910 Credentialing Jobs - Page 22

Job Title: Assistant Manager Credentialing Company: Capline Services Location: Noida (On-site) Shift: 24/7 Operations (Rotational Shifts) Work Days: Monday to Friday (Saturday and Sunday Off) Experience: Minimum 6 years in US Healthcare Credentialing, with at least 1 year in a supervisory or assistant manager role Salary: 9 LPA 12 LPA (Based on experience and qualifications) About Capline Services Capline Services is a captive unit providing end-to-end support to US healthcare providers. We specialize in credentialing, revenue cycle management, and healthcare staffing. Job Overview We are seeking an experienced Assistant Manager Credentialing to lead and oversee a credentialing team responsible for provider enrollment, re-credentialing, and regulatory compliance across various US healthcare payers. The ideal candidate will have in-depth credentialing expertise, proven leadership capabilities, and a strong understanding of payer guidelines and compliance standards. Key Responsibilities Oversee the end-to-end credentialing lifecycle including initial credentialing, re-credentialing, and enrollments with Medicare, Medicaid, and commercial payers Lead daily team operations, monitor KPIs, and drive performance improvements Maintain and manage credentialing systems such as CAQH, PECOS, NPPES, Availity, and others Ensure strict compliance with NCQA, URAC, CMS, and payer-specific guidelines Collaborate with internal and external stakeholders to resolve escalations and ensure timely application submissions Conduct training sessions, performance evaluations, and support employee development Provide strategic input to optimize workflows and improve operational efficiency Requirements Bachelor’s degree preferred Minimum 6 years of experience in US healthcare credentialing, including at least 2 years in a leadership or assistant managerial role Strong understanding of US healthcare regulations and payer enrollment processes Hands-on experience with credentialing portals and tools Excellent team leadership, communication, and analytical skills Ability to work in rotational shifts in a 24/7 operational environment Why Capline? Fixed weekend offs Leadership role in a growing US healthcare captive Supportive, process-driven, and collaborative work culture Opportunities for long-term career advancement To Apply: Please connect at HR Zakir Husain 9971047487

Candidate should have Callidus experience specifically in the areas mentioned below SAP Agent Performance Management (APM) Healthcare industry knowledge (preferred Medicare plans) with the implementation of rule enhancements to support the broker's compensation: Broker's payout of initial / renewal of Medicare enrollments and plan changes Implementation of 2 or 3 tier hierarchy levels to support payout of different agency types including, General Agency (GA), Master General Agencies (MGA), Super General Agencies (SGA), Field Marketing Organization (FMO) and National Marketing Association (NMA) Configuration of Member Eligibility, DTRR, MARx Compensation Files and broker table rate changes Setup/configuration of broker statements, Correspondence templates, notification and letter extracts Medicare payout reconciliation, book of business and broker credential reporting Technology Stack Groovy scripts: Used to develop complex expressions to implement rule enhancements SQL/Jasper reports Query APIs: Leveraged to support integration with Healthfirst's broker portal BatchEntity Updates (BEU): BEUs frequently used within expressions to query broker/customer/policy/payment data SAP Advanced Workflow Implementation of onboarding and re-credentialing workflows to onboard, credential and appoint Medicare brokers. Submission of onboarding application to obtain Healthfirst's appointment to market Medicare plans Processing of re-credentialing cases to renew credentials, including license, CMS Certification (AHIP) and Health Medicare training courses/exam Technology Stack Groovy scripts: Used to develop complex flows used to onboard/re-credential brokers Workflow API integration with LITMOS (Learning Management System) Workflow form and template enhancements Workflow integration with APM to load broker's geographic and credentialing information About Virtusa Teamwork, quality of life, professional and personal development: values that Virtusa is proud to embody. When you join us, you join a team of 27,000 people globally that cares about your growth — one that seeks to provide you with exciting projects, opportunities and work with state of the art technologies throughout your career with us. Great minds, great potential: it all comes together at Virtusa. We value collaboration and the team environment of our company, and seek to provide great minds with a dynamic place to nurture new ideas and foster excellence. Virtusa was founded on principles of equal opportunity for all, and so does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

