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4.0 years

0 Lacs

Gurugram, Haryana, India

On-site

Job Title - AR P roce ss Trainer (US Healthcare RCM) – Gurugram About Neolytix Neolytix is a leading management solutions provider, dedicated to empowering healthcare providers across the U.S. with innovative revenue and cost transformation strategies. Join a dynamic team where your work drives real impact! Rated 4.7 ⭐ on Google and 4.2 ⭐ on Glassdoor with an 80% approval rating , we are a boutique firm trusted by clients for delivering no-nonsense, results-driven solutions. Job Title: Process Trainer (US Healthcare RCM) Location: Gurugram, Sector 18 (Onsite, 5 days a week) Employment Type: Full-Time Job Summary We are seeking a skilled Process Trainer with expertise in US Healthcare Revenue Cycle Management (RCM) to join our team in Gurugram. In this role, you will create engaging training materials, maintain Standard Operating Procedures (SOPs), and deliver On-the-Job Training (OJT) to new hires. This position requires in-depth knowledge of end-to-end Accounts Receivable (AR) processes , including denials management , along with strong communication and instructional skills. Key Responsibilities Collaborate with subject matter experts (SMEs) to gather insights on US Healthcare processes, including medical billing, credentialing, and RCM Develop and deliver process training on RCM modules, including AR follow-up and denials management (e.g., no authorization, inclusive/bundled claims, duplicates, COB, etc.) Create, update, and maintain SOPs aligned with the latest industry standards and compliance guidelines Deliver On-the-Job Training (OJT) for new hires during the ramp-up period Design process knowledge assessments to evaluate employee proficiency and drive continuous improvement Utilize applications such as EPIC, Availity, and Waystar to develop accurate training content and SOPs Apply instructional design principles to create interactive, trainer-led learning materials Requirements Experience: Minimum 4 years of experience in AR follow-up (RCM) OR Minimum 1 year of experience as a Process Trainer in US Healthcare processes In-depth knowledge of end-to-end AR processes, including denials management (e.g., no authorization, inclusive/bundled claims, duplicates, COB, etc.) Skills: Excellent verbal and written communication skills with a professional demeanor Proficient in Microsoft Office (Excel, Word, Outlook) Familiarity with tools such as EPIC, Availity, or Waystar Expertise in instructional design and creating engaging, effective training content Education: Bachelor’s degree in any field (required) Knowledge: Strong understanding of US Healthcare regulations, insurance billing, compliance, and medical terminology Familiarity with managed care contracts and credentialing processes Powered by JazzHR y3bCCdUpaQ

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10.0 years

0 Lacs

Uttar Pradesh, India

Remote

Company: HIRRING Location: Remote (Work from Anywhere) Job Type: Freelance | Commission-Based Experience Required: 2–10 years in US IT Recruitment About HIRRING is a dynamic recruitment platform dedicated to connecting top-tier IT 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 IT Recruiters to join our expanding network. This role is ideal for professionals with a strong background in IT 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 IT job opportunities. Candidate Sourcing: Leverage your own database and resources to identify and engage qualified IT 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: 2–10 years in US IT 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 IT professionals with organizations that need their expertise. Next Steps If you are an experienced IT 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!

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1.0 - 5.0 years

2 - 5 Lacs

Bengaluru

Work from Office

Exp: Freshers Job Title: Client Services Support Specialist - Trainee Excellent verbal and written communication skills Strong comprehension and understanding skills Capable of multitasking while demonstrating empathy and a solution-oriented approach Required Candidate profile Proficient in typing and comfortable with keyboard navigationEducation Criteria: PUC / 10+3 Diploma / Any Graduate Shift Timings: (Night Shift) Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Chennai, Bengaluru

Work from Office

Designation: AR Caller / Senior AR Caller Experience: Minimum 2 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

