910 Credentialing Jobs - Page 14

The Position As a member of the team in Business Technology, the successful candidate will be part of the Network Service Delivery and Operations team ensuring the operation of our Company's Global Network. These services allow our Company to communicate globally and collaborate worldwide with partners and customers. This role requires a skilled individual with extensive experience in network security. Responsibilities Work to support the continuity, stability and security of Organon’s network. Assist with network security requests coming from other teams. Troubleshoot network security related issues. Cooperate with Network Engineering and Architecture team on solving complex incidents. Required Education, Experience, and Skills Extensive experience in network security. Experience with management of next generation firewalls (e.g. Palo Alto), IDS, IPS, VPNs, ZTNA solutions (e.g. Zscaler Private Access). Experience with Cloud-based security platforms (e.g. Zscaler Internet Access). Strong understanding of TCP/IP, DNS, DHCP, subnetting. Fluent in English, in both verbal and written communication. Ability to acquire new skills in a diverse environment. Team player. Good understanding of routing/switching. 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 10% Flexible Work Arrangements: Shift: Valid Driving License: Hazardous Material(s): Number of Openings: 2 Requisition ID: R535395

Job Description: We are seeking a detail-oriented and proactive Credentialing Analyst to manage the end-to-end credentialing process for healthcare providers. This role involves timely onboarding, payor credentialing, documentation, and compliance tracking to ensure all providers meet regulatory and client requirements. Key Responsibilities: • Manage onboarding of new providers, including welcome communication, documentation, and source verification. • Handle Collaborative Agreements and update provider records in systems like Athena and CredentialMyDoc (CMD). • Submit and track payor applications and rosters; ensure follow-ups with payors. • Allocate and prioritize tasks via CMD based on daily workload. • Maintain and update CAQH profiles every 120 days for active providers. • Conduct monthly OIG verifications and ensure compliance with client requirements. • Prepare regular reports on credentialing holds, provider onboarding status, and facility credentialing by payor. • Respond promptly to credentialing-related emails and follow-ups within 24 hours. • Participate in weekly calls with internal stakeholders and clients. • Maintain and update SOPs related to credentialing. Requirements: • Prior experience in healthcare credentialing or provider onboarding preferred. • Work From Office (Ahmedabad Only) • Excellent communication skills in English, both written and verbal. • Strong attention to detail, organization, and time management. • Familiarity with systems like Athena, CMD, and CAQH is an advantage. Qualification: • Graduation in any stream. • Prior experience in healthcare credentialing or provider onboarding is preferred.

We are looking for an experienced and domain-savvy Business Analyst / Senior Business Analyst / Implementation Specialist to join our team focused on Provider Network Management transformation . This role is ideal for professionals with a deep understanding of provider lifecycle operations and hands-on experience in implementing provider management platforms , particularly within the insurance or TPA domain across the APAC market . You’ll work closely with cross-functional stakeholders—product, tech, operations, and client teams—to ensure successful implementation and adoption of our next generation provider management solution. Key Responsibilities: • Lead requirement gathering, gap analysis, and functional design for provider management system implementations. • Act as the domain expert on provider onboarding, contracting, credentialing, tariff management, performance monitoring, and compliance workflows . • Collaborate with insurer or TPA clients to understand current-state processes and design future-state solutions. • Translate business needs into functional requirements, user stories, and workflows in coordination with product and tech teams. • Support UAT planning, configuration guidance, and rollout coordination for successful go-lives. • Conduct working sessions, discovery workshops, and walkthroughs with APAC-region clients. • Identify process improvement opportunities and actively contribute to platform enhancements. Ideal Candidate Profile: • 4–8 years of experience in insurance, TPA, or IT consulting with direct involvement in provider management system implementations . • Strong understanding of provider lifecycle workflows including onboarding, credentialing, contract & tariff management, and regulatory reporting. • Proven experience working with health or life insurance providers in APAC markets , especially with local operational and compliance nuances. • Comfortable engaging with cross-functional teams and clients at all levels—business, tech, and operations. • Ability to document business requirements clearly and drive solution alignment through workshops and demos. Preferred Experience: • Experience working with or implementing provider systems like HealthEdge, Facets, LifeAsia, or custom-built modules. • Exposure to claims, pre-authorization, or provider fraud monitoring is a plus. • Strong facilitation, communication, and presentation skills

