integration strategies, data mapping, and ETL workflows for healthcare data. Ensure adherence to healthcare interoperability standards like HL7, FHIR, X12, and 508 Accessibility. Contribute to UI/UX design discussions and ensure alignment with workflow requirements. Required Skills & Experience: Core Business Analysis: Advanced proficiency in requirements elicitation, stakeholder management, and business case development. Strong documentation skills: BRDs, FRDs, Use Cases, Traceability Matrices. Experience in workflow modeling, process reengineering, and change management. Healthcare Technology: Hands-on experience with healthcare SaaS platforms, multi-tenant systems, and clinical data models. Strong understanding of claims adjudication engines, provider data platforms, and care coordination tools. Experience with data extracts, reporting tools, and analytics dashboards.

* Manage credentialing process for healthcare providers, ensuring timely and accurate processing of applications. * Coordinate with insurance companies for any discrepancies in provider enrollment. - Salary Negotiable - What's app CV @ 85273,67908 Perks and benefits Incentive

* Manage credentialing process for healthcare providers, ensuring timely and accurate processing of applications. * Coordinate with insurance companies for any discrepancies in provider enrollment. - Salary Negotiable - What's app CV @ 85273,67908 Perks and benefits Incentive

Job Summary: As a US Healthcare Credentialing Specialist working the night shift in Mohali, you will be responsible for managing the credentialing process for healthcare providers, ensuring compliance with regulatory standards and payer requirements. Your primary objective will be to facilitate the enrollment and credentialing of providers with insurance networks and government agencies, enabling them to deliver healthcare services effectively. This role demands meticulous attention to detail, strong organizational skills, and the ability to work efficiently during night hours to align with US time zones. Key Responsibilities: Provider Credentialing: Manage the credentialing process for healthcare providers, including physicians, nurses, therapists, and other allied health professionals, ensuring accurate and timely completion of credentialing applications and related documentation. Credentialing Verification Organization (CVO) Liaison: Serve as a liaison between the organization and Credentialing Verification Organizations, ensuring the timely submission and verification of provider credentials, licenses, certifications, and other required documentation. Payer Enrollment: Facilitate the enrollment of providers with various insurance networks, Medicare, and Medicaid programs, adhering to payer-specific requirements and timelines to ensure uninterrupted reimbursement for services rendered. Provider Database Maintenance: Maintain up-to-date provider information in credentialing databases and software systems, ensuring accuracy and completeness of provider profiles, credentials, and contract details. Compliance Monitoring: Monitor compliance with regulatory standards, accreditation requirements, and payer guidelines related to provider credentialing and enrollment, identifying and addressing any discrepancies or issues promptly. Credentialing Audits and Reviews: Conduct periodic audits and reviews of credentialing files and documentation to ensure compliance with internal policies, external regulations, and industry best practices. Credentialing Committee Support: Provide administrative support to credentialing committees, including scheduling meetings, preparing agenda materials, recording meeting minutes, and facilitating the review and approval of provider applications. Communication and Follow-Up: Communicate regularly with healthcare providers, internal stakeholders, and external agencies to provide updates on credentialing status, resolve issues, and address inquiries in a timely and professional manner. Quality Assurance: Ensure the quality and integrity of credentialing processes and data, implementing quality assurance measures and continuous improvement initiatives to enhance efficiency and accuracy. Night Shift Availability: Be available to work during night hours to accommodate communication with US-based stakeholders, including providers, payers, and credentialing organizations. Requirements: Bachelor's degree in healthcare administration, business management, or a related field preferred. Previous experience in healthcare credentialing, provider enrollment, or healthcare administration, preferably in a US-based healthcare setting. Knowledge of credentialing standards, regulations, and processes, including CAQH, NPDB, and Medicare/Medicaid enrollment requirements. Familiarity with credentialing databases and software systems, such as NAMSS PASS, MD-Staff, or Cactus. Strong organizational skills, attention to detail, and the ability to manage multiple tasks and priorities effectively. Excellent communication skills, both verbal and written, with the ability to communicate diplomatically and professionally with internal and external stakeholders. Proficiency in Microsoft Office applications, including Word, Excel, and Outlook. Ability to work independently and collaboratively within a team, demonstrating flexibility and adaptability in a fast-paced healthcare environment. Benefits: Competitive salary package with night shift differential. Opportunities for professional development and advancement. Supportive and collaborative work environment. Opportunity to contribute to the delivery of quality healthcare services in the US market. Join our team as a US Healthcare Credentialing Specialist and play a vital role in ensuring the integrity and efficiency of provider credentialing processes! Job Types: Full-time, Permanent Pay: From ₹40,000.00 per month Benefits: Paid sick time Paid time off Experience: total work: 2 years (Required) Location: Mohali, Punjab (Required) Work Location: In person