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1.0 - 5.0 years

2 - 5 Lacs

Noida

Work from Office

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

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5.0 years

10 Lacs

Hyderābād

On-site

To get the best candidate experience, please consider applying for a maximum of 3 roles within 12 months to ensure you are not duplicating efforts. Job Category Software Engineering Job Details About Salesforce We’re Salesforce, the Customer Company, inspiring the future of business with AI+ Data +CRM. Leading with our core values, we help companies across every industry blaze new trails and connect with customers in a whole new way. And, we empower you to be a Trailblazer, too — driving your performance and career growth, charting new paths, and improving the state of the world. If you believe in business as the greatest platform for change and in companies doing well and doing good – you’ve come to the right place. Salesforce is looking for a Senior software engineer to join the Trailhead team. Trailhead is an online learning platform created by Salesforce with a big, bold mission to democratize education and skill up anyone for the future of work. The Trailhead team has immediate opportunities for talented software engineers who want to make a significant and measurable positive impact to users, the company’s bottom line and the industry. Trailhead is where developers, admins, and business users get the skills they need for the jobs of the future. And thanks to gamification they have a little fun along the way. This is a rare opportunity to build something that positively impacts millions of users helping folks develop new skills and break into new careers. Feel free to explore our app, trailhead.salesforce.com , and maybe even snag a few badges (we'd recommend the Introduction to Agentforce module)! Bonus points if you download the Trailhead GO app from the App Store and earn the badge on mobile! The team focuses on understanding our Trailblazers’ career needs and optimising their learning journey. We build solutions across product and marketing based on the full point of view of the Trailblazer to cultivate more credentialed, employable individuals in the Salesforce ecosystem. We multiply our efforts across the Trailhead marketing, engineering, content, and credentialing teams to align our strategies and change the culture to use data to make decisions. In this role, you will be work on building data pipelines, optimizing, and delivering data for core Trailhead KPIs. You will also contribute to setting the vision for and delivering the future of Trailhead core analytical funnel metrics and user behavior tracking/experiments. You will work on high impact and high visibility projects that are used by Salesforce executives. You will be encouraged to leverage and implement the latest Salesforce products and technologies. In addition, you will often be challenged to solve for ad-hoc/unstructured problems in a highly fast-paced environment and to partner with key stakeholders across teams. Equality is a core value at Salesforce. We strive to create workplaces that reflect the communities we serve and where everyone feels empowered to bring their full, authentic selves to work. People of different backgrounds, experiences, abilities, and perspectives are warmly encouraged to apply. Responsibilities Build & maintain pipelines – Develop Airflow workflows to ingest data from S3, APIs, and Kafka into Snowflake, ensuring reliability and scalability. Define data contracts & governance – Align with source teams on schemas/SLAs and enforce data classification, masking, and privacy standards. Model for analytics – Create well-structured fact/dimension tables and business measures that power self-service dashboards. Safeguard data quality & lineage – Automate tests, monitoring, and lineage tracking to surface issues early and expedite root-cause analysis. Enable collaboration & learning – Partner with analysts and data scientists, document data definitions, and share best practices across the team. About You Collaborative team player who is kind, friendly, and cares about doing the right thing Desire to keep learning and growing, both technically and otherwise, and keeping informed of new data engineering methods and techniques Ability to ask good questions and learn quickly Openness and courage to give and receive feedback Respect towards people from diverse backgrounds and commitment to upholding diversity, equity, and inclusion at work Some Qualifications We Look For B.S/M.S. in Computer Sciences or equivalent field, and 5+ years of relevant experience within big data engineering Excellent understanding of data structures and distributed data processing patterns Experience with many of the following: Implementing and operating big data technologies like Redshift, Hadoop, Spark, Presto, Hive, etc. especially in the evolving areas of security, compliance (GDPR/CCPA/Data Privacy), and data retention Cloud computing and data processing, preferably AWS, security, cluster sizing, and performance tuning ETL design and implementing pipelines in languages like Java, Scala or scripting in Python Hands on experience with Airflow, CI/CD pipelines via Jenkins or similar tools, GitHub Well versed with Snowflake/Google BigQuery/Redshift. Version control systems (Github, Stash, etc..) and deployment tools Implementing and managing Python open-source data orchestration tools such as Airflow, Pandas, etc Experience working with Web analytics platforms, metrics, and data sets (Google Analytics preferred) Plusses Salesforce experience/ certification is a plus but not required Heroku app development experience is a plus but not required Data Cloud experience is a plus but not required Accommodations If you require assistance due to a disability applying for open positions please submit a request via this Accommodations Request Form . Posting Statement Salesforce is an equal opportunity employer and maintains a policy of non-discrimination with all employees and applicants for employment. What does that mean exactly? It means that at Salesforce, we believe in equality for all. And we believe we can lead the path to equality in part by creating a workplace that’s inclusive, and free from discrimination. Know your rights: workplace discrimination is illegal. Any employee or potential employee will be assessed on the basis of merit, competence and qualifications – without regard to race, religion, color, national origin, sex, sexual orientation, gender expression or identity, transgender status, age, disability, veteran or marital status, political viewpoint, or other classifications protected by law. This policy applies to current and prospective employees, no matter where they are in their Salesforce employment journey. It also applies to recruiting, hiring, job assignment, compensation, promotion, benefits, training, assessment of job performance, discipline, termination, and everything in between. Recruiting, hiring, and promotion decisions at Salesforce are fair and based on merit. The same goes for compensation, benefits, promotions, transfers, reduction in workforce, recall, training, and education.