3 - 5 Years 2 Openings Chennai, Kochi, Trivandrum Role description Role Proficiency: A Voice Associate Able to independently take customer support calls effectively and efficiently ;follow the SOPs to complete the process and endeavour to resolve the issue handle some escalated issues or escalate to a more knowledgeable person to resolve in alignment with SLAs and assists Lead I – BPM.rnA Data Associate should independently be able to effectively and efficiently process the transactions assigned in timely manner clarify complex transactions to others and ensure that quality of output and accuracy of information is maintained in alignment with SLAs and assists Lead I – BPM. Outcomes: Independently achieves the following; guiding other process associates and assists Lead 1 - BPM Service Level Agreement (SLAs) specified by the client in terms of quality productivity and schedule should be managed to ensure 100% adherence. Data: Analyze information enter and verify data follow the SOP to ensure completion of the task. Voice: Customer calls responses and any updates or edits to workflow based on after call work should be performed as per directions. Address performance issues and improvement plans of team and self with supervisor. Expected to be proficient in the process and domain to ensure quality of transactions and guide the same to the process associates. Perform QA for production associates as an expert in the function and ensure completion within SLAs. Create reports on performance metrics for team to manage productivity. Understand the process and bring forward ideas and solutions to simplify and automate them to increase operational efficiency. Create automation solution and submit the same to Lead I for review. Measures of Outcomes: 100% Adherence to quality standards Adherence to turnaround time for response and resolution Completion of all mandatory training requirements 100% adherence to process and standards 100% adherence to SLAs where applicable Number of issues fixed/tasks completed Number of non-compliance issues with respect to SOP Zero/No Client Escalations Number of high-quality RCA and QA output Daily/weekly performance reporting Mentors A1 and A2 resources on the processes Outputs Expected: Processing Data: Processing transactions assigned as per SOPs Handling calls Voice: Handle customer support calls resolve issues and complete after-call work Production: Take calls (voice) or process complex transactions (data) Issue Resolution: Address any problems with the supervisor/QA to ensure maximum productivity and efficiency. Identifies analyses and solves the incidents/transactions. Productivity: Proficient in the process assisting other team members who are new to the process as well to ensure quick readiness of the team. Take steps to improve performance based on coaching. Production readiness of new joiners within agreed timeline by providing guidance Actively participate in the team's or organization wide initiatives Able to handle and manage higher complexity tasks. Adherence: Be aware of any clients process or product updates and ensure 100% compliance towards the same. Adhere to release management process. Thorough understanding of organization and customer defined process. Consult with mentor when in doubt. Adherence to defined processes. Adhere to organization’ s policies and business conduct. Reporting: Create reports on specific SLAs/performance measures/KPIs Stakeholder Management: Guide the team in preparing status updates and keep management updated about the status. Training : Attends one on one need-based domain/project/technical trainings as needed. On time completion of all mandatory training requirements of organization and customer. Provide on floor training and one to one mentorship for new joiners. Escalation: Escalate problems to appropriate individuals/support team based on established guidelines and procedures. Monitoring: Monitor progress of requests for support and ensures users and other interested parties are kept informed. Manage knowledge: Consume project related documents share point libraries and client universities Mentoring: Mentor and provide guidance to peers and junior associates. Assist new team members in understanding the customer environment. Communication: Status update to the respective stakeholders and within the team Collaboration: Collaborate with different towers of delivery for quick resolution (within SLA); document learning's for self-reference. Collaborate with other team members for timely resolution of errors. Skill Examples: Customer Focus: Focus on providing a prompt and efficient service to customers goes out of the way to ensure that individual customer needs are met. Attention to detail to ensure SOPs are followed and mistakes are not knowingly made Team Work: Respect others and work well within the team. Communication: Speak clearly and write in a clear and concise manner. Uses appropriate style and language for communication (Data) Communication: Speaks in an accent neutral manner or with the accent required for the process with good vocabulary and grammar skills. Writes clearly (Voice) Typing Speed with 15WPM and 80% accuracy Analytical approach: Makes systematic judgments based on information and relevant assumptions. Ability to follow SOP documents and escalate the s within the defined SLA Willingness and ability to learn new skills domain knowledge etc. Make rule based and discretionary decisions. Process Trainer/Sr. QA/Domain Expert/MIS Analyst Frontline resource - Voice/Backoffice Quality Auditors SME Domain Experts Knowledge Examples: Expertise with Windows Operating Systems MS Office tools English comprehension – Reading writing and speaking Domain knowledge based on process (healthcare banking investment F&A retail customer support etc) Familiarity with work allocation and intake functions Familiarity with quality control processes including pare to analysis and root cause analysis Knowledge on security policies and tools Good understanding of customer infrastructure ability to co-relate failures Experience level – 3 to 7 years Additional Comments: Job Title: Provider Credentialing Associate Shift Timing: 5:30 PM - 2:30 AM IST (Night Shift) Work Model: 5 Days Working - Work from Office Experience: 5+ Years Domain: US Healthcare - Provider Credentialing Job Summary: We are seeking an experienced Associate to join our Provider Credentialing team within the US Healthcare domain. The ideal candidate will bring deep knowledge of the credentialing process, excellent communication skills, and the ability to thrive in a fast-paced, client-focused environment. Key Responsibilities: Manage end-to-end provider credentialing and re-credentialing processes. Review, verify, and validate provider information in compliance with regulatory and client-specific guidelines (CAQH, NPPES, DEA, etc.). Liaise with providers, insurance plans, and internal stakeholders to ensure timely credentialing. Maintain and update provider data in credentialing systems accurately. Track application status and proactively resolve delays or discrepancies. Ensure adherence to compliance standards (CMS, NCQA, URAC, HIPAA). Generate and review credentialing reports as required. Support audits and documentation for internal and external reviews. Contribute to continuous process improvement initiatives. Required Skills & Qualifications: Minimum 5 years of hands-on experience in US Healthcare domain preferably exp in Provider Credentialing. In-depth understanding of US healthcare regulations and payer requirements. Strong verbal and written communication skills; ability to interact professionally with providers and clients. Experience with credentialing software and databases (e.g., CAQH, PECOS). Attention to detail and strong analytical skills. Ability to work independently and manage multiple priorities. Preferred Attributes: Exposure to working with US based clients or stakeholders. Demonstrated problem-solving ability and a proactive mindset. High sense of accountability and alignment with UST values - Humility, Humanity, Integrity. Skills Us Healthcare,Credentialing software/Databases,Communication,Analytical About UST UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world’s best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients’ organizations. With over 30,000 employees in 30 countries, UST builds for boundless impact—touching billions of lives in the process.

Key Responsibilities:Recruitment & Staffing Develop and implement strategic staffing plans for clinical and non-clinical departments. Coordinate recruitment efforts, including job postings, candidate screening, interviews, and onboarding. Ensure credentialing and licensure verification of clinical staff. Employee Relations & Engagement Serve as a point of contact for employee concerns, grievances, and conflict resolution. Promote a positive and inclusive work environment through team engagement initiatives. Conduct employee satisfaction surveys and act on feedback. Policy & Compliance Develop and update HR policies in line with hospital procedures and legal requirements. Ensure compliance with healthcare labor laws, Joint Commission standards, and OSHA regulations. Maintain accurate employee records and ensure confidentiality. Training & Development Identify training needs and coordinate continuing education for medical and support staff. Manage performance appraisal systems and staff development plans. Organize orientation programs for new hires. Compensation & Benefits Administer payroll, compensation structures, and benefits programs in coordination with finance. Provide guidance on employee benefits, leaves, and wellness initiatives. HR Strategy & Reporting Contribute to workforce planning and budgeting. Prepare HR metrics and reports for hospital leadership. Lead diversity, equity, and inclusion (DEI) initiatives within the hospital. Job Types: Full-time, Permanent, Fresher Pay: ₹25,000.00 - ₹50,000.00 per month Benefits: Health insurance Paid sick time Schedule: Day shift Fixed shift Morning shift Supplemental Pay: Overtime pay Performance bonus Yearly bonus Work Location: In person

Line of Service Internal Firm Services 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 Commerce, Master of Business Administration Degrees/Field of Study preferred: Certifications (if blank, certifications not specified) Required Skills Administrative Support Services 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 Available for Work Visa Sponsorship? Government Clearance Required? Job Posting End Date

Contact insurance companies for further explanation of denials & underpayments Should have experience working with Multiple Denials. Take appropriate action on claims to guarantee resolution. More than 2y exp in hospital billing preferred Required Candidate profile Immediate Joiners are preferred Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Mysore, Bangalore Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

Vanderbilt University: School of Nursing Location Nashville Open Date Jun 10, 2025 Description The Vanderbilt School of Nursing seeks qualified applicants for a full-time faculty position to serve as the Accredited Provider Program Director (APPD) for Vanderbilt School of Nursing Accreditation Process. Working closely with VUSN Faculty and others, the Nurse Educator for Professional Development will design, plan, implement, and evaluate Nursing Continuing Professional Development (NCPD) activities in compliance with American Nurses Credentialing Center (ANCC) guidelines. Additionally, the Nurse Educator for Professional Development will Educate Faculty on ANCC NCPD Criteria and Standards for Integrity and Independence in Accredited Continuing Education. Key Functions And Expected Performance Represent Vanderbilt School of Nursing as the AAPD and in all ANCC-NCPD related activities. Serve as Nurse Planner and collaborate with faculty and stakeholders to assess professional practice gaps, design, implement, and evaluate NCPD activities in compliance with ANCC guidelines. Lead the ANCC-NCPD reaccreditation process. Establish and guide advisory and planning committees. Ensure compliance with financial disclosure requirements, maintain content integrity, and promote active learner engagement. Use summative evaluation data to inform and improve future programming. Maintain comprehensive records of planning processes, disclosures, evaluations, and outcomes as required by ANCC. Collaborate with internal and external stakeholders to interpret ANCC standards, apply evolving accreditation expectations, and guide continuous quality improvement initiatives across the NCPD program. This is a 12-month, renewable, non-tenure-track appointment. Salary and rank are commensurate with experience. Full-time faculty must maintain residency in the state or be willing to relocate to Tennessee for regular, on-campus engagement in VUSN activities. Qualifications A master’s degree in nursing is required and will be ranked at the instructor level; a doctoral degree in nursing is required for rank at the assistant professor level or higher An active, unencumbered license as a registered nurse or advanced practice nurse in Tennessee or eligibility to obtain licensure in Tennessee Prior experience working with diverse populations 3+ years of previous experience in a similar role Experience with ANCC-accredited NCPD programs Experience in Educational Design and Evaluation Ability to work with others at all levels across an organization and beyond Application Instructions Applicants for the faculty position should initially submit a cover letter and either a resume or a curriculum vitae. The cover letter should summarize your qualifications for the position. For questions related to the posting, please email vusnfacultyrecruitment@vanderbilt.edu.