We are seeking an Associate Director – Media and Design to help drive and scale our media and visual content strategy of educational materials within the EdTech landscape. In this leadership role, you will play a critical part in visualising and executing high-impact media solutions, mentoring creative teams, and advancing innovation through emerging tools and technologies. You will collaborate closely with senior stakeholders and guide mid-level talent to deliver next-generation learning experiences that are visually compelling, globally relevant, andpowered by intelligent media workflows. Key Responsibilities �� Design and Media Leadership ● Lead the conceptualization and development of digital learning assets including microlearning modules,blended and self-paced courses, motion design, and immersive media (AR/VR/XR). ● Ensure all design and media outputs meet instructional integrity, brand alignment, accessibility, and project-specific quality standards. ● Collaborate with instructional design and engineering teams to ensure seamless integration of visual and media elements within digital learning environments. �� AI & Automation Integration ● Lead the exploration, testing, and adoption of AI-powered tools (e.g., ChatGPT, Synthesia, Pictory, Descript, Canva Magic) for accelerated design, localization, personalization, and media creation. ● Embed automation and generative AI into media production pipelines to drive scale, reduce turnaround time, and maintain creative quality. �� Customer-Focused Innovation ● Understand and translate client and market expectations into innovative, scalable, and high-impact design and media solutions. ● Represent the design and media function in pre-sales, solutioning, pilot reviews, and stakeholder presentations. �� Team Mentorship & Capability Building ● Inspire, coach, and upskill a cross-functional team of designers, video editors, animators, and media producers. ● Organize knowledge-sharing sessions, tool-based workshops, and sprint reviews to promote continuous team development. �� Innovation & Industry Alignment ● Maintain a strong pulse on global trends in design, media, AI, learner engagement, and content automation. ● Lead initiatives to evaluate and integrate emerging technologies and creative methodologies that enhance content quality and learner impact. Education: Bachelor’s or Master’s degree in Design, Media, or a related field. Preferred Experience A minimum of 12 years of experience in media and design, including at least 5 years in a leadership or project management role, preferably within the Media, Design, or EdTech domains. 1. Experience in Global Learning Deployments /Enterprise Tech Clients/Educational Institutions. ● Proven ability to work on content/media projects for global audiences, adhering to regional guidelines, localization needs, and cultural sensitivities. ● Comfortable adapting design/media approaches for large-scale deployments across geographies or learning environments. 2. Familiarity with K-12, Workforce Development, Certifications, or Technical Skill-Based Learning ● Experience designing or producing content for online courses, apps, games, certification programs, vocational training, or professional upskilling. ● Understanding of pedagogy, adult learning principles, digital credentialing, and skills-first design approaches. 3. Leadership with implementing GenAI in Learning/Training Environments. ● Hands-on development with Generative AI tools (e.g., ChatGPT, Midjourney, Synthesia, RunwayML) applied to content creation, localization, or media automation. ● Ability to evaluate and integrate AI-driven solutions in design and media workflows to improve efficiency and creativity. ● Keeps abreast of ethical considerations and accuracy validation in AI-assisted content development. 4. Strong Storytelling, Visualization, and Data Interpretation Skills ● Expert at designing narrative-driven, visually engaging learning experiences that improve comprehension and retention. ● Ability to convert complex educational or technical data into clear visual media (infographics, dashboards, explainer videos). 5. Demonstrated Ability to Manage Cross-Functional Teams and Support Stakeholder Communication. ● Collaborates effectively with Instructional Designers, SMEs, Tech Leads, and PMs to ensure cohesive delivery. ● Confident in presenting media strategies or prototypes to internal and external stakeholders, incorporating feedback into final products. LearningMate is an equal opportunity employer. We commit to celebrate diversity, equity and inclusion in the workplace.

Line of Service Advisory Industry/Sector Not Applicable Specialism Operations Management Level Administrative 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: 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. " Responsibilities Act as the point of contact among executives, employees, clients and other external partners Manage information flow in a timely and accurate manner Manage executives’ calendars and set up meetings Make travel and accommodation arrangements Rack daily expenses and prepare weekly, monthly or quarterly reports Oversee the performance of other clerical staff Act as an office manager by keeping up with office supply inventory Format information for internal and external communication – memos, emails, presentations, reports Take minutes during meetings Screen and direct phone calls and distribute correspondence Organize and maintain the office filing system Mandatory Skill Sets Work experience as an Executive Assistant, Personal Assistant or similar role Excellent MS Office knowledge. Outstanding organizational and time management skills Familiarity with office gadgets and applications (e.g. e-calendars and copy machines) Excellent verbal and written communications skills Discretion and confidentiality Preferred Skill Sets Work experience as an Executive Assistant, Personal Assistant or similar role Excellent MS Office knowledge. Outstanding organizational and time management skills Familiarity with office gadgets and applications (e.g. e-calendars and copy machines) Excellent verbal and written communications skills Discretion and confidentiality Years Of Experience Required Experience: 4 – 10 years Education Qualification B.Sc, MSc, MBA, B.Com Education (if blank, degree and/or field of study not specified) Degrees/Field of Study required: Bachelor of Science, Master of Science, Bachelor of Commerce, Master of Business Administration Degrees/Field Of Study Preferred Certifications (if blank, certifications not specified) Required Skills MS Office 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

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 initiatives. Monitor clinical audits, infection control practices, and incident reporting. Ensure adherence to statutory and regulatory compliance related to clinical care. Doctor Engagement & Credentialing: Manage doctor onboarding, credentialing, privileging, and engagement. Ensure timely renewals of licenses, indemnities, and certifications. Medical Coordination: Act as a bridge between consultants, administration, and support teams. Participate in clinical review meetings, mortality audits, and MRCs. Patient Care & Support: Facilitate clinical grievance redressal and medico-legal support. Monitor patient safety indicators and drive improvement initiatives. Strategic & Operational Initiatives: Contribute to hospital planning, budgeting, and capacity optimization. Support medical strategy for new programs, specialties, or service lines.