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0.6 - 1.0 years

2 - 3 Lacs

India

On-site

Process Associate (Credentialing) Preferred Experience: 0.6-1 year Key Responsibilities: Review and process credentialing and recredentialing applications for healthcare providers. Verify provider qualifications include education, training, licensure, board certification, work history, and malpractice history. Maintain and update provider information in credentialing databases such as CAQH, Medallion, and internal systems. Track license and certification expiration dates and coordinate timely renewals. Communicate with providers, payers, and regulatory bodies to resolve discrepancies or obtain missing documentation. Prepare documentation for audits and accreditation reviews. Ensure compliance with federal, state, and organizational credentialing standards. Assist with EFT enrollment and payer applications (Medicare, Medicaid, commercial plans). Support onboarding and termination processes related to provider credentials. Qualifications: Minimum 6 months of experience in credentialing, provider enrollment, or healthcare compliance. Familiarity with credentialing software and portals (e.g., CAQH, PECOS). Excellent communication and follow-up abilities. Knowledge of Medicare, Medicaid, and commercial payer requirements is a plus. Job Types: Full-time, Permanent Pay: ₹20,000.00 - ₹30,000.00 per month Benefits: Paid time off Provident Fund Schedule: Evening shift Night shift US shift Work Location: In person

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20.0 years

0 Lacs

India

Remote

Company Description Svast Healthcare Technologies is a trusted RCM and billing partner for physician practices and hospitals, having billed over $1B for 100+ clients in the past 20 years. Specializing in increasing practice revenue with a 99%+ collection rate, our expertise spans across specialties like Primary Care, Pediatrics, OB/GYN, Cardiology, and more. We provide best-in-class technology solutions and data-driven decision making to help healthcare providers capture all of their practice's revenue. Role Description This is a full-time remote role for a Credentialing Specialist at Svast Healthcare Technologies. The role involves tasks such as credentialing, medical staff credentialing, communication with providers and payers. Qualifications Experience: 2-4 years in Credetialing Credentialing and Medical Staff Credentialing skills Effective Communication and Customer Service skills Familiarity with Medicaid, Medicare and Commercial payer enrolment Detail-oriented and organized Ability to work independently and remotely Experience in EDI enrolment and contract negotiation is an advantage Preferred immediate joiners

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1.0 - 5.0 years

0 Lacs

Noida, Uttar Pradesh, India

On-site

Title: Healthcare Recruiter Company: HeadField Solutions Pvt. Ltd. Location: Noida, Sector 59 Work Mode: Onsite – 5 Days Working Shift Timings: U.S. Shift (Night Shift) Experience Required: 1 to 5 Years (ONLY Healthcare Recruitment) About the Role: We are actively looking for a Healthcare Recruiter with hands-on experience in hiring Nursing, Allied Health, and Locum Tenens professionals for U.S.-based clients. You’ll work directly with our delivery team to fill critical roles across hospitals, clinics, and healthcare networks in the U.S. Key Responsibilities: Source, screen, and submit qualified candidates for Nursing, Allied, and Locum roles Use job boards like CareerBuilder, Monster, Indeed, and internal databases Coordinate with Account Managers and U.S. clients on position requirements Maintain candidate pipelines for recurring healthcare demands Understand compliance requirements (e.g., credentialing, licenses, work authorizations) Requirements: 1–5 years of U.S. Healthcare Recruitment experience is mandatory Strong understanding of Nursing, Allied, and Locum hiring process Familiar with U.S. time zones and healthcare terminology Excellent communication and sourcing skills Comfortable working in a fast-paced, metrics-driven environment Please Note: Only candidates with current/recent U.S. Healthcare Recruiting experience will be considered. Recruiters with experience in IT, non-healthcare, or domestic hiring should NOT apply.

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3.0 years

0 Lacs

Ahmedabad, Gujarat, India

On-site

Business Development Executive – US Healthcare (Medical Billing & Credentialing) 📍 Location: Manekbaug, Ahmedabad – 380015 (Shifting soon to Prahladnagar) 🕒 Shift: Night Shift (US Time Zone) 📅 Experience: 1–3 Years 📧 Apply Now: hr@collabglobus.com 🏢 Company: Collab Softech Pvt Ltd. 🌐 www.collabsoftech.com.au 🌟 Join Our Growing Team in the US Healthcare Outsourcing Industry! At Collab Softech , we are expanding rapidly in the US Healthcare domain , offering services in Medical Billing , Credentialing , and RCM (Revenue Cycle Management) . We’re seeking a goal-oriented Business Development Executive to drive client acquisition, build relationships, and unlock new growth opportunities. 🔑 Key Responsibilities: ✔️ Identify and connect with potential US healthcare clients – clinics, hospitals, solo providers & billing companies ✔️ Pitch end-to-end healthcare outsourcing services: Medical Billing, Provider/Facility Credentialing, and RCM ✔️ Generate qualified leads via LinkedIn, email campaigns, and industry platforms ✔️ Maintain strong client relationships and collaborate closely with delivery teams ✔️ Track deals, manage pipeline through CRM tools, and report sales performance ✔️ Conduct market research, competitor analysis & identify new business opportunities ✔️ Draft compelling proposals, pricing decks & service agreements ✅ Must-Have Skills: 🔹 Proven experience in US Healthcare Business Development , preferably with billing firms or provider credentialing 🔹 Strong knowledge of US healthcare terminologies (HIPAA, CMS, payer networks, etc.) 🔹 Excellent English communication and client-handling skills 🔹 Confident in outbound lead generation and negotiations 🔹 Comfortable working US Night Shift hours 🎯 Why Join Collab Softech? ✨ Be part of a fast-growing international team ✨ Performance-driven culture with growth opportunities ✨ Work directly with US healthcare clients ✨ Modern office infrastructure (new location coming soon at Prahladnagar)