Company: HIRRING Location: Remote (Work from Anywhere) Job Type: Freelance | Commission-Based Experience Required: 2–10 years in US Healthcare Recruitment About HIRRING is a dynamic recruitment platform dedicated to connecting top-tier healthcare professionals with leading organizations. We empower freelance recruiters by providing a robust tech platform that supports flexibility, autonomy, and high earning potential. Position Overview: We are seeking motivated and self-driven Freelance Healthcare Recruiters to join our expanding network. This role is ideal for professionals with a strong background in healthcare recruitment who are looking to leverage their own resources and networks. As a freelance recruiter, you will have the freedom to work remotely, set your own schedule, and earn uncapped commissions based on your performance. Key Responsibilities Access Job Postings: Engage with a diverse range of healthcare job opportunities. Candidate Sourcing: Leverage your own database and resources to identify and engage qualified healthcare professionals across various specialties. Recruitment Process: Manage the recruitment process, including sourcing and screening. Candidate Engagement: Serve as the primary point of contact for candidates throughout the recruitment process. Compliance: Ensure all candidates meet the necessary credentialing and compliance requirements specific to their roles. Relationship Building: Build and maintain strong relationships with candidates to foster long-term partnerships. Requirements Experience: Minimum of 2–10years in US healthcare recruitment, with a proven track record of successful placements. Resources: Access to your own candidate database and sourcing tools. Communication: Excellent verbal and written communication skills; ability to effectively engage with candidates. Self-Motivation: Ability to work independently, manage time effectively, and meet recruitment targets without direct supervision. Compensation Commission-Based: This is a 100% commission-based role with no base salary. Recruiters earn a high percentage per successful placement, offering substantial earning potential. Uncapped Earnings: There is no limit to your earnings; the more placements you make, the more you earn. Flexible Schedule: Work from anywhere at any time, allowing you to balance your professional and personal life. Why Join HIRRING? Autonomy: Enjoy the freedom to work independently without micromanagement. Support: Access to our tech platform and back-office team for assistance with administrative tasks. Growth: Opportunity to expand your professional network and grow your recruitment business. Impact: Play a crucial role in connecting healthcare professionals with organizations that need their expertise. Next Steps If you are an experienced healthcare recruiter looking for a flexible, high-reward opportunity, we would love to hear from you. Join HIRRING and take control of your recruitment career. Apply now

Role Description Role Proficiency: A Voice Associate Able to independently take customer support calls effectively and efficiently ;follow the SOPs to complete the process and endeavour to resolve the issue handle some escalated issues or escalate to a more knowledgeable person to resolve in alignment with SLAs and assists Lead I – BPM.rnA Data Associate should independently be able to effectively and efficiently process the transactions assigned in timely manner clarify complex transactions to others and ensure that quality of output and accuracy of information is maintained in alignment with SLAs and assists Lead I – BPM. Outcomes Independently achieves the following; guiding other process associates and assists Lead 1 - BPM Service Level Agreement (SLAs) specified by the client in terms of quality productivity and schedule should be managed to ensure 100% adherence. Data: Analyze information enter and verify data follow the SOP to ensure completion of the task. Voice: Customer calls responses and any updates or edits to workflow based on after call work should be performed as per directions. Address performance issues and improvement plans of team and self with supervisor. Expected to be proficient in the process and domain to ensure quality of transactions and guide the same to the process associates. Perform QA for production associates as an expert in the function and ensure completion within SLAs. Create reports on performance metrics for team to manage productivity. Understand the process and bring forward ideas and solutions to simplify and automate them to increase operational efficiency. Create automation solution and submit the same to Lead I for review. Measures Of Outcomes 100% Adherence to quality standards Adherence to turnaround time for response and resolution Completion of all mandatory training requirements 100% adherence to process and standards 100% adherence to SLAs where applicable Number of issues fixed/tasks completed Number of non-compliance issues with respect to SOP Zero/No Client Escalations Number of high-quality RCA and QA output Daily/weekly performance reporting Mentors A1 and A2 resources on the processes Outputs Expected Processing Data: Processing transactions assigned as per SOPs Handling Calls Voice Handle customer support calls resolve issues and complete after-call work Production Take calls (voice) or process complex transactions (data) Issue Resolution Address any problems with the supervisor/QA to ensure maximum productivity and efficiency. Identifies analyses and solves the incidents/transactions. Productivity Proficient in the process assisting other team members who are new to the process as well to ensure quick readiness of the team. Take steps to improve performance based on coaching. Production readiness of new joiners within agreed timeline by providing guidance Actively participate in the team's or organization wide initiatives Able to handle and manage higher complexity tasks. Adherence Be aware of any clients process or product updates and ensure 100% compliance towards the same. Adhere to release management process. Thorough understanding of organization and customer defined process. Consult with mentor when in doubt. Adherence to defined processes. Adhere to organization’ s policies and business conduct. Reporting Create reports on specific SLAs/performance measures/KPIs Stakeholder Management Guide the team in preparing status updates and keep management updated about the status. Training Attends one on one need-based domain/project/technical trainings as needed. On time completion of all mandatory training requirements of organization and customer. Provide on floor training and one to one mentorship for new joiners. Escalation Escalate problems to appropriate individuals/support team based on established guidelines and procedures. Monitoring Monitor progress of requests for support and ensures users and other interested parties are kept informed. Manage Knowledge Consume project related documents share point libraries and client universities Mentoring Mentor and provide guidance to peers and junior associates. Assist new team members in understanding the customer environment. Communication Status update to the respective stakeholders and within the team Collaboration Collaborate with different towers of delivery for quick resolution (within SLA); document learning's for self-reference. Collaborate with other team members for timely resolution of errors. Skill Examples Customer Focus: Focus on providing a prompt and efficient service to customers goes out of the way to ensure that individual customer needs are met. Attention to detail to ensure SOPs are followed and mistakes are not knowingly made Team Work: Respect others and work well within the team. Communication: Speak clearly and write in a clear and concise manner. Uses appropriate style and language for communication (Data) Communication: Speaks in an accent neutral manner or with the accent required for the process with good vocabulary and grammar skills. Writes clearly (Voice) Typing Speed with 15WPM and 80% accuracy Analytical approach: Makes systematic judgments based on information and relevant assumptions. Ability to follow SOP documents and escalate the s within the defined SLA Willingness and ability to learn new skills domain knowledge etc. Make rule based and discretionary decisions. Process Trainer/Sr. QA/Domain Expert/MIS Analyst Frontline resource - Voice/Backoffice Quality Auditors SME Domain Experts Knowledge Examples Expertise with Windows Operating Systems MS Office tools English comprehension – Reading writing and speaking Domain knowledge based on process (healthcare banking investment F&A retail customer support etc) Familiarity with work allocation and intake functions Familiarity with quality control processes including pare to analysis and root cause analysis Knowledge on security policies and tools Good understanding of customer infrastructure ability to co-relate failures Experience level – 3 to 7 years Additional Comments Job Title: Provider Credentialing Associate Shift Timing: 5:30 PM - 2:30 AM IST (Night Shift) Work Model: 5 Days Working - Work from Office Experience: 5+ Years Domain: US Healthcare - Provider Credentialing Job Summary: We are seeking an experienced Associate to join our Provider Credentialing team within the US Healthcare domain. The ideal candidate will bring deep knowledge of the credentialing process, excellent communication skills, and the ability to thrive in a fast-paced, client-focused environment. Key Responsibilities: Manage end-to-end provider credentialing and re-credentialing processes. Review, verify, and validate provider information in compliance with regulatory and client-specific guidelines (CAQH, NPPES, DEA, etc.). Liaise with providers, insurance plans, and internal stakeholders to ensure timely credentialing. Maintain and update provider data in credentialing systems accurately. Track application status and proactively resolve delays or discrepancies. Ensure adherence to compliance standards (CMS, NCQA, URAC, HIPAA). Generate and review credentialing reports as required. Support audits and documentation for internal and external reviews. Contribute to continuous process improvement initiatives. Required Skills & Qualifications: Minimum 5 years of hands-on experience in US Healthcare domain preferably exp in Provider Credentialing. In-depth understanding of US healthcare regulations and payer requirements. Strong verbal and written communication skills; ability to interact professionally with providers and clients. Experience with credentialing software and databases (e.g., CAQH, PECOS). Attention to detail and strong analytical skills. Ability to work independently and manage multiple priorities. Preferred Attributes: Exposure to working with US based clients or stakeholders. Demonstrated problem-solving ability and a proactive mindset. High sense of accountability and alignment with UST values - Humility, Humanity, Integrity. Skills Us Healthcare,Credentialing software/Databases,Communication,Analytical