Hyderabad, Telangana, IND • Managed Care Contracting Job Type Full-time Description Who We Are nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. Job Summary The Assistant Manager – Provider Credentialing & Managed Care Contracting is responsible for managing provider credentialing processes and supporting all aspects of managed care contract administration across Ambulatory Surgery Centers (ASCs). This role involves contract loading, payment variance analysis, chargemaster audits, and reimbursement analytics to ensure accurate and timely payer setup and optimal revenue realization. Key Responsibilities Payment Variance Calculators Create and maintain facility-specific calculators by identifying top commercial payers. Update calculators based on commercial rate changes and effective dates. Support Payment Posting team with ThoughtSpot reports and contract profile analysis. Contract Loading & Maintenance Load Medicare contracts quarterly and commercial contracts periodically in the Practice Management System (PMS). Create and update contract profiles, including carve-outs, exemptions, and rate changes. Track contract end dates and ensure timely updates based on Medicare fee schedules and payer updates. Chargemaster & Code-to-Rate Analysis Perform chargemaster analysis using 12-month billed charges and reports Conduct periodic audits and maintenance of chargemaster data Execute code-to-rate analysis for specific CPT codes Reimbursement & Metrics Analysis Analyze implant reimbursement and multiple-of-Medicare scenarios based on facility needs Extract and compile metrics from payer contracts and PDFs for internal reporting Contractual Adjustments & Workflow Tasks Review contract rates in response to operational team queries regarding contractual adjustments not taken Manage daily tasks received through the C3PO workflow tool from departments like coding, charges, payment posting, and AR Contract Loading Tracker & CPT Maintenance Maintain and regularly update the contract loading tracker Ensure accurate CPT code loading in the PMS Credentialing Oversee provider credentialing and re-credentialing processes across ASC facilities Ensure timely submission and follow-up with payers for credentialing approvals Maintain accurate credentialing records and documentation Requirements Qualifications Bachelor’s degree in healthcare administration, Business, or related field (master’s preferred). 6–10 years of experience in provider credentialing and managed care contracting. Strong knowledge of Medicare and commercial payer reimbursement methodologies. Proficiency in Practice Management Systems, Excel, and reporting tools (e.g., ThoughtSpot). Excellent analytical, organizational, and communication skills. Preferred Qualifications Experience with ASC operations and revenue cycle workflows Familiarity with CPT/HCPCS coding, chargemaster structures, and payer contract terms Ability to manage multiple priorities and meet deadlines in a dynamic environment Logistics Location: Hyderabad Department: Managed Care Contracting Reports To: Senior Vice President Employment Type: Full-Time Shift timings: 6PM to 3AM IST (night shift)

Job Description The Position As a member of the team in Business Technology, the successful candidate will be part of the Network Service Delivery and Operations team ensuring the operation of our Company's Global Network. These services allow our Company to communicate globally and collaborate worldwide with partners and customers. This role requires a skilled individual with extensive experience in network security. Responsibilities Work to support the continuity, stability and security of Organon’s network. Assist with network security requests coming from other teams. Troubleshoot network security related issues. Cooperate with Network Engineering and Architecture team on solving complex incidents. Required Education, Experience, And Skills Extensive experience in network security. Experience with management of next generation firewalls (e.g. Palo Alto), IDS, IPS, VPNs, ZTNA solutions (e.g. Zscaler Private Access). Experience with Cloud-based security platforms (e.g. Zscaler Internet Access). Strong understanding of TCP/IP, DNS, DHCP, subnetting. Fluent in English, in both verbal and written communication. Ability to acquire new skills in a diverse environment. Team player. Good understanding of routing/switching. 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 10% Shift Flexible Work Arrangements: Valid Driving License Hazardous Material(s): Number Of Openings 2 Requisition ID: R535395

The company is urgently seeking a Credentialing and Enrollment Specialist to join the team. This is a full-time position located in Mohali with a salary of up to 30k. The ideal candidate should have a minimum of 6 months of experience in medical billing, credentialing, and enrollment. The successful candidate will be required to work night shifts and should possess excellent communication skills. The company provides cab facilities for the night shift employees. Preferred candidates will have a total of 1 year of work experience. The work location is in person.,

Company Description Varn DigiHealth, a division of Varn LLC, is a trusted partner for healthcare providers, offering innovative Revenue Cycle Management (RCM), IT solutions, and digital services to streamline operations. We help clinics, hospitals, and medical professionals optimize workflows, reduce administrative burdens, and enhance patient care. Varn DigiHealth specializes in insurance verification, claims processing, credentialing, payment management, EHR integration, cybersecurity, telehealth, and custom digital solutions. By simplifying healthcare management, we enable providers to focus on delivering exceptional patient care. Role Description This is a full-time, on-site role based in Vadodara for a Medical Biller. The Medical Biller will be responsible for handling insurance verification, claims processing, managing denials, processing payments, and ensuring compliance with ICD-10 and other medical billing standards. This role requires meticulous attention to detail and a strong understanding of medical terminology and Medicare billing procedures. Qualifications Proficiency in Medical Terminology and ICD-10 coding Experience in handling Insurance claims and Medicare billing Strong skills in managing Denials and payment processing Excellent organizational skills and attention to detail Strong communication and interpersonal skills Ability to work independently and as part of a team Experience in the healthcare industry is a plus Bachelor's degree or relevant certification in medical billing and coding preferred