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0.0 years

0 Lacs

Mysuru, Karnataka

On-site

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, 7:30 am - 4:30 pm, IST or 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!

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1.0 - 5.0 years

3 - 6 Lacs

Bengaluru

Work from Office

Dear All, Greetings from Flatworld Healthcare Services. WE ARE HIRING !! Job Title: Credentialing & Provider Enrollment Specialist Department: Revenue Cycle Management (RCM) Experience Required: 1 to 5 Years Location: Bangalore Employment Type: Full-time Interested candidates can share their CVs at pavan.v@finnastra.com or contact 9035473861 (Available between 1 PM - 10 PM ). Job Summary: We are seeking a detail-oriented and proactive Credentialing & Provider Enrollment Specialist with 12 years of experience in the healthcare RCM domain. The ideal candidate will be responsible for managing end-to-end provider credentialing, re-credentialing, and enrollment with insurance payers, ensuring compliance with regulatory standards and timelines. Key Responsibilities: Complete initial and re-credentialing applications for healthcare providers. Submit and track enrollment applications with Medicare, Medicaid, and commercial payers. Maintain and update provider information in internal databases and payer portals. Monitor expirables (licenses, certifications, etc.) and ensure timely renewals. Communicate with providers, payers, and internal teams to resolve enrollment issues. Ensure compliance with payer-specific and regulatory credentialing requirements. Follow up with insurance companies to check application status and resolve delays. Assist in audits and provide necessary documentation as required. Qualifications: 1 to 4 years of hands-on experience in provider credentialing and enrollment. Knowledge of payer requirements and CAQH, PECOS, NPPES, etc. Strong communication, organizational, and follow-up skills. Proficient in MS Office and credentialing software/tools. Preferred Skills: Experience working with U.S. healthcare providers. Familiarity with medical billing and insurance guidelines. Ability to manage multiple priorities in a deadline-driven environment. Perks & Benefits: 5 Days Working Provident Fund & Gratuity Medical Insurance Travel Allowance Fresher and non-relevant experience applicants, please ignore!

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1.0 - 5.0 years

1 - 4 Lacs

Chennai

Work from Office

Greetings from e-care India !!! We are looking for Executive/Senior Executive - Credentialing from 1+ Years of Experience Job Essential: Good oral & written communication skills Minimum 1 year of Experience in Credentialing Application. Should have Experience in Federal Applications (Medicare , Medicaid , Tricare). Exposure in commercial applications will be an added advantage Should have Exposure in Multiple states in US & Exposure in Florida will be an advantage Work from office only. Interested and suitable candidates can share the resume to career@ecareindia.com along with current take home, Expected Take home and Notice period. we will reach the suitable candidates for the interview schedule. Regards Aparajitha Rangarajan

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1.0 - 5.0 years

2 - 5 Lacs

Noida, Bengaluru

Work from Office

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

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5.0 years

0 Lacs

India

Remote

Medical Biller - Remote EST Time Zone Your job would involve: • Primarily remote work with meeting in person on a necessary basis • Verify coverage and eligibility for medical services • Communicate with insurance providers and patients • Review patient bills and correct any missing or inaccurate information • Use a billing software to prepare and transmit claims • Clear up balance discrepancies • Investigate and appeal claims that were denied • Complete data entry to update spreadsheets and reports • Work with patients to set up payment plans • Adapt to updates and changes in billing software • Process denial management for claims rejected by the Insurance companies • Create and maintain licensing, credentials and insurance records • Conduct research on updated state and federal regulations and policies • Release information to requesting agencies and public inquiries when required by law • Help develop internal credentialing processes • Monitor license and credential expiration dates and advise staff members of required “renew by” dates • Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions What You Should Have: • Proficiency with computers and medical billing software • Knowledge of unfair debt collection practices and insurance guidelines • Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS • Communication skills with patients/healthcare companies • Basic accounting and bookkeeping practices • Bachelor's or Associate's degree preferred • Minimum of 5 years of healthcare billing and credentialling experience • Passion for healthcare and technology • Exceptional written and verbal communication skills • High degree of professionalism • Strong customer relationship management skills • Ability to foster strong, positive relationships • Proven ability to set goals and meet deadlines • Understanding of healthcare billings and credentialling industry • Certified Provider Credentialing Specialist (CPCS) certifications – Is a plus

