1342 Credentialing Jobs - Page 12

Job Resposibilities : The management representative has essential functions that consist of developing, approving, and updating the general institutional policy, protocols, and procedures. Must undertake continuous quality projects. Conduct medical audits required as a rule to ensure that patient care meets the expected standards and the audits reports must be analyzed. Ensure that the facility is complies with all the necessary medical rules and regulations of the state. Skills to undertake or assist with patients in emergency situations by providing basic life support including all emergency codes. You will be responsible for maintaining the professional development of other medical person...

Position Responsibilities: Extensive experience in US Healthcare with 6+ years as a Leader in Operations with relevant experience and exposure in Physician and Hospital Billing - AR / Denials, Verification, Charge entry/Billing, Posting, Credentialing etc. Should have experience in transitioning project and building the SOP. Knowledge in multiple client systems and clearing house. Good knowledge of Excel, power point and reporting. Need to be flexible and ready to work based on business requirement. Oversee recruitment and training of new employees. Displays a High Level of Integrity and Maturity Displays high level of People Management practice. Proven participation on Improvements Project ...

Job Description The Position We are looking for an experienced and proactive S enior Workday Integration Specialist to drive the design, development, and evolution of our Workday platform and its integrations. This role combines strong technical expertise, a solid understanding of HR business processes, and the ability to lead cross-functional initiatives. The ideal candidate will have end-to-end Workday integration experience. Responsibilities Serve as the Sr Workday Integration Specialist, responsible for end-to-end ownership of Workday architecture, integrations, and enhancements. Design, develop, and maintain integrations using Workday EIB, Core Connectors, Studio, and REST/SOAP APIs. Op...

We are looking for a detail-oriented and proactive Customer Support Specialist to join our team. In this role, you will be responsible for managing the end-to-end onboarding process for doctors, ensuring a smooth and efficient experience from initial contact to successful activation. You will collaborate closely with internal teams and external medical professionals to uphold the highest standards of quality and compliance. Key Responsibilities Act as the primary point of contact for onboarding new doctors to our platform. Coordinate and manage the onboarding lifecycle, including documentation, credentialing, training, and activation. Verify and validate all required documents and certificat...

Desired Candidate profile 10+ years of experience in Provider Enrollment & Credentialing within the RCM/healthcare domain. At least 3–5 years of leadership experience managing large teams. Deep knowledge of enrollment guidelines, credentialing processes, and compliance standards. Strong track record of driving operational excellence and meeting/exceeding SLAs. Excellent stakeholder management, communication, and problem-solving skills. Familiarity with CAQH, PECOS, Medicare/Medicaid systems, and payer portals. Lean Six Sigma or process improvement certification. Experience in handling multi-specialty provider groups or large-scale credentialing operations. Strong client-facing experience wit...

Company Description Bright Health Alliance provides end-to-end revenue cycle management (RCM) services to ensure healthcare providers get paid faster with accuracy and compliance. We serve private practices, clinics, and multi-provider groups, focusing on medical coding, claims submission, denial management, payment posting, and credentialing. Our specialty-aligned billing teams, daily claim tracking, and HIPAA-compliant operations ensure transparency, a 98%+ clean claim rate, and faster reimbursement timelines. Role Description This is a full-time on-site role located in Panchkula for a Lead Generation Specialist. The Lead Generation Specialist will be responsible for identifying and genera...

Primary Source Verification (PSV): Verify professional licenses, board certifications, and educational qualifications directly from the issuing authorities. Contact previous employers, educational institutions, and licensing bodies to confirm credentials. Document Management: Maintain organized and up-to-date files of all credentialing documents. Ensure timely renewals of certifications and licenses, and track expiration dates. Update and maintain credentialing software/databases with all relevant information. Compliance and Accreditation: Ensure that all credentialing activities meet the requirements of regulatory agencies, such as The Joint Commission and state medical boards. Prepare cred...

Overview Position Overview: As an Associate Product Manager for the Healthedge Provider Data Management offerings, you will be the product owner for a product or functional area within a product defining, prioritizing, and delivering features that add significant value to our customers. Working directly with customers, agile engineering teams, and other internal functions you will create business requirements, user stories, and provide overall prioritization of work. You will also be responsible for helping with the commercialization and organization enablement of features your team creates. Your Impact: Provide Product Ownership oversight and direction to engineering teams to ensure deliver...

About Avaya Avaya is an enterprise software leader that helps the world’s largest organizations and government agencies forge unbreakable connections. The Avaya Infinity™ platform unifies fragmented customer experiences, connecting the channels, insights, technologies, and workflows that together create enduring customer and employee relationships. We believe success is built through strong connections – with each other, with our work, and with our mission. At Avaya, you'll find a community that values your contributions and supports your growth every step of the way. Learn more at https://www.avaya.com Description The Learning Management System (LMS) Administrator Specialist is responsible ...