Software Engineers are responsible for the design, development, maintenance, testing and evaluation of a new or modified software product. They are responsible for the entire application lifecycle from research and design to implementation, training and support. Software Engineers are often given more complex tasks and aid with research and design on difficult or time sensitive projects or issues. They are also tasked with mentoring new Software Development Engineers. A Software Engineer will work tightly with their leadership in understanding requirement and project timelines. Working with Software Engineers to ensure best practices, adherence to software standards and sound technical decisions are made and implemented while ensuring that software designs adhere to the architecture design and department standards. Duties & Responsibilities Be a champion for department initiatives and values ensuring all actions promote the department’s mission statement Determine operational feasibility by evaluating analysis, problem definition, requirements, solution development, and proposed solutions Work with other developers, analysts, project managers, QA and others to develop enterprise-level software products adhering to best practices and established standards and practices Mentor software engineers on design principles, engineering practices and be resourceful Ensure software solutions are reviewed, documented and unit tested prior to handing it over to QA Prepare and install solutions by determining and designing system specifications, standards, and programming Document and demonstrate solutions by developing documentation, flowcharts, layouts, diagrams, charts, code comments and clear testable code Improve operations by conducting systems analysis and recommending changes in policies and procedures Communicate in a professional manner when interacting with coworkers and external customers Participate in internal and external technical reviews, as required Other duties and projects as assigned Skills Required Excellent time management, resource organization and priority establishment skills, and ability to multi-task in a fast-paced environment Ability to work independently and as part of a team Robust understanding of OOPS and design patterns Can work quickly and efficiently with moderate supervision Demonstrated skills and abilities needed to coordinate, facilitate, and participate in a collaborative approach to the completion of tasks or assignments Experience as a .NET developer Knowledge of OOP and the Microsoft stack: C#, .NET 5, ASP.NET, MVC 5 Experience working with a relational database like SQL Server and stored procedures Experience working with RESTful and/or SOAP APIs, Web API 2 is a plus Familiarity with a JavaScript frameworks such as Knockout, Vue JS or Angular Familiarity with a CSS framework, such as Bootstrap Familiarity using source control such as Team Foundation System Strong understanding of relational database design concepts Qualifications New Core Value: To work here, you must be: Humble– self-aware and respectful Effective– measurably move the needle& immeasurably add value Adaptable– innately curious and constantly changing Remarkable– stand out in some way Transparent– openly and honestly sharing knowledge 3 to 5 years’ experience with software development post BE/B.Tech, ME/M.Tech or MCA Must have experience with C#/.NET Must have experienced with Angular, Typescript, HTML5 and CSS Experience with SQL is required Should have experience with Web API 2 Must have experience in design and development of enterprise class software solutions Passionate about technology and application development Should have worked with Scaled Agile Framework Should have worked on Azure, Docker and Kubernetes About Symplr We are an industry leader in compliance, credentialing and workforce management software as a service solution. We help healthcare organizations mitigate risk, ensure compliance and optimal deployment of workforce. symplr has a single mission: to make healthcare compliance, credentialing and workforce management simpler for all constituents of the healthcare community. We’re recognized for our innovative and easy-to-use software as a service solution, as well as our payor enrollment services both of which significantly reduce the cost of compliance and increase operational efficiency. We’re based in the five major healthcare technology hubs in the US: Houston, Nashville, Kansas City, Hartford and Bangalore. We proudly serve well over 4,000 healthcare organizations, from the smallest surgery centers to the largest integrated delivery networks (IDNs) and payers nationwide.

Create the future of e-health together with us by becoming a Credentialing Account Manager. As one of the Best in KLAS RCM organization in the industry we offer a full scope of RCM services as well as BPO services, our organization gives our team members the training and solutions to learn and grow across variety of technologies and processes. As an innovator and leader in the e-health services we offer unparalleled growth opportunities in the industry. What You Can Expect From Us An extensive group health and accidental insurance program. Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office. Subsidized meal facility. Fun at Work. Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion. Best HR practices along with an open-door policy to ensure a very employee friendly environment. A recession proof and secured workplace for our entire workforce. Ample scope of reward and recognitions along with perks. What You Can Do For Us Compiles and maintains current and accurate data for all providers. Completes provider enrollment credentialing and re-credentialing applications; monitors applications and follows-up as needed. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers. Build knowledge base for payer requirements and forms for multiple states Track license and certification expirations for all providers to ensure timely renewals. Audit work completed by other departments (delegation/CAQH/Data Entry/Group & provider set up). Report to management any detected problems, errors, and/or changes in provider enrollment requirements upon discovery. Your Qualifications Minimum 3 years of relevant experience in Credentialing in US Healthcare (RCM. Must be able to organize and prioritize work and manage multiple priorities. Excellent verbal and written communication skills including, letters, memos and emails. Excellent attention to detail and ability for research and analyze data. Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization. Convinced?Submit your persuasive application now (including desired salary and earliest possible starting date).