Line of Service Internal Firm Services Industry/Sector Not Applicable Specialism Operations Management Level Specialist Job Description & Summary At PwC, our people in business services and support focus on providing efficient and effective administrative support to enable smooth operations within the organisation. This includes managing schedules, coordinating meetings, and handling confidential information. Those working as assistants and office support at PwC will provide high-level administrative support to senior executives, including managing their schedules, coordinating meetings, and handling confidential information. You will play a crucial role in maintaining smooth operations and effective communication within the organisation. *Why PWC At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purpose-led and values-driven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us . At PwC, we believe in providing equal employment opportunities, without any discrimination on the grounds of gender, ethnic background, age, disability, marital status, sexual orientation, pregnancy, gender identity or expression, religion or other beliefs, perceived differences and status protected by law. We strive to create an environment where each one of our people can bring their true selves and contribute to their personal growth and the firm’s growth. To enable this, we have zero tolerance for any discrimination and harassment based on the above considerations. " Job Description & Summary: A career in Sales and Marketing, within Internal Firm Services, will provide you with the opportunity to focus on positioning a distinctive PwC brand in the marketplace and drive long term revenue growth for the Firm. You’ll focus on designing, developing, and implementing Go-To-Market plans, communication programs and media events to promote and sell the PwC’s brand and services as well as contribute to and evaluating our pricing strategies in the marketplace. Our team is a client focused group that is responsible for positioning the PwC brand and driving long term revenue growth. You’ll work with sales and marketing teams along with the various PwC competencies to drive consistency in executing our client relationship, and business development strategy, as well as driving our sales and account management framework to help deliver value on key business initiatives. Responsibilities: · End-to-end processing of data required for survey release. · Extensive and regular communication with multiple stakeholders · Maintaining and updating records as required Desired Skills · Efficient and proactive with the ability to deliver in a timely manner · Meticulous with an eye for detail, research mindset · Willingness to manage multiple tasks · Take action to stay current with new and evolving technology. · Flex approach to meet the changing needs of teams and stakeholders. · Identify and make suggestions for efficiencies and improvements. · Good interpersonal and communication skills (written and verbal) · Excellent knowledge of MS Office especially Excel · Enthusiasm and commitment towards work · Conduct self in a professional manner and take responsibility for work and commitments. · Proactive and robust thought process, 'can-do' attitude Mandatory skill sets: Data management, Microsoft excel, Microsoft power point Preferred skill sets: Data analytics Years of experience required: 0.5-1 year Education qualification: B.Com, BBA, BCA, MBA, M.Com, PGDM Education (if blank, degree and/or field of study not specified) Degrees/Field of Study required: Bachelor of Commerce, Master of Business Administration, Bachelor in Business Administration Degrees/Field of Study preferred: Certifications (if blank, certifications not specified) Required Skills Data Management Optional Skills Accepting Feedback, Accepting Feedback, Active Listening, Administrative Support, Agile Database Administration, Business Process Improvement, Calendar Management, Clerical Support, Collaborative Forecasting, Communication, Communications Management, Concur Travel, Conducting Research, Confidential Information Handling, Corporate Records Management, Correspondence Management, Credentialing Database, Customer Relationship Management, Customer Service Excellence, Customer Service Management, Data Entry, Deployment Coordination, Electronic Billing, Electronic Filing, Electronic Records Management {+ 31 more} Desired Languages (If blank, desired languages not specified) Travel Requirements Not Specified Available for Work Visa Sponsorship? No Government Clearance Required? No Job Posting End Date