Work closely with clinical leaders to understand the staffing needs for various physician specialties. Source qualified physician candidates through job boards, professional networks, medical schools, referrals, and healthcare conferences. Screen resumes and applications to identify top-tier physician candidates, ensuring they meet qualifications, licensure, and credentialing requirements. Conduct phone and in-person interviews to assess candidates clinical skills, experience, and cultural fit within the organization. Facilitate interviews between physicians providing support throughout the process. Manage the full recruitment cycle, including job postings, candidate screening, interview coordination, and offer negotiation. Ensure candidates meet all licensing, certification, and credentialing requirements for the relevant jurisdiction and healthcare organization. Maintain relationships with physicians and medical associations to build a robust candidate pipeline for future roles. Provide guidance and support to physicians through the interview and hiring process, ensuring a positive candidate experience. Stay up-to-date on healthcare trends, regulations, and physician recruitment best practices. Coordinate with HR and the credentialing team to ensure the timely completion of all necessary documentation and background checks for new hires. Track recruitment metrics and provide regular updates on progress, candidate status, and key outcomes to leadership. Qualifications: Bachelor\u2019s degree in Human Resources, Healthcare Administration, or a related field (preferred). Proven experience in recruiting physicians or other healthcare professionals. Knowledge of medical licensing, certification, and credentialing processes. Strong understanding of various physician specialties and their specific recruitment needs. Excellent interpersonal and communication skills, with the ability to build relationships with candidates, hiring managers, and medical professionals. Ability to manage multiple recruitment processes simultaneously in a fast-paced environment. Strong organizational and time-management skills, with a keen attention to detail. ","

About US: AM Medical IT Solutions Pvt. Ltd , located in Mumbai, is dedicated to offering high-quality and cost-effective services to the medical and dental industry. The company specializes in medical and dental revenue cycle management services, account receivable recovery, physician credentialing, contract negotiations, practice management, Chronic Care Management, and software support. With a focus on serving solo practitioners, group-practice physicians, and hospitals for an extensive period, AM Medical IT Solutions is a trusted partner in the healthcare industry. Role Opened: Medical Billing Credentialing/ Provider Enrollment AR/ Sr AR Associate Payment Poster Experience Level: HSC/ Graduate with Min 6 months in Physician Billing/RCM is must. Interested candidates are encouraged to connect directly via Call or WhatsApp at 9326870837/987196013 Interview Venue : A002 UB, Boomerang Building, Oberoi Garden, Chandivali, Andheri East, Mumbai 400072 Landmark : Near to Sakinaka Metro Station

Role: Business Development Intern Mode: Remote Stipend: ₹15,000 per month Eligibility: Only for graduates (pass-out candidates) About CertifyMe: CertifyMe is a digital credentialing platform helping organizations issue verifiable, blockchain-based certificates and badges. We work with universities, training providers, and enterprises to simplify credentialing and boost brand credibility. Role Overview: As a Business Development Intern , you'll support our sales and marketing team in identifying new leads, nurturing prospects, and driving growth through meaningful client engagement. This is a hands-on role where your ideas and efforts directly contribute to business outcomes. Key Responsibilities: Research and identify potential clients and decision-makers across sectors Generate and qualify leads via email, LinkedIn, and cold outreach Assist in creating customized pitch decks and outreach campaigns Schedule meetings, demos, and follow-ups with potential clients Maintain CRM tools and track sales pipeline updates Work closely with the sales & marketing team to analyze conversion data Support strategic partnership development with educational institutions and startups Key Requirements: Bachelor’s degree completed (only candidates who have already graduated are eligible) Excellent verbal and written communication skills Comfortable with LinkedIn outreach , professional email writing, and client interactions Highly organized , self-motivated , and able to work independently in a dynamic startup environment Strong interest in business development , sales , or the SaaS space is a plus

• Should have excellent communication skills • Take appropriate action on claims to guarantee resolution. • Ensure accurate & timely follow up where required. . Must be willing to Work from Office • Abilities to absorb client business rules. Required Candidate profile Education: Any Graduate Note: Work from office only Working Time: 5.30PM to 2:30AM Working Days: Monday to Friday Transport : Free Cab 2ways Email: manijob7@gmail.com Call / Whatsapp 9989051577