RESPONSIBILITIES To address outstanding or assigned AR through analysis and phone calls by using available resources. Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment. To report trends / patterns in denials, claim submission errors, credentialing issues and billing related road blocks to the immediate reporting manager. To meet the established SLAs (service level agreements) for production and quality To update the outcome of the calls or analysis in a clear and coherent manner in the billing system. To utilize the P & P’s (policies and procedures) established for the process and also stay updated with changes done with the P & Ps. To improve the performance based on the feedback provided by the reporting manager / quality audit team. ACADEMIC AND PROFESSIONAL BACKGROUND Any degree except B.E, B.Tech. COMPETENCIES, SKILLS AND OTHER REQUISITES Good verbal and written communication skills, Sound analytical skills, Logical thinking, COMPENSATION AND BENEFITS Competitive remuneration + monthly performance based incentives + health insurance + PF & Gratuity + Two Way Cab Facility. ASSESSMENT / INTERVIEW PROCESS Online Assessment - Grammar & Aptitude Language Assessment - Versant Panel Interview Personal Interview OUR COMPANY We are a global analytics driven, technology enabled Revenue Cycle Management (RCM) company providing medical billing and coding services to leading healthcare providers across the US. Our management team has an outstanding entrepreneurial track record of over 18 years and we have over 5000 specialists across our revenue cycle, analytics, technology and medical coding departments based out of our offices in the US and India. At AGS Health, we combine the best analytical minds, deep healthcare knowledge and smart technology to create tangible, positive impact on cash-flows. Our approach is simple: attention to detail and concern for accuracy. Our blue-chip clients include  Leading hospital corporations  Physician groups  Academic medical centers  Billing companies  Revenue cycle management companies  Coding companies  Providers of other healthcare services We are a fast growing Company with 12 offices globally. Our key locations are Newark (New Jersey), Chennai (Tamil Nadu), Hyderabad (Telangana), Tirupati (Andhra Pradesh) and Vellore (Tamil Nadu) region. Over the years, we have won several prestigious awards for our business practices and people programs. Some of the awards include:  Ranked as the 10th Largest Revenue Cycle Firms in the US by Modern Healthcare  Ranked among the 2018 Global Outsourcing 100 for the sixth year in a row in the 'Leaders Category' by the International Association of Outsourcing Professionals® (IAOP®)  Listed in Becker’s Healthcare as one of the Top 150 Great Places to Work  Recognized by Aon Hewitt among the Top 25 Best Employers in India  2016 “Gold Stevie®” award winner at The American Business Awards for the ‘Fastest Growing Company’ (2500 employees and more category)  Selected as a 2016 Red Herring Top 100 Asia Winner  Ranked in the 2016 and 2017 Top 100 Best Companies for Women in India by Working Mother Media, Inc. in partnership with Avtar Career Creators

Job Description - AR caller Minimum 1 year of experience Must worked in physician billing -CMC1500 Should have knowledge in Denials Immediate - 15 days preferable US Shift Transportation available (Within 20 km) Required Candidate profile Face to Face rounds at Bangalore @ Chennai Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Bangalore Email: manijob7@gmail.com Call / Whatsapp 9989051577

Contact insurance companies for further explanation of denials & underpayments Should have experience working with Multiple Denials. Take appropriate action on claims to guarantee resolution. Ensure accurate & timely follow up where required. Required Candidate profile Immediate Joiners are preferred Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Mysore, Bangalore Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

Company Description SpeedBirdServices is a medical billing company located in Ahmedabad, providing efficient revenue cycle management solutions to healthcare providers. With over 10 years of experience, we offer personalized services tailored to meet the specific needs of each client, ensuring improved cash flow and less office distractions. Our services include E/M management, medical billing, medical coding, A/R management, referral and authorization management, and credentialing services. We also offer consultative services such as reviewing insurance contracts and optimizing super-bills. Role Description This is a full-time on-site role for a Medical Biller at SpeedBirdServices in Ahmedabad . The Medical Biller will be responsible for managing billing, collections, and other revenue cycle management tasks to ensure the practice's financial stability. Daily tasks may include handling medical terminology, denials, ICD-10 coding, insurance billing, and Medicare billing. Qualifications Medical Terminology and ICD-10 coding knowledge Experience with denials management and insurance billing Familiarity with Medicare billing processes Excellent attention to detail and organizational skills Strong analytical and problem-solving abilities Effective communication and interpersonal skills Certification in medical billing or related field is desirable Prior experience in revenue cycle management is a plus Education: UG :B.Sc in Any Specialization, Diploma in Any Specialization, B.Pharma in Any Specialization, B.B.A/ B.M.S in Any Specialization, B.Com in Any Specialization. Minimum Experience : 1 - 3 years Package : ₹ 2,00,000 - 4,00,000 P.A.

1. Junior Medical Transcriptionist RCM (US Healthcare) Location: Hyderabad Employment Type: Full-time Experience: 0–2 years Shift: Night shift Only for Male candidates Job Summary: We are looking for an enthusiastic **Junior Medical Transcriptionist** to assist in transcribing medical reports from voice recordings accurately. This is an entry-level role suitable for candidates with solid English skills and attention to detail, looking to grow within the US healthcare documentation domain. 2. Senior Medical Biller RCM (US Healthcare) Location: Hyderabad Employment Type: Full-time Experience: 4+ years in US Healthcare RCM billing Shift: Day shift Job Summary: We are seeking a highly experienced **Senior Medical Biller** to join our RCM team. The ideal candidate will have in-depth knowledge of US healthcare billing processes, payer requirements, denial management, and appeals. You will be responsible for overseeing billing operations, mentoring junior billers, and ensuring timely and accurate submission of claims. 3. Credentialing Specialist / Credentialing Expert – RCM (US Healthcare) Location: Hyderabad Employment Type: Full-time Experience: 5+ years in US Healthcare credentialing Shift: Night shift Only for Male candidates Job Summary: We are hiring a **Credentialing Specialist** with extensive experience in provider enrollment and credentialing in the US healthcare system. You will be responsible for the end-to-end credentialing process with payers, including application submission, follow-up, and status tracking.