!!URGENTLY HIRING!! Position Title: Recruitment Coordinator – Healthcare (Doctors & Medical Specialists) Department: International Recruitment & Talent Solutions Location: New Friends Colony, South Delhi Salary: Rs. 3,60,000 – 4,20,000 per annum Position Overview We are seeking an experienced Recruitment Coordinator – Healthcare (Doctors & Medical Specialists) with minimum 5 years of Gulf recruitment experience to manage and oversee international recruitment operations for doctors and medical specialists. The role involves end-to-end recruitment for Gulf healthcare clients , including sourcing, screening, credential verification, licensing guidance, and placement of doctors across multiple s...

!!URGENTLY HIRING!! Position Title: Recruitment Coordinator – Healthcare (Nurses & Paramedical Staff) Department: International Recruitment & Talent Solutions Location: New Friends Colony, South Delhi Salary: Rs. 3,60,000 – 4,20,000 per annum Position Overview We are seeking an experienced Recruitment Coordinator – Healthcare (Nurses & Paramedical Staff) with minimum 5 years of Gulf recruitment experience to manage and oversee the international hiring process for nurses, paramedics, and allied healthcare professionals. The role focuses on end-to-end recruitment for Gulf healthcare clients , including sourcing, screening, credential verification, licensing guidance, and placement. The ideal c...

!!URGENTLY HIRING!! Position Title: Recruitment Executive – Healthcare (Doctors & Medical Specialists) Department: International Recruitment & Talent Solutions Location: New Friends Colony, South Delhi Salary: Rs. 3,00,000 – 3,60,000 per annum Position Overview We are seeking a highly motivated Recruitment Executive – Healthcare (Doctors & Medical Specialists) to manage and support international recruitment operations. The role focuses on sourcing, screening, and coordinating the placement of doctors and medical specialists with global hospitals and healthcare organizations. The ideal candidate will have prior experience in doctor recruitment, strong coordination and organizational skills, a...

!!URGENTLY HIRING!! Position Title: Recruitment Executive – Healthcare (Nurses & Paramedical Staff) Department: International Recruitment & Talent Solutions Location: New Friends Colony, South Delhi Salary: Rs. 3,00,000 – 3,60,000 pa Position Overview We are looking for a dedicated Recruitment Executive – Healthcare to support international hiring processes for nurses, paramedical staff, and allied healthcare professionals. As part of our diversified recruitment services, you will assist in sourcing, screening, and coordinating placements of qualified healthcare professionals with global clients and hospitals. The ideal candidate should have prior experience in healthcare recruitment, excell...

Summary The CCT Specialist is responsible for overseeing provider credentialing, managing compliance, facilitating the application lifecycle, and addressing escalations efficiently to ensure smooth onboarding and compliance alignment. Roles & Responsibilities Opportunity Identification Application management Pre-Application Analysis Application Filling Application Compilation and Submission Application Tracking and Follow-up Provider & Document Escalation Requirements Graduate degree in any field 6 months to 1 year of experience in any field Strong analytical skills Sound knowledge in Revenue cycle management Strong reporting skills Excellent communication skills Flexible shifts What You Can...

Job Description Director of Revenue Cycle Management (RCM) Location: Remote Reports To: CEO / VP of RCM (U.S.-based) Team Oversight: 2540 offshore billers, AR callers, credentialing specialists, and auditors (India-based team) Role Overview The Director of RCM will provide strategic leadership and operational oversight for our offshore billing operations, ensuring end-to-end revenue cycle performance for U.S. healthcare provider clients. This leader will be responsible for building robust processes, maintaining payer compliance, driving collections, minimizing denials, and mentoring offshore teams to deliver world-class results. Key Responsibilities Strategic Leadership Define and execute th...

one of the leading healthcare technology Product organizations with $1.4 Billion revenue with year-on-year growth of 22% and client retention rate of 120%. we offer wide range of innovative solutions to the healthcare payers, providers, and consumers. Our services include network analytics, payment integrity and optimization, provider credentialing, and provider engagement. Requirements Design, develop and implement scalable batch/real time data pipelines (ETLs) to integrate data from a variety of sources into Data Warehouse and Data Lake Design and implement data model changes that align with warehouse dimensional modeling standards Proficient in Data Lake, Data Warehouse Concepts and Dimen...

one of the leading healthcare technology Product organizations with $1.4 Billion revenue with year-on-year growth of 22% and client retention rate of 120%. we offer wide range of innovative solutions to the healthcare payers, providers, and consumers. Our services include network analytics, payment integrity and optimization, provider credentialing, and provider engagement. Requirements As a Quality Assurance Engineer, you will utilize superior knowledge and experience to perform highly complex product testing, systems analysis, research, maintenance, configurations, and other testing activities. You will also play a key role in the development of work teams with good team player skills. You...