1.Demonstrated high performance and competence in all clinical aspects of dentistry with sound clinical reasoning, advanced problem solving skills and extensive experience with the management of complex patient presentations. 2.Ability to provide a highly advanced range of efficient dental services, rarely requiring support or advice from more Senior Clinicians. 3.Ability to provide advice to Junior Dental Practitioners, interns and the team. 4.Manage patient complaints, establish (where required) and maintain clinical guidelines, and policies. 5.Provide direct patient care in accordance with relevant standards, policies and activity targets.. 6.Participate and lead quality and safety initiatives as well as audit and reporting requirements as indicated fromClinic or as required with documented outcomes and recommendations regarding clinic efficiency, safety and quality. 7.Ensure all clinical staff are up to date with credentialing requirements and periodical audit and report on Clinician scope of practice. 8.Development and leadership of processes to improve the quality of care, improve and minimize risks, fostering an environment of excellence in care for patients and to safeguard high standards of care. 9.Ensuring all safety and mandatory reporting requirements are completed including child safety and protection matters and vulnerable populations. 10.Manage and assist resolution of clinical complaints. 11.Manage and process patient records in accordance with the Clinical Record process and policy and the NABH Guidelines on Dental Records. 12.Provide leadership and direction for the daily clinical management of the Dental Service. 13.High level written and verbal communication skills, supervisory and mentoring skills, ability to undertake staff reviews, and ability to assist the Managing Director with the interpretation of business and activity reports as related to the Dental Service. 14.Undertake duties in a professional manner, including responding to enquiries, displaying and encompassing the values associated with Clinic and act as a role model within the dental team. - Co-chair and actively participate in team meetings and other meetings as required. 15.Demonstrated high performance and competence in all clinical aspects of dentistry with sound clinical reasoning, advanced problem solving skills and extensive experience with the management of complex patient presentations. 16.Previous senior dental clinical leadership experience with knowledge and commitment to public dentistry principles and the value based model of care. 17.High level interpersonal, verbal and written communication and engagement skills and the demonstrated ability to work effectively within a multidisciplinary team. 18. Proven ability to practice, promote and lead systems that support clinical governance and demonstrated experience in the application of quality improvement activities, including clinical review, incident management and clinical audits. Job Types: Full-time, Permanent Benefits: Flexible schedule Health insurance Paid sick time Experience: total work: 1 year (Preferred)

Designation : AR Callers / Senior AR Callers Exp: 1 Y to 5 y Required Skills: Expertise in Physician Billing (CMS-1500) Strong understanding of CMS-1500 claim forms and related processes Strong in Denial Management Good communication skills Required Candidate profile Notice Period: Immediate joiners or candidates with a max 7 day notice period are highly preferred Shift : Day Shift Job Location: Bangalore Email:manijob7@gmail.com Call / Whatsapp 9989051577

Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of what's possible. As we continue to grow, we seek a talented candidate to join our team and contribute to our exciting projects. Position Overview: The Credentialing Executive will be responsible for managing the credentialing and re-credentialing processes for psychiatric care providers within our network. The role will also focus on maintaining up-to-date provider documentation, ensuring compliance with insurance companies, and monitoring provider licensing. This position requires a detail-oriented and proactive individual to ensure the smooth integration of providers into the insurance network and their continued compliance. Responsibilities: Assist in the enrollment of providers with insurance companies, ensuring all required documentation is submitted timely and accurately. Collect, verify, and maintain the necessary documentation for all providers, ensuring compliance with regulatory standards and insurance requirements. Proactively follow up with insurance companies to track the status of credentialing applications, resolve issues, and ensure providers are credentialed in a timely manner. Coordinate and manage the re-credentialing process for existing providers, ensuring timely submissions and compliance with insurance companies’ requirements. Monitor and maintain CAQH (Council for Affordable Quality Healthcare) profiles for all providers, ensuring accuracy and compliance with industry standards. Oversee the process of enrolling providers with Medicare, ensuring compliance with all relevant regulations and ensuring successful enrollment. Requirements: Minimum of 5 years of experience in healthcare credentialing or provider relations, preferably in US healthcare sector. Candidate must have a bachelor’s degree in any field. Experience with insurance portals, CAQH, and Medicare enrollment systems Excellent communication and interpersonal skills, with the ability to build rapport and trust at all levels of the organization. In-depth knowledge of credentialing processes, insurance company contracting, and regulatory requirements in the healthcare sector. Strong organizational and time management skills, with the ability to handle multiple tasks and deadlines. Ability to maintain confidentiality and work with sensitive provider data in a HIPAA-compliant manner. Diversity, equality, and inclusion Diversity, equality, and inclusion are fundamental to our success at HUMS. We actively promote diversity across all aspects of our organization, including but not limited to gender, race, ethnicity, sexual orientation, religion, disability, and age. We strive to foster an inclusive culture where diverse perspectives are embraced and everyone has equal opportunities to grow, contribute, and succeed. Benefits: Competitive salary (including EPF and PS) Health insurance Four days’ workweek (Monday – Thursday) Opportunities for career growth and professional development Additional benefits like food and cab-drop are available Please submit your resume and cover letter detailing your relevant experience and why you fit this role perfectly. We look forward to hearing from you! In case of any queries, please feel to reach out us at recruitment@hupcfl.com Note: Available to take calls between 4:45 PM to 3:45 AM IST only from Monday to Thursday. Job Types: Full-time, Permanent Pay: ₹450,000.00 - ₹700,000.00 per year Benefits: Food provided Health insurance Paid time off Provident Fund Work Location: In person