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5.0 years

0 Lacs

Pune, Maharashtra, India

On-site

Job Title: Credentialing Specialist Experience: 1–5 Years Location: Hinjewadi, Pune Company Overview: We are a growing organization committed to delivering high-quality healthcare solutions. As part of our continued expansion, we are looking for a diligent and detail-oriented Credentialing Specialist to join our team in Hinjewadi, Pune. This role is critical in ensuring compliance with credentialing standards and maintaining a strong provider network. Key Responsibilities: Manage and maintain up-to-date records of healthcare providers’ credentials, licenses, certifications, and affiliations. Coordinate and process initial credentialing and re-credentialing applications for providers in accordance with company policies and regulatory standards. Conduct thorough verification of education, training, experience, and licensure through primary sources. Liaise with insurance companies, hospitals, and credentialing bodies to ensure timely approvals. Monitor and track expiration dates for licenses and certifications and proactively follow up for renewals. Maintain accurate and organized electronic and physical credentialing files. Ensure compliance with NCQA, URAC, and other regulatory requirements. Prepare and submit credentialing reports for audits and internal use. Qualifications & Skills: Bachelor’s degree in any discipline (Healthcare/Administration preferred). 1 to 5 years of experience in credentialing or healthcare administration. Strong understanding of credentialing standards, healthcare regulations, and compliance. Excellent communication and organizational skills. High attention to detail and ability to manage multiple tasks simultaneously. Proficiency in MS Office (Excel, Word, Outlook) and credentialing software/tools is an added advantage. What We Offer: Competitive salary up to ₹6 LPA based on experience and skillset. Opportunity to work in a dynamic and growth-oriented environment. Supportive team culture and ongoing professional development.

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2.0 years

2 - 4 Lacs

India

Remote

Job Summary: We are seeking an experienced and results-driven US Healthcare Recruiter to join our team. The ideal candidate will have a proven track record of sourcing, screening, and placing top-tier healthcare professionals across various clinical and non-clinical specialties. This includes Registered Nurses (RN), Licensed Practical Nurses (LPN), Nurse Practitioners, Surgeons, Allied Health professionals, and specialized roles such as Cardiology, Ophthalmology, and Dental staff. The recruiter will manage the full recruitment cycle, from understanding client needs to sourcing candidates, coordinating interviews, negotiating offers, and ensuring successful onboarding. Key Responsibilities: Source, screen, and qualify candidates for healthcare positions including: Clinical roles : RNs, LPNs, Nurse Practitioners, Physicians, Surgeons, Anesthesiologists, Medical Assistants Allied Health : Physical Therapists, Occupational Therapists, Radiologic Technologists, Sonographers, Respiratory Therapists, Lab Technicians Specialties : Cardiology, Oncology, Neurology, Dermatology, Ophthalmology, Dental, Orthopedics, Pediatrics, Psychiatry, Gastroenterology, Urology, etc. Non-Clinical : Medical Billers/Coders, Healthcare Administrators, Case Managers, Medical Receptionists, Compliance & Quality Analysts Collaborate with hiring managers and healthcare facilities (hospitals, clinics, private practices, long-term care) to understand job requirements and expectations Create compelling job postings and advertise openings through various job boards, social media, and ATS platforms Screen resumes and conduct initial phone/video interviews to assess skills, credentials, and licensure Coordinate interviews with clients and provide feedback throughout the recruitment process Verify candidate credentials including education, licensure, background checks, and certifications (e.g., BLS, ACLS, DEA) Negotiate compensation packages, sign-on bonuses, and relocation benefits in line with client policies Maintain an active pipeline of qualified candidates for current and future needs Ensure compliance with all federal, state, and healthcare industry regulations (HIPAA, JCAHO, etc.) Track recruitment metrics and provide regular reports to management Qualifications: Bachelor’s degree in Human Resources, Healthcare Administration, or related field (preferred) 2+ years of experience in US-based healthcare recruitment (agency or in-house) Strong understanding of healthcare job functions, credentialing, and licensure requirements across multiple states Familiarity with ATS systems and sourcing tools (e.g., LinkedIn Recruiter, Indeed, Dice, JobDiva, Bullhorn) Excellent communication, negotiation, and interpersonal skills Ability to manage high-volume requisitions and prioritize multiple roles simultaneously Experience working with locum tenens, contract, travel nursing, and permanent placements is a plus Preferred Experience: Recruitment for both clinical and non-clinical roles Previous hiring for travel nurses , per diem , contract , and direct-hire roles Knowledge of state-by-state licensing requirements for nurses and physicians Worked with VMS/MSP systems and large hospital networks Understanding of healthcare compliance requirements, credentialing, and onboarding procedures Work Environment: Fast-paced, collaborative environment Remote/hybrid flexibility depending on client needs Interaction with HR departments, credentialing teams, and compliance specialists Key Competencies: Talent sourcing & headhunting Multi-specialty healthcare recruitment Credential verification Candidate relationship management Offer negotiation Client servicing Job Type: Full-time Pay: ₹20,000.00 - ₹35,000.00 per month Benefits: Commuter assistance Flexible schedule Food provided Health insurance Life insurance Paid time off Provident Fund Schedule: Monday to Friday Night shift Supplemental Pay: Commission pay Performance bonus Quarterly bonus Yearly bonus Ability to commute/relocate: Begumpet, Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Preferred) Experience: Recruiting: 5 years (Preferred) Healthcare management: 3 years (Preferred) Location: Begumpet, Hyderabad, Telangana (Preferred) Shift availability: Night Shift (Required) Work Location: In person