Looking for a Female Nurse with minimum of 3 years of experience. Must have worked as an Industrial or Occupational health nurse. Key Responsibilities (Critical responsibilities and skills of this position, listed in order of importance) Assist the Physician with the management of cases and act as the first point of contact for patients, triage incoming cases, level of complexity and urgency of the request. Schedule patient calls with the appropriate team members and ensure that incoming questions or requests from existing patients are efficiently managed. Provide patient advocacy services to ensure optimal outcomes. Consolidate suggestions for addition of new specialists to the network provider list after positive experience with the firm clinicians for further vetting, credentialing and network addition. Research medical conditions to help patients understand their medical situation, and arrange medical record reviews. Facilitate medical appointments and responses from medical providers. Provide advice and guidance on hospital transfers whereby the necessary logistics would be using the Client’s emergency response vendor where relevant and assist with hospital discharge planning. Assist the Physician with administrative documentation. Administrative patient intake responsibilities including ensuring participant consent has been signed and documented, including disclaimers regarding responsibility of the employee / patient to verify their healthcare benefits coverage, eligibility, insurer network, etc. Ensure that case documentation is completed, and that policies and protocols are in place and updated accordingly. Assist as necessary with awareness drives and related presentations regarding services. Manage all relevant aspects of patient clinical records to include filing, archiving, etc. Required Qualifications (Brief description of the educational background needed to perform the job) Must have completed B.sc Nursing or GNM Must have valid Registration with the Karnataka Nursing Council Job Type: Full-time Pay: From ₹28,000.00 per month Benefits: Health insurance Paid sick time Paid time off Provident Fund Schedule: Day shift Fixed shift Monday to Friday Work Location: In person Expected Start Date: 20/07/2025

Skills: Anesthesia Administration, Patient Monitoring, Pain Management, Critical Care, Emergency Response, Pharmacology Knowledge, Team Collaboration, Decision Making, Job Description Unique Job Role Clinical Assistant Position Clinical Assistant Anaesthesia & Pain Management Function Clinical Services Sub Function Anaesthesia & Pain Management Department Anaesthesia & Pain Management Reports To (Job Role / Position) Director Anaesthesia & Pain Management Job Purpose Responsibility for diagnosis, developing medical intervention and delivery of clinical care in conformance with Sir HN RFH standards of medical and service excellence. Attachment to Sir H N RF Hospital shall be on a full-time basis. No other attachment will be allowed. Accountabilities No. Key Responsibilities: Service Will work under the supervision of Director / Consultants. Will not ordinarily have independent privileges (Unless given by director). Participate in interdepartmental meetings, committees and fulfill the all the responsibilities as assigned Participate as per the defined role during any internal / external disaster. Treat patients in OT, admit, and carry out Pre Anesthesia Check 1 (PAC1) & Pre Anesthesia Check 2 (PAC2) procedures (as applicable) as per the approved clinical privileges within the organization and treatment procedures. Collate and analyze records, reports, test results, or examination information to plan Anesthesia for patient in PAC1 & PAC2 under supervision of Senior Consultant / Consultant. Explain procedures and anesthesia method with patient and family as advised by the Senior Consultant / Consultant. Monitor patients' condition and progress in Operation Room. Refer patient to other Specialist as and when required after due intimation and explanation to patient / family. Identify patient's risk status and recommend appropriate intervention to minimize risk and take necessary informal consent for the same Assist Consultants in Pain Management OPDs as per the credentialing and hospital policy as defined from time to time Treat patients on out-patient basis, admit, investigate, and perform treatment procedures as per the approved clinical privileges. Collate and analyze records, reports, test results, or examination information periodically to maintain, improvise the standard of care. Explain procedures and obtain consents and discuss test results or prescribed treatments with patient and family on regular basis or as defined by the hospital policy. Work collaboratively with other disciplines and health professionals to develop effective and appropriate multidisciplinary approach and patient care. Ensure accurate exchange of information during care transition and transfer of patients ensuring patient confidentiality at all the times. Ensure all medical documentations are maintained and updated on a daily basis. Follow use of evidence based practice and hand hygiene protocols in procedure / surgery rooms. Maintain and update documentation in Hospital Information System with respect to assigned clinical responsibilities including patient history, clinical assessment, prescriptions, medications, progress notes, investigations, discharge notes and any other medical records. Comply with CME credits as per MMC guidelines in vogue. Ensure the following activities are completed with respect to discharge process: Provisional Discharge: Confirmation of discharge by Consultants Confirmation and clearance of investigations done on the day of the discharge Removal of all lines and tubes in coordination with Nursing team Mark for Discharge: Completion of discharge summary Be available to consult with medical staff by telephone or be called back if the situation demands and asses referrals from the EMS. Provide on call coverage as per departmental rota. Any other responsibility as assigned by the organization on the need basis. Key Responsibilities: Growth Support Director Pain Management in introducing future specialty clinics. Plan, and participate in health programs in the hospital, outreach activities, or communities for prevention and treatment of injuries or illnesses. Key Responsibilities: Quality Actively participate and be accountable for implementation of all quality programs to ensure continuous quality improvement in the department. Ensure adherence to internationally accepted standards of care, including but not limited to those recommended by JCI, NABH and other quality systems. Follow all infection control protocols during the surgery and post-op stage. Actively participate in infection control and prevention activities, campaigns, awareness sessions etc. Key Responsibilities: Finance Ensure optimal utilization of available resources Key Responsibilities: People Train the new Joinees on the departmental SOPs and Protocols. Guide the Junior medical staff & DNB students on the departmental activities and protocols. Be available to cover colleague when they are sick / on leave (within the constraints of existing workload) Key Responsibilities: Innovation & Research Participate in clinical education, research, test medication, clinical tests to advance the practice of medicine as well as academic and teaching activities of the department as required by the DNB, on any Fellowship programs. Keep abreast with the latest technology and innovations in the Anaesthesia field for advancing the department. Actively give suggestions / feedback to further improvise services of department and growth of the department. Experience & Educational Requirements EDUCATIONAL QUALIFICATIONS: Include Additional Certification Required if any Necessary: MBBS and MD / DNB in Anaesthesia Desirable: Fellowships in Anaesthesia / Pain Management Advanced Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS) RELEVANT EXPERIENCE: Type of roles (and duration) which an individual ideally should have done in his/her prior experience to be detailed Necessary: 0-5 years experience post PG in Anesthesia Scope of Work Financial Scope (Range of financial spend): As budgeted for Anesthesia / Pain OPD People Management Scope (Range of no. of Direct Reports): Team of Pain Nurse / Doctors / Technician Corporate Coverage (hospital-wide / sub-function-wide / area wide): OT/ Pain OPD / Acute Pain Service Working Conditions On Shift Rota Possible exposure to communicable diseases OTs / Wards / Procedure Rooms Interested candidates can share their resumes on pooja.paswan@rfhospital.org OR kindly spread this requirements in your circle & group.