This role is for one of Weekday's clients Min Experience: 18 years Location: Hyderabad, Chennai JobType: full-time Requirements Requirements: 10+ years of impactful experience in the US Healthcare Payer industry, with a proven track record of driving meaningful outcomes 15-18 years of IT experience across varied domains, demonstrating depth and adaptability in technology leadership Domain expertise in Provider operations (Credentialing, Contracting, Directories & Provider Data Management) with a partnering mindset to improve data quality and operational efficiency Demonstrated success leading and growing high-performing application development teams—mentoring, coaching, and cultivating techn...

Apply at our Platform : https://recrui8.com/jobs/f3715d65-f88d-4f31-a696-fc941d9143d1 Position: AI Engineer Experience: 4+ years Location: Pune (Hybrid) Availability: Immediate Joiners Preferred Technical Skills : AWS Bedrock,ETL pipelines,SQL/NoSQL databases,APIs,AI/ML Client : HealthCare Company with office in Pune and Product deployed in US.. A very successful company with 300% Growth every year About Us We are a fast-scaling Indian product company building an enterprise-grade platform for the US behavioral health market. With a strong product-market fit and growing demand from large enterprise customers, we’re now expanding our AI capabilities. We’re looking for an experienced AI Enginee...

one of the leading healthcare technology Product organizations with $1.4 Billion revenue with year-on-year growth of 22% and client retention rate of 120%. we offer wide range of innovative solutions to the healthcare payers, providers, and consumers. Our services include network analytics, payment integrity and optimization, provider credentialing, and provider engagement. Requirements Responsibilities: Develop and maintain .Net Application using C#, Linq and ADO/SQL and other Microsoft technologies Participate in design, Requirement Analysis Code optimization and performance review and provide support to junior members Develop REST APIs and integrate front-end and back-end aspects of web a...

Create the future of e-health together with us by becoming a Senior Associate - Credentialing At CompuGroup Medical, our mission is to build groundbreaking solutions for digital healthcare. We aim to revolutionize how healthcare professionals produce, access, and utilize information, enabling them to focus on the core value of their work: patient outcomes. As one of the Best in KLAS organizations in the industry, we offer a full scope of Electronic Health Records (EHR), Billing, Payment services, and Revenue Cycle Management (RCM) services. We provide our team members with the training and solutions to grow across various technologies and processes. What You Can Expect From Us High Performin...

Job Description Looking for a highly skilled Subject Matter Expert (SME) who would be instrumental in technically mentoring and guiding the current FSE team working in Spectroscopy. Responsible for supporting customers through on-site activities such as installation, implementation, maintenance and repair of company and multi-vendor systems solutions which may include hardware, software and networking products as well as operating systems. Installs and optimizes hardware/software/network products and configurations at customer sites. Diagnoses and resolves product performance problems. Performs maintenance and repair services. Ensures customer satisfaction by advising customers on preventive...

Job Description GCMSD Engineer Position Summary GCMSD Engineer with a minimum of 6 years of experience working with Gas Chromatography–Mass Spectrometry Detectors (GCMSD) or related gas-phase products, Pharma, food industries, or QC/R&D laboratory environments . A strong background in chemistry or related scientific discipline is highly preferred. The role is responsible for supporting customers on-site through installation, implementation, optimization, maintenance, and repair of Agilent and multi-vendor systems. The engineer will act as a trusted technical expert, ensuring maximum system performance and customer satisfaction while collaborating closely with internal teams. Key Responsibili...

Job Description Looking for a highly skilled Subject Matter Expert (SME) who would be instrumental in technically mentoring and guiding the current FSE team working in Spectroscopy. Responsible for supporting customers through on-site activities such as installation, implementation, maintenance and repair of company and multi-vendor systems solutions which may include hardware, software and networking products as well as operating systems. Installs and optimizes hardware/software/network products and configurations at customer sites. Diagnoses and resolves product performance problems. Performs maintenance and repair services. Ensures customer satisfaction by advising customers on preventive...

Job Description GCMSD Engineer Position Summary GCMSD Engineer with a minimum of 6 years of experience working with Gas Chromatography–Mass Spectrometry Detectors (GCMSD) or related gas-phase products, Pharma, food industries, or QC/R&D laboratory environments . A strong background in chemistry or related scientific discipline is highly preferred. The role is responsible for supporting customers on-site through installation, implementation, optimization, maintenance, and repair of Agilent and multi-vendor systems. The engineer will act as a trusted technical expert, ensuring maximum system performance and customer satisfaction while collaborating closely with internal teams. Key Responsibili...