Credentialing Executive – Night Shift (US Healthcare RCM) Location: Ahmedabad (Work from Office) Shift: Night Shift (US Hours) Experience: 2–4 Years in US Healthcare Credentialing (RCM companies only) Limpid Global Solutions is hiring a Credentialing Executive with 2–4 years of experience in US healthcare credentialing. The ideal candidate will have worked in an RCM or medical billing company, handled provider enrollments, and be comfortable working the night shift from our Ahmedabad office. Key Responsibilities: Perform end-to-end credentialing for providers, including initial enrollment, re-credentialing, and updates. Work with Medicare, Medicaid, BCBS, Aetna, Cigna, UnitedHealthcare, and other commercial payers across multiple U.S. states. Manage and update provider information in CAQH, PECOS, NPPES, and payer portals. Handle applications using tools such as Kareo, Availity, MD-Staff, and Excel trackers. Manage credentialing timelines by coordinating with providers, payers, and internal teams; maintain logs and resolve application issues. Ensure compliance with U.S. healthcare standards and provide regular status updates to the client team. Required Skills & Qualifications: 2–4 years of hands-on experience in US healthcare provider credentialing at an RCM or healthcare BPO company. Familiar with multi-state credentialing rules and insurance carrier processes. Experience with voice/non-voice processes and direct client interaction preferred. Excellent verbal and written communication skills in English. Strong follow-up, tracking, and documentation abilities. Willingness to work night shift from the office (Ahmedabad). Salary: Open (Based on experience and performance) How to Apply: Send your resume to career@limpidgs.com Only shortlisted candidates will be contacted. Job Type: Full-time Experience: Credentialing : 2 years (Required) Language: English (Required) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person

HOW YOU’LL MAKE AN IMPACT As a Manager, Innovation & Research, you’ll have the opportunity to make a meaningful impact by helping advance the goals of USGBC and GBCI through applied research and subject matter expertise. In this role, you’ll take ownership of research initiatives that support the development and optimization of rating systems, policies, and programs, driving key initiatives such as market education, product innovation, and performance analytics in alignment with our mission and strategic goals. You’ll report to the Sr. Director, Innovation and Research and be part of a collaborative and interdisciplinary team environment where your contributions will help shape impactful outcomes. You’ll work closely with teams like Product Development, Codes & Policy, Marketing, and Technical Development, and may regularly partner with external researchers, standards bodies, and industry stakeholders to amplify thought leadership, explore market trends, and drive systemic change in the built environment. Key Responsibilities Design, lead, and execute research on sustainability topics to inform the marketplace and enhance rating systems, codes, and policies Conduct primary and secondary research to identify market opportunities, technical needs, and areas for product expansion aligned with organizational strategy Publish research in the form of whitepapers, reports, academic publications, and technical articles for industry dissemination Provide subject matter expertise to support the development of new products and the optimization of existing tools Conduct data analytics to inform product performance improvements, drive scalability, and improve user experience Represent USGBC/GBCI at conferences and public speaking engagements as a thought leader in sustainability and green building Collaborate with internal and external stakeholders to develop innovative research partnerships and expand knowledge sharing REQUIRED QUALIFICATIONS Experience 6+ years of professional experience in sustainability or green building research (excluding academic time) Prior experience leading or contributing to research initiatives in the built environment Demonstrated experience with data analysis and interpreting technical findings for practical application Education Bachelor’s degree in architecture, engineering (mechanical, environmental, civil), energy, sustainability, or a related field Master’s Degree in sustainability, green buildings, building science, or a related field Technology/System(s) Proficiency in Microsoft Office Suite Proficiency in statistical analysis tools such as R, Python, or advanced Excel Skills Strong technical writing and communication skills for both technical and non-technical audiences Knowledge of LEED and familiarity with other national and international green building standards Strong problem-solving, critical thinking, and project management abilities Ability to balance multiple projects, prioritize effectively, and operate in a fast-paced environment Excellent interpersonal skills, team collaboration, and stakeholder engagement capabilities Certifications GBCI credential (LEED Green Associate or LEED AP) preferred, or willingness to earn within first year ABOUT OUR TOTAL REWARDS PACKAGE Salary Final compensation and benefits will be confirmed at the time of offer and may vary based on factors such as internal equity, relevant experience, qualifications, and employment status. Please note that salary negotiations will not extend beyond the top of the internal salary range. Benefits USGBC/GBCI provides direct employment with a comprehensive benefits package aligned with local and national legislation. LOGISTICS Location: This position is remote in Noida, India Work Schedule: Flexible working hours typically Monday-Friday from 10 a.m. to 6 p.m. IST. Required to attend occasional calls that may be beyond the typical working hours to accommodate meetings with colleagues in other time zones. Travel %: No travel ABOUT US U.S. Green Building Council (USGBC) is a mission-driven nonprofit dedicated to accelerating and scaling the transformation of the built environment. Through LEED—the world’s most widely used green building rating system— and initiatives likes Greenbuild, the Center for Green Schools and advocacy, USGBC empowers professionals to drive market transformation that advances human and environmental health, climate resilience, and equity. Green Business Certification Inc. (GBCI) is the world’s leading sustainability and health certification and credentialing body, independently recognizing excellence in performance. GBCI administers project certifications and professional credentials and certificates including LEED, WELL, EDGE, PEER, PERFORM, SITES, TRUE Zero Waste, and IREE. We are proud to be globally recognized for our leadership in green building, environmental performance, and sustainable development. Our Global Impact Over 120,000 LEED-certified commercial projects worldwide Millions of square feet of certified healthy, efficient, low-carbon space Recognition in 180+ countries for innovation in green building and business practices Why Join Us? At USGBC and GBCI, you’ll work alongside passionate, mission-aligned professionals who care deeply about people, the planet, and progress. We offer: A purpose-driven, inclusive culture Opportunities to grow your career and take ownership of meaningful work A chance to make a measurable impact on global sustainability efforts We’re seeking team members who thrive in collaborative environments, are committed to excellence, and want to build lasting partnerships that drive change in the built environment. Meet Our Leaders and Learn More about our Mission U.S. Green Building Council Leaders Green Business Certification Inc Leaders Culture and Values Statement Working together, each of us advances our mission by respecting all voices, trusting and supporting one another, excelling through collaboration and accountability, and continuously improving ourselves and our organization.