Skills: Anesthesia Administration, Patient Monitoring, Pain Management, Critical Care, Emergency Response, Pharmacology Knowledge, Team Collaboration, Decision Making, Job Description Unique Job Role Clinical Assistant Position Clinical Assistant Anaesthesia & Pain Management Function Clinical Services Sub Function Anaesthesia & Pain Management Department Anaesthesia & Pain Management Reports To (Job Role / Position) Director Anaesthesia & Pain Management Job Purpose Responsibility for diagnosis, developing medical intervention and delivery of clinical care in conformance with Sir HN RFH standards of medical and service excellence. Attachment to Sir H N RF Hospital shall be on a full-time basis. No other attachment will be allowed. Accountabilities No. Key Responsibilities: Service Will work under the supervision of Director / Consultants. Will not ordinarily have independent privileges (Unless given by director). Participate in interdepartmental meetings, committees and fulfill the all the responsibilities as assigned Participate as per the defined role during any internal / external disaster. Treat patients in OT, admit, and carry out Pre Anesthesia Check 1 (PAC1) & Pre Anesthesia Check 2 (PAC2) procedures (as applicable) as per the approved clinical privileges within the organization and treatment procedures. Collate and analyze records, reports, test results, or examination information to plan Anesthesia for patient in PAC1 & PAC2 under supervision of Senior Consultant / Consultant. Explain procedures and anesthesia method with patient and family as advised by the Senior Consultant / Consultant. Monitor patients' condition and progress in Operation Room. Refer patient to other Specialist as and when required after due intimation and explanation to patient / family. Identify patient's risk status and recommend appropriate intervention to minimize risk and take necessary informal consent for the same Assist Consultants in Pain Management OPDs as per the credentialing and hospital policy as defined from time to time Treat patients on out-patient basis, admit, investigate, and perform treatment procedures as per the approved clinical privileges. Collate and analyze records, reports, test results, or examination information periodically to maintain, improvise the standard of care. Explain procedures and obtain consents and discuss test results or prescribed treatments with patient and family on regular basis or as defined by the hospital policy. Work collaboratively with other disciplines and health professionals to develop effective and appropriate multidisciplinary approach and patient care. Ensure accurate exchange of information during care transition and transfer of patients ensuring patient confidentiality at all the times. Ensure all medical documentations are maintained and updated on a daily basis. Follow use of evidence based practice and hand hygiene protocols in procedure / surgery rooms. Maintain and update documentation in Hospital Information System with respect to assigned clinical responsibilities including patient history, clinical assessment, prescriptions, medications, progress notes, investigations, discharge notes and any other medical records. Comply with CME credits as per MMC guidelines in vogue. Ensure the following activities are completed with respect to discharge process: Provisional Discharge: Confirmation of discharge by Consultants Confirmation and clearance of investigations done on the day of the discharge Removal of all lines and tubes in coordination with Nursing team Mark for Discharge: Completion of discharge summary Be available to consult with medical staff by telephone or be called back if the situation demands and asses referrals from the EMS. Provide on call coverage as per departmental rota. Any other responsibility as assigned by the organization on the need basis. Key Responsibilities: Growth Support Director Pain Management in introducing future specialty clinics. Plan, and participate in health programs in the hospital, outreach activities, or communities for prevention and treatment of injuries or illnesses. Key Responsibilities: Quality Actively participate and be accountable for implementation of all quality programs to ensure continuous quality improvement in the department. Ensure adherence to internationally accepted standards of care, including but not limited to those recommended by JCI, NABH and other quality systems. Follow all infection control protocols during the surgery and post-op stage. Actively participate in infection control and prevention activities, campaigns, awareness sessions etc. Key Responsibilities: Finance Ensure optimal utilization of available resources Key Responsibilities: People Train the new Joinees on the departmental SOPs and Protocols. Guide the Junior medical staff & DNB students on the departmental activities and protocols. Be available to cover colleague when they are sick / on leave (within the constraints of existing workload) Key Responsibilities: Innovation & Research Participate in clinical education, research, test medication, clinical tests to advance the practice of medicine as well as academic and teaching activities of the department as required by the DNB, on any Fellowship programs. Keep abreast with the latest technology and innovations in the Anaesthesia field for advancing the department. Actively give suggestions / feedback to further improvise services of department and growth of the department. Experience & Educational Requirements EDUCATIONAL QUALIFICATIONS: Include Additional Certification Required if any Necessary: MBBS and MD / DNB in Anaesthesia Desirable: Fellowships in Anaesthesia / Pain Management Advanced Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS) RELEVANT EXPERIENCE: Type of roles (and duration) which an individual ideally should have done in his/her prior experience to be detailed Necessary: 0-5 years experience post PG in Anesthesia Scope of Work Financial Scope (Range of financial spend): As budgeted for Anesthesia / Pain OPD People Management Scope (Range of no. of Direct Reports): Team of Pain Nurse / Doctors / Technician Corporate Coverage (hospital-wide / sub-function-wide / area wide): OT/ Pain OPD / Acute Pain Service Working Conditions On Shift Rota Possible exposure to communicable diseases OTs / Wards / Procedure Rooms Interested candidates can share their resumes on pooja.paswan@rfhospital.org OR kindly spread this requirements in your circle & group.

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Provider Enrollment Specialists are responsible for supporting provider enrollment, maintenance, and renewal activities for the USVI Medicaid program. Primary responsibilities include reviewing and processing Medicaid provider enrollment applications, renewals, and maintenance requests according to USVI Medicaid approved guidelines, ACA, and other federal requirements and procedures. Your role in our mission Healthcare enrollment or credentialing experience desired Ability to follow written policies, operating and maintenance instructions, procedure manuals, and government/healthcare guidelines. Self-motivated with good time management and organizational skills. Excellent written and verbal communication skills. Ability to perform extensive research independently. What we're looking for High School Diploma or equivalent Able to read, write and speak English proficiently Fluency in both English and Spanish is preferred but not required 1-2+ years of working experience in healthcare, enrollment, credentialing, or related fields. What you should expect in this role Remote work environment Monday through Friday 8:00am to 5:00pm EST The pay range for this position is $33,500.00 - $47,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Company Description CrystalVoxx Global LLP is a healthcare econometrics company specializing in integrated healthcare solutions, including Medical Billing and Coding Services for Individual & Group Practices. With a focus on Provider Insurance Credentialing, Claims Management, and Revenue Cycle Optimization, CrystalVoxx helps practices improve their financial performance. Their process workflow ensures no money is left uncollected, backed by 14 years of industry experience and smarter technology. Role Description This is a full-time on-site role for an AR Executive - Medical Billing at CrystalVoxx Global LLP located in Ahmedabad. The AR Executive will be responsible for managing accounts receivable, including handling denials, ICD-10 coding, insurance verification, Medicare billing, and resolving payment discrepancies. Qualifications Knowledge of Medical Terminology Familiarity with Medicare billing Excellent communication Basic Computer Knowledge