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5.0 - 10.0 years

5 - 15 Lacs

Hyderabad, Uppal

Work from Office

Job Title: MSP Consultant Healthcare Staffing (Vendor Tie-up Specialist) Location: DSL Abacus IT Park, Uppal, Hyderabad (Remote/Onsite as per discussion) Job Description: We are a licensed healthcare staffing agency actively operating across multiple U.S. states. We are seeking an experienced MSP Consultant to assist us in securing vendor agreements with leading MSP platforms such as HWL, ShiftMed, Staffing Engine, and Aya Healthcare . Responsibilities: Provide expert advice on MSP vendor registration processes Assist in preparing and organizing compliance, legal, and licensing documentation Support in submitting applications and meeting credentialing requirements Offer introductions or guidance to MSP vendor managers (if available) Help streamline the onboarding and contracting process Requirements: Proven track record of successfully helping staffing agencies partner with U.S. MSP networks Strong understanding of U.S. healthcare staffing and compliance standards Excellent communication and consulting skills Availability to work remotely or from our Hyderabad office

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4.0 years

0 Lacs

Delhi, India

Remote

Job Overview: We are seeking an experienced and highly motivated Senior Healthcare Recruiter to join our dynamic team. 100% REMOTE environment The ideal candidate should have around 4+ years of hands-on experience in full-cycle healthcare recruitment and a proven track record of working closely with senior-level recruiters or leadership. You will be responsible for sourcing, screening, and placing healthcare professionals in clinical and non-clinical roles across various settings, including hospitals, long-term care, and home health. Key Responsibilities: Manage full-cycle recruitment : sourcing, screening, interviewing, and onboarding of healthcare professionals (RNs, LPNs, CNAs, Allied Health, Travel nursing, etc.) Collaborate and support senior recruiters and managers on priority roles and bulk hiring needs Maintain a pipeline of qualified candidates through active and passive sourcing methods Build strong relationships with candidates and ensure a positive candidate experience Familarity across platforms (Indeed, ZipRecruiter, Vivian, etc.) Ensure compliance with healthcare regulations, credentialing, and onboarding processes Track recruitment activity using ATS and CRM tools Stay up-to-date with industry trends , compensation changes, and state licensing requirements Requirements: Minimum 4 years of experience in healthcare recruitment or staffing Experience supporting or collaborating with senior recruiters or team leads Strong knowledge of healthcare roles and credentialing requirements Proficiency in sourcing tools like LinkedIn Recruiter, Indeed Resume, Job Boards, and CRM systems Excellent communication, negotiation, and relationship-building skills Ability to work in a fast-paced, target-driven environment Strong organizational skills and attention to detail Preferred Qualifications: Experience recruiting for multiple states or specialties Familiarity with healthcare staffing compliance Previous experience in a staffing agency or MSP environment