Job Title: US Medical Billing – Hospital / Practice / Dialysis / AR / Credentialing Company: Univista Consulting Group (UCG Healthcare) Location: Remote (India) | Full-Time | Work from Home Job Openings: Hospital Billing (IP/OP) Dialysis / Nephrology Billing Practice Billing (Multi-specialty) AR & Denials Analyst Credentialing Executive Requirements: 2+ years in US RCM Experience with tools like Athena, Kareo, DrChrono Knowledge of CPT, ICD-10, Denials & Credentialing portals Good communication skills Perks: Fixed Salary + Incentives WFH | Career Growth | Stable Process | Cabs | Meals Apply Now: Send CV to hr@univistagroup.com Or whatsapp your CV at 8130355741 Job Types: Full-time, Part-time, Internship Pay: ₹30,000.00 - ₹85,000.00 per month Benefits: Flexible schedule Food provided Health insurance Leave encashment Life insurance Paid sick time Paid time off Provident Fund Work from home Ability to commute/relocate: Noida Sector 62, Noida, Uttar Pradesh: Reliably commute or planning to relocate before starting work (Required) Application Question(s): Have you worked in Dialysis Billing? Have you worked In Inpatient out patient Hospital Billing? Experience: Medical billing: 1 year (Preferred) Location: Noida Sector 62, Noida, Uttar Pradesh (Required) Work Location: In person

Company Description EqualizeRCM Services is a leading provider of Revenue Cycle Management services for physicians, hospitals, ASCs, labs, and other healthcare providers throughout the United States. Our team of over 1,000 employees works to enhance the financial results of our clients by offering expert consulting, credentialing, medical coding, billing and collections, and denials management services. With 16 years of experience, EqualizeRCM has demonstrated success in significantly improving cash collections and helping clients adapt to changes in the healthcare industry. Role Description This is a full-time on-site role for a Director - Software located in Mysore. The Director - Software will be responsible for overseeing the software development team, managing project timelines, ensuring the delivery of high-quality software solutions, and aligning software development with business objectives. This role involves collaborating with cross-functional teams, setting technical direction, and mentoring team members to enhance their skills and performance. The Director will also be responsible for driving innovation and implementing best practices in software development. Qualifications Proven experience in software development and software team management Strong understanding of programming languages, software design, and architecture Experience in project management and handling complex software development projects Excellent leadership, communication, and interpersonal skills Ability to prioritize and manage multiple tasks in a fast-paced environment Adept at problem-solving and decision-making Bachelor’s or Master’s degree in Computer Science, Engineering, or related field Experience in the healthcare industry and knowledge of revenue cycle management systems is a plus

The US Healthcare Staffing Credentialing Specialist (Fresher) position is a full-time opportunity suitable for individuals at the fresher experience level. As a Credentialing Specialist within our team, you will be responsible for ensuring that healthcare professionals meet all compliance and credentialing requirements. Your attention to detail and organizational skills will be essential in this role. To qualify for this position, you should possess a Bachelor's degree in any field, with preference given to those in healthcare, business, or related fields. Strong communication and interpersonal skills are necessary, along with the ability to manage multiple tasks in a fast-paced environment. Proficiency in Microsoft Office Suite, particularly Word, Excel, and Outlook, is required. A willingness to learn and adapt to US healthcare staffing regulations and standards is also essential. Your key responsibilities will include verifying and processing credentials, licenses, and certifications for healthcare professionals based on client and regulatory requirements. You will need to maintain accurate and up-to-date credentialing records in the database, communicate effectively with healthcare professionals regarding required documentation, and ensure compliance with federal, state, and healthcare-specific regulations. Additionally, you will be responsible for tracking license expirations, renewals, and other mandatory requirements, collaborating with internal teams to ensure candidate compliance, and staying informed about industry-specific credentialing processes. Providing excellent customer service to both internal and external stakeholders will also be a crucial aspect of your role. While not mandatory, preferred skills for this position include knowledge of US healthcare compliance and credentialing processes, as well as familiarity with Applicant Tracking Systems (ATS) or credentialing software. Your expertise in human resource credentialing and onboarding will be valuable in this role. If you are a motivated individual with a keen eye for detail and a passion for ensuring compliance within the healthcare staffing industry, we invite you to apply for the US Healthcare Staffing Credentialing Specialist (Fresher) position with us.,

As a Credentialing Analyst at Medusind, you will play a crucial role in managing and maintaining credentialing files for healthcare providers to ensure compliance with regulatory standards and guidelines. Your responsibilities will include data entry, verification of credentials, communication with healthcare organizations and insurance companies, and maintaining accurate records. To excel in this role, you should have experience in credentialing, data entry, and verification processes. Strong organizational skills and attention to detail are essential for successfully managing the credentialing files. Your excellent written and verbal communication skills will be valuable in liaising with providers and keeping the credentialing process on track. Proficiency in using credentialing software and databases is required to handle the day-to-day tasks effectively. You should be able to work independently while also collaborating effectively as part of a team. Knowledge of regulatory standards and guidelines related to credentialing will be beneficial in ensuring compliance. A Bachelor's degree in a related field or relevant experience will be advantageous in performing the duties of a Credentialing Analyst efficiently. If you are looking to join a dynamic team dedicated to maximizing revenue and reducing operating costs in the healthcare industry, this full-time, on-site role in Ahmedabad could be the perfect opportunity for you.,