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

Team Lead AR Follow-up - Physician Revenue Cycle Management Services Location: All shifts work onsite in our Mysor e , India office located at: 1st Floor, 5669, Wekreate Space Doddamane, General Thimmaiah Road, Mysuru, Karnataka, 570017 Hours: Monday - Friday from 5:30 pm - 2:30 am, IST Status: Full-time Find out more about our culture at : https://strivanthealth.com/careers/ Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Coding, Medical Billing, AR Follow-up Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business. Team Lead AR Follow-up - Position Summary At Strivant Health, we take pride in delivering exceptional accuracy and efficiency in physician revenue cycle management. As an Accounts Receivable Team Lead, you will play a vital role in ensuring financial success for our clients by driving efficient claims resolution, mentoring team members, and proactively identifying solutions to billing challenges. This position is more than just follow-ups and collections—it’s about leading a team, optimizing processes, and making a real difference in the financial health of our clients. You'll be the go-to expert for problem-solving, training new hires, and guiding our Mysore, India team members. Your leadership will ensure smoother operations, fewer denials, and a stronger bottom line for our healthcare partners. If you have a keen eye for detail, love solving problems, and enjoy working in a fast-paced, high-volume environment, this is the perfect opportunity for you! What You’ll Do – Your Impact Matters Act as a mentor and trainer, supporting both new and existing team members. Manage complex inventory, including large-dollar accounts and aged claims. Lead problem-solving initiatives, identifying trends and offering solutions. Own client performance, ensuring effective communication and issue resolution. Work hands-on with insurance follow-ups, including phone calls and payer portal interactions. Pull reports from medical billing systems and analyze trends to identify and resolve high-volume or high-dollar claims issues. Assist with reporting and analytics to track team productivity and identify areas for improvement. Collaborate with leadership to enhance processes and improve collections. Step in as needed to support backlog management and high-priority accounts. What You Bring to the Table A bachelor’s degree, ideally in healthcare-related or financial-related education programs. 3+ years of experience in physician collections, denials management, and appeals. Previous experience training, mentoring, and leading a team of accounts receivable revenue cycle professionals. Proficient English reading, writing, and verbal skills. Excellent communication skills—able to coach with empathy and directness Familiarity with CPT, ICD-9/10, and HCPCS codes and insurance regulations. Experience working with medical billing systems and reporting tools. Proficiency in Microsoft Office (Excel, Word, Outlook, Teams). Strong analytical skills with the ability to recognize trends, generate and analyze reports from medical billing systems, and provide data-driven solutions. Experience working with 20 or more team members is a plus! Why Join Us? Make a Real Impact – Your work directly influences cash flow and financial health for healthcare providers. A Culture of Excellence – We value accuracy, innovation, and teamwork. A Supportive Team – Work with like-minded professionals who understand the complexities of revenue cycle management. Opportunities to drive change and improve processes for greater efficiency. Find out more about our culture at : https://strivanthealth.com/careers/ We are looking forward to reviewing your resume!

Quality Analyst - AR Follow-up - Physician Revenue Cycle Management Services Location: All shifts work onsite in our Mysore , India office located at: 1st Floor, 5669, Wekreate Space Doddamane, General Thimmaiah Road, Mysuru, Karnataka, 570017 Hours: Monday - Friday from 5:30 pm - 2:30 am, IST Status: Full-time Find out more about our culture at : https://strivanthealth.com/careers/ Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Coding, Medical Billing, AR Follow-up Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business. Quality Analyst AR Follow-up - Position Summary At Strivant Health, we take pride in delivering exceptional accuracy and efficiency in physician revenue cycle management. As an Quality Analyst - Accounts Receivable Follow-up, you will play a vital role in ensuring financial success for our clients by driving efficient claims resolution, mentoring team members, and proactively identifying solutions to billing challenges. This position is more than just follow-ups and collections—it’s about providing quality checks and guidance to a team, optimizing processes, and making a real difference in the financial health of our clients. This role provides coaching to AR staff, collaborates across departments to resolve discrepancies, and supports training, reporting, and process improvements. The analyst also manages desk inventory, assists with special projects. Your work will ensure smoother operations, fewer denials, and a stronger bottom line for our healthcare partners. If you have a keen eye for detail, love solving problems, and enjoy mentoring in a fast-paced, high-volume environment, this is the perfect opportunity for you! What You’ll Do – Your Impact Matters Audit physician AR claims submissions for accuracy, completeness, and payer compliance. Track AR quality metrics and identify recurring issues Create and maintain audit tools and QA documentation. Provide feedback and coaching to improve staff accuracy. Collaborate with billing, coding, and management teams to resolve discrepancies. Work hands-on with insurance follow-ups, including phone calls and payer portal interactions. Pull reports from medical billing systems and analyze trends to identify and resolve high-volume or high-dollar claims issues. Assist with reporting and analytics to track team productivity and identify areas for improvement. Collaborate with leadership to enhance processes and improve collections. Step in as needed to support backlog management and high-priority accounts. What You Bring to the Table A bachelor’s degree, ideally in healthcare-related or financial-related education programs. 3+ years of experience in physician collections, denials management, and appeals. Previous quality analyst, training or mentoring a team of accounts receivable revenue cycle professionals required. Proficient English reading, writing, and verbal skills. Excellent communication skills—able to coach with empathy and directness Familiarity with CPT, ICD-9/10, and HCPCS codes and insurance regulations. Experience working with medical billing systems and reporting tools. Proficiency in Microsoft Office (Excel, Word, Outlook, Teams). Strong analytical skills with the ability to recognize trends, generate and analyze reports from medical billing systems, and provide data-driven solutions. Experience working with 20 or more team members is a plus! Why Join Us? Make a Real Impact – Your work directly influences cash flow and financial health for healthcare providers. A Culture of Excellence – We value accuracy, innovation, and teamwork. A Supportive Team – Work with like-minded professionals who understand the complexities of revenue cycle management. Opportunities to drive change and improve processes for greater efficiency. Find out more about our culture at : https://strivanthealth.com/careers/ We are looking forward to reviewing your resume!

Job Title: AR Caller / AR Follow up (RCM) – Senior Executive Job Type: Full-Time | Work Mode: Work from Office Location: Gurugram, Sec 18 About the Position: We are looking for an experienced AR Denials – Senior Executive with strong expertise in Accounts Receivable (AR) follow-up and Denial Management in the US Healthcare process. The ideal candidate should have a thorough understanding of denial codes and reasons such as No Authorization, Duplicate, Bundled, Inclusive, COB (Coordination of Benefits), and others. The role requires working directly with insurance companies, healthcare providers, and patients to ensure timely resolution of claims and denial recovery while maintaining compliance with HIPAA standards. Key Responsibilities: Manage AR follow-up focusing on denial resolution and recovery Analyze denials including No Auth, Duplicate, Bundled, Inclusive, COB, Non-Covered, Medical Necessity, Timely Filing, etc Contact insurance companies to check claim status, understand denial reasons, and take corrective actions Verify accurate insurance details and patient registration data on behalf of clients Communicate with clients regarding potential coding, billing, or documentation issues Submit claims via billing software (electronic and paper) and ensure accuracy in submissions Follow up on unpaid or denied claims within the standard billing cycle timeframe Research, resolve, and appeal denied or rejected claims with appropriate supporting documents Perform eligibility and benefit verification through web portals or over the phone Review patient bills for completeness and accuracy; obtain and rectify any missing information Process payments including ERA (Electronic Remittance Advice) and EOB (Explanation of Benefits) posting Understand and apply insurance payer policies including HMO, PPO, Medicare, Medicaid, and Commercial plans Maintain accurate documentation of all actions in the system Ensure compliance with HIPAA and internal quality standards Required Skills & Qualifications: Minimum 2 years of hands-on experience in US Healthcare AR follow-up and Denial Management Strong understanding of denial types including No Auth, COB, Bundled, Duplicate, Inclusive, and other payer-specific denial reasons Knowledge of payer rules, coordination of benefits (COB), and appeals processes Familiarity with charge entry, claim submission, and payment posting (ERA/EOB) Ability to read and interpret superbills and medical billing data Strong verbal and written communication skills Detail-oriented with the ability to multitask and meet productivity targets Familiarity with credentialing is a plus Proficient in handling Protected Health Information (PHI) in line with HIPAA compliance Why Join Us? Be part of a collaborative and growing team Competitive compensation and performance-based incentives Opportunities for skill development in the healthcare RCM domain Stable work environment with a focus on professional growth Powered by JazzHR B16jDMAtvp