Location: Mysore, Karnataka Experience: 2+ years About Accession Consulting Health Tech At Accession Consulting Health Tech, we are committed to building smarter, faster, and compliant healthcare processes. Our mission is to empower providers with seamless revenue cycle and credentialing support so they can focus on patient care while we take care of the paperwork. Role Overview We are looking for a Credentialing Specialist to join our growing team in Mysore. In this role, you will be responsible for managing end-to-end provider credentialing and re-credentialing, ensuring accuracy, compliance, and timely processing with insurance payers and regulatory bodies. What Youll Do Manage provider credentialing and re-credentialing processes across multiple payers. Verify and maintain provider information and credentialing files. Ensure compliance with payer requirements, accreditation standards, and company policies. Liaise with providers, payers, and internal teams to resolve credentialing issues. Track applications and follow up proactively until approval. Maintain credentialing databases and generate regular reports. Support internal audits and process improvements to strengthen compliance. What Were Looking For Minimum 2+ years of experience in provider credentialing or healthcare RCM. Strong understanding of credentialing guidelines, payer requirements, and compliance standards. Excellent communication and coordination skills to handle provider and payer interactions. Strong attention to detail and organizational skills. Proficiency in MS Office; experience with credentialing software is a plus. Why Join Us Be part of a forward-thinking health tech company reshaping revenue cycle management. Work with a collaborative, high-performing team that values innovation and accountability. Competitive salary and career growth opportunities. Email your resume to - rajath.ig@accessionhealthtech.com

Company Description ACCESSION CONSULTING & HEALTH TECH LIMITED (ACHT) is a leading name in healthcare service and technology (HST), providing state-of-the-art healthcare technology solutions. As a 100% HIPAA compliant organization, we have a holistic approach to the medical sector with a focus on data security and innovation. Our seamless integration from patient access to claim submission and advanced technology enables us to optimize financial revenues for healthcare organizations. Located in Bengaluru, India, we are equipped with smooth data visualization to track every touch-point in the revenue cycle. Role Description This is a full-time on-site role for a Payment Posting Specialist at ACHT in Mysore. The role involves day-to-day tasks related to payment card processing, financial transactions, and communication with internal and external stakeholders to ensure accurate and timely posting of payments.

Role & responsibilities Should have experience in Credentialing process in Medical Billing - Min of 1 year to Max 6 years. Credentialing in medical billing is the process that all healthcare service providers perform to become enlisted with insurance companies . Only trusted, vetted, and verified insurance companies include healthcare providers to serve their customers. Candidate who has good / trainable communication. Preferred candidate profile Should be flexible to work in US shift & Work from office Flexible to extend support on weekend based on requirement Should have experience in Credentialing Fluent verbal communication abilities / call center expertise (Semi Voice process) Immediate Joiners Perks and benefits Salary will be as per company standards and lucrative for the role offered. Interested candidates may share your updated resume Gowthami.Allada@omegahms.com Contact number - 7013192755 Thanks & Regards, Gowthami A

