1342 Credentialing Jobs - Page 10

Looking for a Male 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 provid...

Role: US Healthcare Recruiter Location: Chikkadpally , Hyderabad - Onsite Job Summary: We are seeking an experienced US Healthcare Recruiter to join our talent acquisition team. The ideal candidate will have hands-on experience recruiting healthcare professionals across multiple specialties in the US market. You’ll be responsible for sourcing, screening, and placing qualified healthcare candidates while ensuring compliance with client and industry requirements. Key Responsibilities: Source, screen, and recruit qualified candidates for healthcare positions such as RNs, LPNs, Therapists, Medical Technicians, and other clinical/non-clinical roles. Manage the end-to-end recruitment process , inc...

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 en...

Key Responsibilities: Operate CT and MRI scanners to produce high-quality diagnostic images. Follow physician orders and established protocols to perform imaging procedures. Position patients appropriately to obtain optimal images while ensuring their safety and comfort. Administer contrast agents when required, following safety and protocol guidelines. Monitor patient condition during procedures and respond to any complications or emergencies. Evaluate images for quality and report any issues or abnormalities to the radiologist. Maintain accurate patient records and imaging logs in the Radiology Information System (RIS) and Picture Archiving and Communication System (PACS). Ensure the clean...

Company Description Medallion is the leading provider network management platform that unites provider operations and empowers end-to-end automation for credentialing, enrollment, and monitoring. Our AI-powered automation technology enables healthcare organizations to quickly and accurately manage and grow their provider networks, freeing healthcare teams to focus on what matters. Since its inception in 2020, Medallion has saved over 500,000 administrative hours for leading healthcare companies. Medallion has raised $85M from investors like Sequoia Capital, Spark Capital, Google Ventures, and many others. Role Description This is a full-time on-site role located in Hyderabad for a Payer Enro...

Limpid Global Solutions is Hiring! Fresher (Mid Shift & Night Shift | Work from Office – Ahmedabad) About Us Limpid Global Solutions is a fast-growing US Healthcare RCM company, supporting providers, hospitals, and labs across the U.S. with billing, credentialing, insurance verification, and denial management. Role Overview We are hiring fresh graduates who are eager to start their career in the U.S. healthcare industry. As an Executive, you will receive structured training in eligibility verification, insurance processes, and medical billing operations. You will work closely with our experienced team to ensure accurate data management and smooth billing workflows. What You Will Do (with Tra...

Overview We are seeking a Credentialing Manager (India) to oversee the day-to-day operations of the credentialing team supporting our Revenue Cycle Management Services (RCMS) customers. This role will be responsible for managing credentialing processes, ensuring compliance with payer and regulatory requirements, optimizing tools and systems to ensure efficiency and a positive customer experience, and driving operational excellence. The Credentialing Manager will collaborate closely with U.S. stakeholders, the India Director of Operations, and cross-functional teams to ensure credentialing operations meet customer expectations and contribute to growth and retention. Key Responsibilities Manag...

Limpid Global Solutions is Hiring! Fresher (Mid Shift & Night Shift | Work from Office – Ahmedabad) About Us Limpid Global Solutions is a fast-growing US Healthcare RCM company, supporting providers, hospitals, and labs across the U.S. with billing, credentialing, insurance verification, and denial management. Role Overview We are hiring fresh graduates who are eager to start their career in the U.S. healthcare industry. As an Executive, you will receive structured training in eligibility verification, insurance processes, and medical billing operations. You will work closely with our experienced team to ensure accurate data management and smooth billing workflows. What You Will Do (with Tra...

Looking for a Male 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 provid...

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...

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...

The role is responsible for ensuring the smooth and efficient functioning of all clinical and medical departments within the hospital. This includes compliance, credentialing, clinical quality, coordination between departments, and supporting medical professionals to deliver patient-centric, safe, and effective care. Key Responsibilities: Clinical Governance & Administration: Oversee daily operations of medical departments, consultants, and clinical services. Ensure availability and efficient functioning of medical manpower across departments. Drive implementation of hospital protocols, clinical SOPs, and guidelines. Quality & Compliance: Support NABH, JCI, or other accreditation and quality...

Job Overview: We are seeking a dedicated and detail-oriented Medical Credentialing Specialist to join our team. This role involves managing the credentialing process for healthcare professionals, ensuring they meet all required compliance standards, and facilitating the smooth operation of provider networks. The ideal candidate will have a strong understanding of healthcare regulations, attention to detail, and the ability to work with various stakeholders to ensure timely and accurate credentialing. Key Responsibilities: Credentialing Process Management: Oversee the credentialing and re-credentialing process for healthcare providers, including physicians, nurses, and allied health professio...

