1343 Credentialing Jobs - Page 20

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

Senior Business Analyst + Project Manager - Healthcare AI Solutions Position Overview We're seeking a versatile Senior Business Analyst with strong project management capabilities to join our team building AI-driven healthcare solutions. This hybrid role is perfect for someone who excels at both detailed requirement analysis and project execution. As we scale, this position will evolve to focus primarily on business analysis while mentoring additional team members. Key Responsibilities Business Analysis Requirements Engineering Elicit, analyze, and document detailed functional and non-functional requirements Create comprehensive BRDs, FRDs, and technical specifications Develop user stories w...

We are pleased to inform you that we are conducting a Walk-in Drive from 12:00 PM to 3:00 PM at our Bangalore location. • Experience: Minimum 1 to 4 years in AR domain/ Denial Management Role: Associate / Senior AR Associates/ Analyst Required Candidate profile Process: Physician Billing or Hospital Billing - Denial Management Voice Priority: High – quality profiles are requested Job Location Bangalore Email: manijob7@gmail.com Call or Whatsapp 9989051577

Overview Manager, Quality and Care Management Full time, 80 Hours Per Pay Period, Day shift Fort Loudoun Medical Center is equipped with a team of more than 200 doctors in more than 29 specialty areas. Our 87,000-square-foot hospital features advanced technology, including state-of-the-art Magnetic Resonance Imaging (MRI), Computerized Tomography (CT), Ultrasound, Diagnostic X-Rays and Women’s Imaging Services, as well as Nuclear Medicine technology unique to our surrounding counties. The physicians, staff and volunteers of Fort Loudoun Medical Center are dedicated to providing excellent care to every patient, every time. Position Summary Responsible for the planning, organization, managemen...

Job Title: Associate Payment Posting Years of Experience: 2-3 years Location: Hyderabad, Telangana Mode of interview: In-person. Mode of operation: Work from office Shift Timings: 9:00 a.m.–6:00 p.m Job Description Functional Expertise: Should be able to post ERAs and Manual posting, patient-cash, check and CC payments. Should have strong understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments, capitation payments, Collection agency payments, MVA and WC payments, Correspondence and Zero claims. Should be able to access websites to retrieve, process and uploa...

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...

Job Title: Associate Payment Posting Years of Experience: 1–2 years Location: Hyderabad, Telangana Mode of interview: In-person. Mode of operation: Work from office Shift Timings: 9:00 a.m.–6:00 p.m Job Description Functional Expertise: Should be able to post ERAs and Manual posting, patient-cash, check payments. Should have strong understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments and Zero claims. Should be able to identify line item denials for non-covered services, inclusive services, credentialing, medical necessity, non-par, no-auth denials, COB De...

About Us: At Amer Technology, we specialize in providing top-tier staffing solutions for the healthcare industry, ensuring our clients receive highly qualified and compassionate healthcare professionals. We are looking for an experienced US Healthcare Recruiter to join our dynamic recruitment team, with a focus on sourcing, recruiting, and placing core medical professionals. Job Summary: The US Healthcare Recruiter will be responsible for recruiting healthcare professionals, primarily in core medical roles such as Registered Nurses (RN), Licensed Practical Nurses (LPN), Certified Nursing Assistants (CNA) , Medical Assistants and other allied healthcare positions. Experience working in the ed...

Position: Credentialing Specialist Location: Ahmedabad, Gujarat Job Type: Full-Time Experience Required: Minimum 2 years in medical credentialing About the Role We are seeking a Credentialing Specialist to join our growing team. The ideal candidate will have at least 2 years of experience in provider credentialing and enrollment processes. This role is crucial in ensuring providers are properly credentialed with insurance payers and regulatory bodies to maintain compliance and support seamless revenue cycle management. Key Responsibilities Manage the full-cycle credentialing process for healthcare providers, including initial credentialing, re-credentialing, and ongoing updates. Verify provi...

Job Title: Healthcare Recruiter Location: Vadodara Employment Type: Full-Time | Entry-Level (0–2 Years Experience) Job Summary We are looking for a motivated and people-focused Healthcare Recruiter to join our growing team. This entry-level role (0–2 years of experience) is ideal for individuals eager to build a career in recruitment and talent acquisition within the healthcare industry. You will support the hiring process by sourcing, screening, and coordinating candidates for nursing, allied health, and other clinical/non-clinical positions. Key Responsibilities Source and identify healthcare professionals through job boards, social media, referrals, and networking. Review resumes and pre-...