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. Responsibilities Job Description Order to Cash (OtC) Management OtC Cycle Oversight: Manage the entire Order to Cash cycle, including customer order management, execution, and ensuring timely delivery of products to customers. Alliance Partners and SCM Governance: Collaborate with alliance partners to establish and maintain effective supply chain governance, ensuring compliance and alignment with strategic goals. Order Management: Coordinate order processing for all market customers, ensuring compliance with commercial and quality guidelines/SOPs. Inventory Control: Monitor inventory levels across super distributors (SDs) to prevent obsolescence and ensure product availability aligns with forecasts. Timely Shipment Delivery: Process, monitor, and deliver shipments to respective SDs/customers in a timely manner, maintaining high service levels (On-Time In-Full, Line-Item Fill Rate). Compliance Assurance: Ensure adherence to standard operating procedures (SOPs) and company policies throughout the OtC process, Including all ERP (Athena) transactions. Planning Process Management Demand Planning: Oversee demand planning for India and neighboring markets, ensuring accurate forecasts that align with business objectives. Fulfillment Planning: Manage fulfillment planning for local source supplies & review import supplies, optimizing supply chain efficiency. MRP Cycle Monitoring: Review the Material Requirements Planning (MRP) cycle, communicating net requirements to the respective import teams. Supply Chain Execution Management: Drive initiatives to monitor plan versus actuals, addressing chronic supply issues and updating stakeholders on constraints and potential sales losses. Collaboration with Regulatory : Collaborate with regulatory team to identify impacts on planning & supplies due to regulatory changes. Product Availability Monitoring: Ensure product availability aligns with forecasts at hubs. SD Management : Ensure product availability at Super distributors. Manage inventory across SDs while controlling inventory obsolescence. Key Deliverables Cost to Serve: Monitor and optimize the cost to serve metrics. Inventory Management: Analyze inventory norms based on product contributions and support improvements in inventory planning. Service Levels: Maintain high service levels and ensure compliance metrics are met. Forecast accuracy , On-Time In-Full, Line-Item Fill Rate) Relationship Management Organizational Development: Build and lead a highly effective supply chain organization capable of cross-functional collaboration. Stakeholder Engagement: Cultivate strong relationships with internal and external stakeholders to continuously understand and meet customer requirements. Required Education, Experience And Skills Graduate in Engineering or Supply Chain-related fields. A Master's degree is an added advantage. Experience in Supply Chain (Order to Cash, Planning Process, and Alliance Management). SAP experience 2-8 years - MM Module Secondary Job Description Who We Are: Organon delivers ingenious health solutions that enable people to live their best lives. We are a $6.5 billion global healthcare company focused on making a world of difference for women, their families and the communities they care for. We have an important portfolio and are growing it by investing in the unmet needs of Women's Health, expanding access to leading biosimilars and touching lives with a diverse and trusted portfolio of health solutions. Our Vision is clear: A better and healthier every day for every woman. As an equal opportunity employer, we welcome applications from candidates with a diverse background. We are committed to creating an inclusive environment for all our applicants. Search Firm Representatives Please Read Carefully Organon LLC, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. Annualized Salary Range Annualized Salary Range (Global) Annualized Salary Range (Canada) Please Note: Pay ranges are specific to local market and therefore vary from country to country. Employee Status Regular Relocation: No relocation VISA Sponsorship Travel Requirements: Organon employees must be able to satisfy all applicable travel and credentialing requirements, including associated vaccination prerequisites Shift Flexible Work Arrangements: Valid Driving License Hazardous Material(s): Number Of Openings 1 Requisition ID: R534498

Quality Auditor- AR Follow-up - Physician Revenue Cycle Management Services Location: All shifts work onsite in our Mysore , India office located at: 1st Floor, 5669, Wekreate Space Doddamane, General Thimmaiah Road, Mysuru, Karnataka, 570017 **Walk In Mon - Fri 10 am - 4 pm IST, plus Sat 9/13 & Sun 9/14 10 am - 4 pm** SHIFT: Monday - Friday from 5:30 pm - 2:30 am, IST - Onsite (No WFH) Status: Full-time, Onsite Mysore Find out more about our culture at : https://strivanthealth.com/careers/ Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Coding, Medical Billing, AR Follow-up Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business. Quality Analyst AR Follow-up - Position Summary At Strivant Health, we take pride in delivering exceptional accuracy and efficiency in physician revenue cycle management. As an Quality Auditor - Accounts Receivable Follow-up, you will play a vital role in ensuring financial success for our clients by driving efficient claims resolution, mentoring team members, and proactively identifying solutions to billing challenges. This position is more than just follow-ups and collections—it’s about providing quality checks and guidance to a team, optimizing processes, and making a real difference in the financial health of our clients. This role provides coaching to AR staff, collaborates across departments to resolve discrepancies, and supports training, reporting, and process improvements. The analyst also manages desk inventory, assists with special projects. Your work will ensure smoother operations, fewer denials, and a stronger bottom line for our healthcare partners. If you have a keen eye for detail, love solving problems, and enjoy mentoring in a fast-paced, high-volume environment, this is the perfect opportunity for you! What You’ll Do – Your Impact Matters Audit physician AR claims submissions for accuracy, completeness, and payer compliance. Track AR quality metrics and identify recurring issues Create and maintain audit tools and QA documentation. Provide feedback, training, and coaching to improve staff accuracy. Collaborate with billing, coding, and management teams to resolve discrepancies. Work hands-on with insurance follow-ups, including phone calls and payer portal interactions. Pull reports from medical billing systems and analyze trends to identify and resolve high-volume or high-dollar claims issues. Assist with reporting and analytics to track team productivity and identify areas for improvement. Collaborate with leadership to enhance processes and improve collections. Step in as needed to support backlog management and high-priority accounts. What You Bring to the Table A bachelor’s degree, ideally in healthcare-related or financial-related education programs. 3+ years of experience in physician collections, denials management, and appeals. Previous quality analyst, training or mentoring a team of accounts receivable revenue cycle professionals required. Proficient English reading, writing, and verbal skills. Excellent communication skills—able to coach with empathy and directness Familiarity with CPT, ICD-9/10, and HCPCS codes and insurance regulations. Experience working with medical billing systems and reporting tools. Proficiency in Microsoft Office (Excel, Word, Outlook, Teams). Strong analytical skills with the ability to recognize trends, generate and analyze reports from medical billing systems, and provide data-driven solutions. Experience working with 20 or more team members is a plus! Why Join Us? Make a Real Impact – Your work directly influences cash flow and financial health for healthcare providers. A Culture of Excellence – We value accuracy, innovation, and teamwork. A Supportive Team – Work with like-minded professionals who understand the complexities of revenue cycle management. Opportunities to drive change and improve processes for greater efficiency. Find out more about our culture at : https://strivanthealth.com/careers/ We are looking forward to reviewing your resume!