Neolytix provides management solutions aimed at igniting long-term success for healthcare providers nationwide. We provide a platform to incubate a conducive collaboration based on creating revenue and cost transformation within healthcare organizations. Work with a company where your work can make a real impact! As a Training process trainer specializing in US Healthcare processes, you will be responsible for creating engaging and comprehensive training materials, SOPs, and conducting On Job Training for the ramp-up period of training graduates. And a key resource for the SOP management. Leveraging your expertise in instructional design principles and your ability to conduct insightful interviews, you will craft high-quality trainer-led training content that ensures our workforce remains up-to-date and proficient in all areas of healthcare operations. Responsibilities: - Conduct thorough interviews with subject matter experts and stakeholders to gather comprehensive insights on US Healthcare processes, including medical billing, credentialing, etc. - Design and implement effective process knowledge test assessments to measure the understanding and proficiency of employees in key healthcare processes, fostering continuous improvement and skill development. - Regularly update the SOPs and enhance existing SOPs to reflect the latest developments, trends, and changes within the process, and maintain work hygiene. - Conduct On-Job-Training during the ramp-up period of the new Hires post the graduation of the training. - Conduct process training on RCM modules. - Utilize applications used in operations and create SOPs based on them to design training accordingly. - Proven experience in creating engaging and effective trainer-led training materials in the healthcare sector, focusing on medical billing, credentialing, and clinical documentation management. - Familiarity with learning management systems and multimedia tools to develop interactive and visually appealing training content. - Knowledge of US Healthcare regulations, compliance standards, and industry-specific best practices. Essential Functions: - Work collaboratively with Revenue Cycle colleagues to ensure work products meet quality and quantity expectations. - Possess critical and analytical thinking skills to strategize solutions and work independently. - Strong computer skills required, especially in EPIC, Availity, Waystar, and Microsoft Office tools. - Excellent verbal and written communication skills with the ability to demonstrate diplomacy and conflict resolution techniques. - Engage in teamwork, maintain positive working relationships, and ensure OJT work production meets defined expectations. - Perform other duties as assigned. Requirements: - Skills: Proficiency in computer applications like Explorer, Excel, Word, Outlook, EPIC (or other EHR software). - Ability to multi-task, assess organization/customer needs, and translate them into learning objectives. - Good communication skills both verbal and written. - Education: College graduation in any stream. - Knowledge of insurance billing, medical terminology, rules, regulations, US Insurances, managed care contracts, and compliance. - Experience: 4+ years of healthcare accounts receivable experience with expertise in un-adjudicated claim management, appeals, and pre-collections. Demonstrated ability to develop and train staff on processes and procedures. Neolytix is an equal-opportunity employer, celebrating diversity and committed to creating an inclusive environment for all employees.,

As a Credentialing Specialist at SGH Management India Pvt Ltd., you will be an essential part of the Revenue Cycle Management (RCM) team. Your primary responsibility will be to ensure that healthcare providers are appropriately credentialed with insurance companies, facilitating the smooth submission and reimbursement of claims. You will collaborate closely with our billing team, healthcare providers, insurance companies, and regulatory bodies to guarantee accurate and timely credentialing processes. Your duties will include coordinating with healthcare providers to collect necessary documentation such as licenses, certifications, insurance details, and other relevant materials. You will be responsible for submitting and monitoring credentialing applications with various insurance companies and health networks, ensuring efficient processing. Additionally, verifying the accuracy of provider data within RCM systems to maintain current records on each healthcare professional's credentials will be a key task. In case of any credentialing-related issues or discrepancies, you will liaise with insurance carriers and providers to address and resolve concerns promptly. Monitoring and managing the expiration of credentials and licenses to ensure timely re-credentialing will also be part of your role. You will assist in internal audits and compliance reviews to uphold industry standards in credentialing practices and support the maintenance and update of credentialing policies and procedures. Qualifications for this role include a high school diploma or equivalent, with a preference for a bachelor's degree in healthcare administration, business, or a related field. You should have a minimum of [X] years of experience in credentialing or provider enrollment, preferably in the RCM or healthcare sector. Familiarity with RCM processes, including billing, coding, and insurance claims submission, is essential, along with proficiency in credentialing software and systems such as CAQH and Verity. Strong organizational and time management skills, keen attention to detail, excellent written and verbal communication abilities, and the capacity to handle multiple tasks and meet deadlines in a fast-paced environment are crucial for success in this role. Additionally, problem-solving skills and the ability to efficiently resolve credentialing issues are highly valued. Preferred skills include experience with Revenue Cycle Management (RCM) software systems. This is a full-time position with benefits including provided food and Provident Fund. The work schedule is in the US shift, and the ideal candidate will have at least 1 year of total work experience. To apply for this position, please share your CV with ssangar@scale-healthcare.in or contact us at 8699557349.,