Respond promptly to credentialing-related emails and follow-ups within 24 hours. Manage onboarding of new providers, including welcome communication, documentation, and source verification. Handle Collaborative Agreements and update provider records in systems 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. Participate in weekly calls wi...

About Client: Our Client is a global IT services company headquartered in Southborough, Massachusetts, USA. Founded in 1996, with a revenue of $1.8B, with 35,000+ associates worldwide, specializes in digital engineering, and IT services company helping clients modernize their technology infrastructure, adopt cloud and AI solutions, and accelerate innovation. It partners with major firms in banking, healthcare, telecom, and media. Our Client is known for combining deep industry expertise with agile development practices, enabling scalable and cost-effective digital transformation. The company operates in over 50 locations across more than 25 countries, has delivery centers in Asia, Europe, an...

Position: Credentialing Specialist Location: Ahmedabad, Gujarat Job Type: Full-Time Experience Required: Minimum 2 years in medical credentialing About the Role We are seeking a Credentialing Specialist to join our growing team. The ideal candidate will have at least 2 years of experience in provider credentialing and enrollment processes. This role is crucial in ensuring providers are properly credentialed with insurance payers and regulatory bodies to maintain compliance and support seamless revenue cycle management. Key Responsibilities Manage the full-cycle credentialing process for healthcare providers, including initial credentialing, re-credentialing, and ongoing updates. Verify provi...

Job Title: Associate Payment Posting Years of Experience: 1–2 years Location: Hyderabad, Telangana Mode of interview: In-person. Mode of operation: Work from office Shift Timings: 9:00 a.m.–6:00 p.m Job Description Functional Expertise: Should be able to post ERAs and Manual posting, patient-cash, check payments. Should have strong understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments and Zero claims. Should be able to identify line item denials for non-covered services, inclusive services, credentialing, medical necessity, non-par, no-auth denials, COB De...

Job Title: Associate Payment Posting Years of Experience: 2-3 years Location: Hyderabad, Telangana Mode of interview: In-person. Mode of operation: Work from office Shift Timings: 9:00 a.m.–6:00 p.m Job Description Functional Expertise: Should be able to post ERAs and Manual posting, patient-cash, check and CC payments. Should have strong understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments, capitation payments, Collection agency payments, MVA and WC payments, Correspondence and Zero claims. Should be able to access websites to retrieve, process and uploa...

Role: Quality Engineering Lead/ Senior Consultant Location: Bhubaneswar, Pune, HYD, CHN, BLR Job Type: Work from office Client: Direct Min. 5 - 9 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practice’s revenue cycle. Experience with Test Management tools – Rational Tool suite, JIRA. Strong communication skills. Working experience in Test Plan, Test Scripts and Test Result preparation, Status reporting. Medicare or Commercial Claims Adjudication expertise.

About Client: Our Client is a global IT services company headquartered in Southborough, Massachusetts, USA. Founded in 1996, with a revenue of $1.8B, with 35,000+ associates worldwide, specializes in digital engineering, and IT services company helping clients modernize their technology infrastructure, adopt cloud and AI solutions, and accelerate innovation. It partners with major firms in banking, healthcare, telecom, and media. Our Client is known for combining deep industry expertise with agile development practices, enabling scalable and cost-effective digital transformation. The company operates in over 50 locations across more than 25 countries, has delivery centers in Asia, Europe, an...

About Client: Our Client is a global IT services company headquartered in Southborough, Massachusetts, USA. Founded in 1996, with a revenue of $1.8B, with 35,000+ associates worldwide, specializes in digital engineering, and IT services company helping clients modernize their technology infrastructure, adopt cloud and AI solutions, and accelerate innovation. It partners with major firms in banking, healthcare, telecom, and media. Our Client is known for combining deep industry expertise with agile development practices, enabling scalable and cost-effective digital transformation. The company operates in over 50 locations across more than 25 countries, has delivery centers in Asia, Europe, an...

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

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...

Conduct market research to identify and assess potential Pediatrics and OBGY doctors. Maintain a database of prospective and current doctors. Engage with identified doctors for potential collaboration opportunities. 2. Onboarding of Doctors Coordinate with HR for seamless onboarding. Ensure necessary documentation, contracts, and agreements are in place. Familiarize new doctors with hospital policies, procedures, and systems. 3. Credentialing and Privileging Oversee credentialing processes ensuring compliance with standards. Manage privileging processes based on qualifications and experience. Update records related to doctors credentials and privileges. 4. Performance Analysis Monitor perfor...

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...

Create the future of e-health together with us by becoming a Associate/Sr. 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 Perf...

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...

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...