AR Specialist - Physician Revenue Cycle Management Services Location: All shifts work onsite in our Mysore, India office located at: 1st Floor, 5669, Wekreate Space Doddamane, General Thimmaiah Road, Mysuru, Karnataka, 570017 ** Walk In Mon - Fri 10a-4p, plus Sat 9/13 & Sun 9/14** Position Shift Hours: Monday - Friday: 5:30 pm - 2:30 am, IST Status: Full-time Find out more about our culture at : https://strivanthealth.com/careers/ Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Coding, Medical Billing, AR Follow-up Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business. AR Specialist - Position Summary At Strivant Health, we take pride in delivering exceptional accuracy and efficiency in physician revenue cycle management. As an Accounts Receivable Specialist, you will play a vital role in ensuring financial success for our clients by driving efficient claims resolution and proactively identifying solutions to physician billing challenges. This position is more than just follow-ups and collections—it’s about making a real difference in the financial health of our physician clients. You'll ensure corrected claims and help identify trends to reduce denials, which creates a stronger bottom line for our healthcare partners. If you have a keen eye for detail, love solving problems, and enjoy working in a fast-paced, high-volume environment, this is the perfect opportunity for you! What You’ll Do – Your Impact Matters Manage complex inventory, including large-dollar physician claim denial accounts and aged claims. Use your excellent problem-solving initiatives, identifying trends and offering solutions. Ensuring effective documentation communication and issue resolution. Work hands-on doing insurance follow-ups, including phone calls and payer portal interactions. Collaborate with leadership and team members to enhance processes and improve collections. What You Bring to the Table A bachelor’s degree in healthcare related or financial related education programs 3+ years of experience in AR follow-up, physician claims collections, denials management, and appeals. Previous AR follow-up claims collections experience in emergency medicine, laboratory, diagnostic, podiatry, or wound care specialties preferred. We are also open to other specialties. Excellent English communication skills, both written and verbal. Familiarity with CPT, ICD-9/10, and HCPCS codes and insurance regulations. Experience working with medical billing systems such as e-Clinical Works (eCW), Centricity (CPS), Epic. Proficiency in Microsoft Office (Excel, Word, Outlook, Teams). Strong analytical skills with the ability to recognize trends and provide data-driven solutions. Experience working with offshore teams is a plus! Why Join Us? Make a Real Impact – Your work directly influences cash flow and financial health for healthcare providers. A Culture of Excellence – We value accuracy, innovation, and teamwork. A Supportive Team – Work with like-minded professionals who understand the complexities of revenue cycle management. Opportunities to drive change and improve processes for greater efficiency. Find out more about our culture at : https://strivanthealth.com/careers/ We are looking forward to reviewing your resume!