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0.0 - 3.0 years

0 - 0 Lacs

Begumpet, Hyderabad, Telangana

Remote

Job Summary: We are seeking an experienced and results-driven US Healthcare Recruiter to join our team. The ideal candidate will have a proven track record of sourcing, screening, and placing top-tier healthcare professionals across various clinical and non-clinical specialties. This includes Registered Nurses (RN), Licensed Practical Nurses (LPN), Nurse Practitioners, Surgeons, Allied Health professionals, and specialized roles such as Cardiology, Ophthalmology, and Dental staff. The recruiter will manage the full recruitment cycle, from understanding client needs to sourcing candidates, coordinating interviews, negotiating offers, and ensuring successful onboarding. Key Responsibilities: Source, screen, and qualify candidates for healthcare positions including: Clinical roles : RNs, LPNs, Nurse Practitioners, Physicians, Surgeons, Anesthesiologists, Medical Assistants Allied Health : Physical Therapists, Occupational Therapists, Radiologic Technologists, Sonographers, Respiratory Therapists, Lab Technicians Specialties : Cardiology, Oncology, Neurology, Dermatology, Ophthalmology, Dental, Orthopedics, Pediatrics, Psychiatry, Gastroenterology, Urology, etc. Non-Clinical : Medical Billers/Coders, Healthcare Administrators, Case Managers, Medical Receptionists, Compliance & Quality Analysts Collaborate with hiring managers and healthcare facilities (hospitals, clinics, private practices, long-term care) to understand job requirements and expectations Create compelling job postings and advertise openings through various job boards, social media, and ATS platforms Screen resumes and conduct initial phone/video interviews to assess skills, credentials, and licensure Coordinate interviews with clients and provide feedback throughout the recruitment process Verify candidate credentials including education, licensure, background checks, and certifications (e.g., BLS, ACLS, DEA) Negotiate compensation packages, sign-on bonuses, and relocation benefits in line with client policies Maintain an active pipeline of qualified candidates for current and future needs Ensure compliance with all federal, state, and healthcare industry regulations (HIPAA, JCAHO, etc.) Track recruitment metrics and provide regular reports to management Qualifications: Bachelor’s degree in Human Resources, Healthcare Administration, or related field (preferred) 2+ years of experience in US-based healthcare recruitment (agency or in-house) Strong understanding of healthcare job functions, credentialing, and licensure requirements across multiple states Familiarity with ATS systems and sourcing tools (e.g., LinkedIn Recruiter, Indeed, Dice, JobDiva, Bullhorn) Excellent communication, negotiation, and interpersonal skills Ability to manage high-volume requisitions and prioritize multiple roles simultaneously Experience working with locum tenens, contract, travel nursing, and permanent placements is a plus Preferred Experience: Recruitment for both clinical and non-clinical roles Previous hiring for travel nurses , per diem , contract , and direct-hire roles Knowledge of state-by-state licensing requirements for nurses and physicians Worked with VMS/MSP systems and large hospital networks Understanding of healthcare compliance requirements, credentialing, and onboarding procedures Work Environment: Fast-paced, collaborative environment Remote/hybrid flexibility depending on client needs Interaction with HR departments, credentialing teams, and compliance specialists Key Competencies: Talent sourcing & headhunting Multi-specialty healthcare recruitment Credential verification Candidate relationship management Offer negotiation Client servicing Job Type: Full-time Pay: ₹20,000.00 - ₹35,000.00 per month Benefits: Commuter assistance Flexible schedule Food provided Health insurance Life insurance Paid time off Provident Fund Schedule: Monday to Friday Night shift Supplemental Pay: Commission pay Performance bonus Quarterly bonus Yearly bonus Ability to commute/relocate: Begumpet, Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Preferred) Experience: Recruiting: 5 years (Preferred) Healthcare management: 3 years (Preferred) Location: Begumpet, Hyderabad, Telangana (Preferred) Shift availability: Night Shift (Required) Work Location: In person

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1.0 - 5.0 years

2 - 5 Lacs

Bengaluru

Work from Office

Exp: Freshers Job Title: Client Services Support Specialist - Trainee Excellent verbal and written communication skills Strong comprehension and understanding skills Capable of multitasking while demonstrating empathy and a solution-oriented approach Required Candidate profile Proficient in typing and comfortable with keyboard navigationEducation Criteria: PUC / 10+3 Diploma / Any Graduate Shift Timings: (Night Shift) Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Bengaluru

Work from Office

Experience: 1-4 years in AR calling (US healthcare) Exp in denial management and handling AR calls Exp with healthcare billing software 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: Noida & Bangalore Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