We are looking for a dedicated and experienced Senior Trainer to join our team, specializing in Payer Services. The ideal candidate will be responsible for creating and delivering training content, onboarding new hires, and ensuring all team members are well-versed in compliance and process improvement initiatives. JOB LOCATION: CHENNAI, INDIA KEY RESPONSIBILITIES Develop comprehensive training materials covering the general concepts of Payer Services with a focus on preprocess training Manage the onboarding process, including system collection, OIG, whitelisting URLs, and ARC orientation training Conduct client specific orientation sessions to ensure new hires are fully integrated into the ...

About the Role: We are looking for experienced professionals with expertise in Claims Adjudication and Provider Directory Management within the US Healthcare domain. The ideal candidate will have hands-on experience handling healthcare claims, validating provider data, and ensuring compliance with payer policies and CMS regulations. Key Responsbilities Review, process, and adjudicate healthcare claims (professional & institutional) accurately. Analyze claims for eligibility, coding accuracy, and payer policy compliance . Identify and resolve claim discrepancies, denials, and adjustments. Maintain and update provider directory information —including provider demographics, specialties, and cre...

Job Description: General Manager – Human Resources Location: Dwarka, Delhi Hospital Type: 150-bedded Cancer Specialty Hospital Role Overview The General Manager – HR will be responsible for leading end-to-end Human Resource functions with a strong focus on doctors’ onboarding and recruitment, visiting consultants’ hiring, and strategic HR operations. This role requires a dynamic leader with proven experience in reputed hospitals or healthcare organizations, specializing in medical professionals’ recruitment, engagement, and retention. The GM–HR will collaborate closely with senior leadership to design and implement HR policies, manage workforce strategies, and ensure compliance with healthca...

As a Senior Healthcare Recruiter, your role involves sourcing, screening, and hiring qualified healthcare professionals to fulfill the staffing needs of healthcare organizations. You will collaborate closely with hiring managers, comprehend clinical and non-clinical job requirements, maintain a robust candidate pipeline, and ensure a smooth, timely, and compliant recruitment process. Key Responsibilities: - Source and recruit qualified healthcare professionals such as RNs, LPNs, CNAs, medical assistants, allied health professionals, and administrative staff through various channels like job boards, referrals, social media, and networking. - Screen resumes, conduct interviews, and evaluate ca...

About the Role We're hiring a detail-focused and process-oriented Document Submissions Associate to join our core operations team. In this role, you'll help ensure a seamless onboarding experience by reviewing and validating documents submitted by healthcare professionals who want to join our platform. As a key member of the Document Associate team, you'll review a variety of credentials and compliance documents. Your work directly influences the quality, speed, and safety of our onboarding processhelping professionals get to work quickly and allowing facilities to hire without delay. Key Responsibilities Review and validate essential onboarding documents submitted by professionals, ensuring...

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...

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...

* 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

Quantuspro Solutions is seeking a candidate with good analytical skills with understanding of US Health care/ Revenue Cycle Management/Accounts Receivables/ Claims processing. **EXCELLENT COMMUNICATION SKILLS IN ENGLISH IS VERY IMPORTANT** ** FRESHERS ARE WELCOME ** Job Description: - US Healthcare / Dental Billing Process - Accounts Receivables Calls - Denials and Appeals Management - End to End Billing Cycle Management - Posting Payments - Knowledge of Provider Credentialing - Knowledge of Insurance Eligibility verification - Knowledge in Dental Billing is a Plus - Excellent Communication Skills - Must be flexible to work in Day / Night Shifts - Good Typing Speed - Must be willing to work ...

JOB ROLE - We are seeking a HR Head having excellent interpersonal skills, and capabilities to communicate effectively with senior level employees / senior Doctors. HR Head is expected to build a strong foundation for the organization – which is expected to expand rapidly in the next 5 years Candidate will be a detail-oriented and proactive HR professional to support the organization in recruitment, onboarding, employee engagement, training and credentialing. The ideal candidate will contribute to build efficient HR operations while ensuring compliance with internal standards and budgetary constraints. JOB DESCRIPTION - Policies and documentation Standardization of existing policies and fram...

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering s...

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering s...