Bengaluru

Work from Office

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

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2.0 - 3.0 years

0 Lacs

India

On-site

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: As a US Healthcare Provider Enrollment Quality Assurance Specialist, you will be responsible for ensuring the accuracy, completeness, and compliance of provider enrollment processes within a healthcare organization. You will play a critical role in maintaining high standards of quality and efficiency in provider enrollment activities to support the organization's revenue cycle management. Essential Functions and Tasks: Quality Assurance Oversight: Conduct thorough reviews and audits of provider enrollment applications, documents, and data to ensure accuracy, completeness, and compliance with regulatory requirements, payer policies, and organizational standards. Documentation Verification: Validate and authenticate provider credentials, licenses, certifications, and other required documents submitted during the enrollment process to ensure authenticity and compliance with regulatory and payer requirements. Application Processing: Facilitate the timely and accurate processing of provider enrollment applications, including data entry, verification, and submission to relevant regulatory bodies and insurance payers. Communication and Collaboration: Collaborate with internal stakeholders such as credentialing teams, provider relations, billing departments, and external parties including providers, insurance companies, and regulatory agencies to resolve enrollment-related issues, discrepancies, and inquiries. Policy Adherence: Stay updated on changes to healthcare regulations, payer enrollment guidelines, and industry best practices to ensure compliance and adherence to applicable standards in provider enrollment processes. Quality Improvement Initiatives: Identify opportunities for process improvement, efficiency enhancement, and quality enhancement in provider enrollment workflows. Propose and implement strategies to streamline processes, reduce errors, and optimize productivity. Training and Education: Provide training, guidance, and support to internal staff involved in provider enrollment activities to ensure understanding of policies, procedures, and compliance requirements. Reporting and Documentation: Maintain accurate records, documentation, and audit trails of provider enrollment activities. Generate reports, analyze data, and track key performance indicators to monitor compliance, identify trends, and support decision-making. Education and Experience Requirements: Bachelor's degree in any related field. Minimum of 2-3 years of experience in healthcare provider enrollment, credentialing, or related areas. Experience in quality assurance, auditing, or compliance roles is highly desirable. Knowledge, Skills, and Abilities: In-depth understanding of healthcare regulations, accreditation standards, and payer enrollment requirements (e.g., Medicare, Medicaid, commercial insurers). Familiarity with enrollment software systems and databases is a plus. Strong attention to detail and accuracy in reviewing and verifying provider credentials, documents, and data. Proficiency in data analysis, problem-solving, and critical thinking to identify discrepancies, trends, and opportunities for improvement. Excellent verbal and written communication skills to effectively communicate with internal and external stakeholders, including providers, payers, and regulatory agencies. Ability to manage multiple tasks, prioritize workload, and meet deadlines in a fast-paced environment. Strong interpersonal skills and ability to work collaboratively as part of a team to achieve common goals and objectives. Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

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2.0 years

0 Lacs

India

On-site

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Team Lead, Provider Enrollment plays a key leadership role in the Provider Enrollment department, acting as a mentor, subject matter expert, and operational resource for a team of enrollment specialists. This role supports the Supervisor and Manager by overseeing daily workflows, resolving escalated issues, and ensuring enrollment tasks are completed accurately and in a timely manner. The Team Lead works collaboratively across internal teams and with external payers to support efficient provider onboarding and compliance with payer requirements. Essential Functions and Tasks: Lead, mentor, and support a team of Provider Enrollment Specialists in their daily tasks and development. Assist with onboarding and training new team members; develop and maintain training materials and SOPs. Monitor daily workload queues to ensure timely completion of enrollment tasks and proper case prioritization. Serve as the first point of escalation for complex enrollment issues or payer communication delays. Perform advanced follow-up with CMS, Medicaid, and third-party payers to resolve issues and ensure timely application processing. Ensure the accurate submission, tracking, and follow-up of CMS Medicare, State Medicaid, and commercial payer applications. Audit provider enrollment records and documentation to ensure compliance with internal standards and external payer requirements. Partner with clients, market locations, operations personnel, and revenue cycle stakeholders to facilitate smooth provider onboarding and ongoing maintenance. Proactively manage payer revalidation schedules and ensure timely renewals to prevent lapses in enrollment or deactivation. Track and maintain documentation of enrollment activities in all applicable systems. Maintain up-to-date knowledge of payer rules, credentialing requirements, and regulatory changes impacting provider enrollment. Contribute to process improvement initiatives and help drive efficiency across the team. Perform special projects and other duties as assigned. Education and Experience Requirements: High School diploma or equivalent. 2+ years of experience in provider enrollment, credentialing, or payer relations within a healthcare or RCM environment. 1+ year of experience in a lead or supervisory role preferred. Knowledge, Skills, and Abilities: In-depth knowledge of CMS, State Medicaid, and commercial payer application requirements. Strong understanding of DEA, CV, NPI, CAQH, and other credentialing components. Working knowledge of HIPAA Privacy & Security policies. Exceptional oral and written communication skills. Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and credentialing software tools. Strong problem-solving, organizational, and analytical skills. Ability to balance multiple priorities, meet deadlines, and adapt to changing workflows. High attention to detail and commitment to accuracy. Collaborative, team-oriented mindset with a professional and tactful demeanor. Self-starter who can work independently while contributing to team goals. Ability to maintain strict confidentiality of sensitive provider and organizational data. Ability to ensure the complex enrollment packages are complete and correct. Ability to work cohesively in a team-oriented environment. Ability to foster good working relationships with others both within and outside the organization. Ability to work independently and require little supervision, to focus on and accomplish tasks. Ability to maintain strict confidentiality with regards to protected provider and health information. Ability to take initiative and effectively troubleshoot while focusing on innovative solutions. Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately. Ability to remain flexible and work within a collaborative and fast paced environment. Ability to communicate with diverse personalities in a tactful, mature, and professional manner. Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

Posted 2 months ago

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