1343 Credentialing Jobs - Page 23

As a Credentialing Specialist (Provider Enrollment) at our office in Pune, you will play a crucial role in maintaining accurate provider profiles on various databases such as CAQH, PECOS, NPPES, and CMS. With a minimum of 1-3 years of experience in credentialing, your primary responsibility will be to ensure that all provider profiles are up to date and compliant with regulatory requirements. Your key responsibilities will include collaborating with providers to update their CAQH files in accordance with CMS Medicare/Medicaid and Managed Care Organizations regulations. Additionally, you will be responsible for monitoring and maintaining the credentialing, re-credentialing, and contracting pr...

Skills: Healthcare Leadership, Medical Services, Hospital Administration, Budget Management, Strategic Planning, Process Improvement, Medical Operations, Quality Assurance, Job Purpose Overall responsibility for medical leadership and oversight of the departmental operations including delivery of clinical care both routine and emergent, inter & intra departmental collaborations, people management, infrastructure and other administrative functions of the assigned clinical specialties through the respective Directors. Overall responsibility for planning and leading operations of Biomedical Engineering Department including equipment planning, evaluation, direction, implementation & life cycle m...

Need 1 years of exp in AR or Credentialing or Authorization Profile. Must be okay with calling Profile should have good comms. Any one from hospital and dental billing can apply Required Candidate profile LOOKING FOR IMMEDIATE JOINER Should be willing to work in US Shift. Need At least 1 years of work experience. Must be graduate. 1 Side cab and 1 side shuttle available looking for immediate joiner

DataFlow is looking for an ambitious, energetic and highly skilled Senior Manager within the Equivalence Services within DataFlow. This critical role combines team leadership with high-level operational and project coordination. The individual will foster close working relationships with internal and external stakeholders to ensure timely delivery. The ideal candidate will possess deep expertise in international education systems and qualifications including academic, technical, professional, and vocational, a proven track record of operational leadership to complex credentialing challenges and ensuring the highest standards of service delivery. DataFlow offers a flexible and collaborative w...

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...

DataFlow is looking for an ambitious, energetic and highly skilled Senior Manager within the Equivalence Services within DataFlow. This critical role combines team leadership with high-level operational and project coordination. The individual will foster close working relationships with internal and external stakeholders to ensure timely delivery. The ideal candidate will possess deep expertise in international education systems and qualifications including academic, technical, professional, and vocational, a proven track record of operational leadership to complex credentialing challenges and ensuring the highest standards of service delivery. DataFlow offers a flexible and collaborative w...

Key Responsibilities: Clinical Governance & Patient Care Ensure delivery of safe, ethical, evidence-based, and patient-centric care across all departments. Coordinate with HODs and clinical leaders to standardize care protocols and clinical audits. Monitor clinical outcomes and patient safety indicators (e.g., mortality, infection rates, near-miss events). Lead morbidity and mortality meetings and oversee clinical reviews. Hospital Administration Supervise day-to-day operations of medical and paramedical departments. Ensure optimal resource utilization, including beds, ICU, diagnostics, and operation theatres. Facilitate medical staff scheduling, leave planning, and contingency planning. Ens...

Tips: Responsible for ensuring healthcare providers are appropriately credentialed (verified and qualified) and privileged (authorized for clinical duties) per hospital bylaws, regulatory standards, and patient safety requirements. They play a critical role in onboarding providers who are competent and legally permitted to deliver care. Responsibilities Verify provider qualifications education, training, board certification, licensure, work history, references, background checks, NPDB/Federal exclusion data. Process pre‑applications and full applications per hospital medical staff bylaws; manage disenrollment, appeals, or re‑credentialing processes. Collect and review provider requests for c...

Company Description CrystalVoxx is a healthcare econometrics company providing integrated healthcare solutions, including Medical Billing and Coding Services. Our services cater to various specialties like Chiropractic, Dental, Cardiology, and more, supporting individual and group practices. Based on 14 years of experience, our unique process workflow combined with smarter analytics and technology ensures no revenue is left uncollected. By partnering with us, practices can overcome revenue cycle challenges, control increasing A/R, and improve financial performance. Role Description This is a full-time on-site role for a Sr. AR Caller - RCM at CrystalVoxx Global LLP, located in Ahmedabad. The...

Role & responsibilities Preferred candidate profile Hirings for SPE-Credentialing/SME-QA Credentialing/Team Lead- Credentialing. Experience required: 2-8+ years credentialing voice is must Good communication skills Flexible to work with US shifts Mode: WFH Work location: Chennai/Hyderabad/Bangalore Any Graduates Hirings on Team Lead and QA-Credentialing voice

The Division of Occupational and Environmental Medicine is seeking a Nurse Practitioner to manage the day-to-day clinical and operational activities of the PepsiCo St. Louis Plant. The position reports directly to the Central Regional Coordinator for the PBC/JHU partnership. The position also works closely with the Executive Director and Division Administrator of the Division of Occupational and Environmental Medicine. Specific Duties & Responsibilities Provide on-site services forty (40) hours per week at the PepsiCo clinic in St. Louis, Missouri. Triage and treat, as appropriate, minor work-related and non-work-related injuries and illnesses. Dispense over the counter and prescription medi...

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

Refunds Specialist - Cash Applications - 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 **We are offering walk-in interviews at our Mysore office on any weekday between 10 am - 4 pm** Hours: Monday - Friday: Shift : 7:30 am - 4:30 pm IST Status: Full-time 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, ...

Responsibilities: Lead Client Onboarding: Oversee and manage the entire onboarding process for new clients, ensuring a seamless transition and successful implementation of our healthcare Credentialing services. Relationship Management: Establish and maintain strong client relationships, serving as the primary point of contact during onboarding and beyond, addressing any concerns or inquiries promptly. Requirements Gathering: Work closely with clients to understand their specific needs, workflows, and operational requirements, ensuring accurate configuration and customization of Credentialing solutions. Project Coordination: Collaborate with cross-functional teams, including sales, operations...

Company Description Prometric is a global leader in credentialing and skills development, with over 30 years of experience. We operate the largest test center network with over 8,000 test centers in 180+ countries and offer exams in 70 different languages. Our mission is to empower the workforce of tomorrow Role Description This is a full-time on-site role for a Business Development Associate located in Ahmedabad. The Business Development Associate will be responsible for conducting market research, generating leads, preparing and delivering presentations, and maintaining communication with prospective clients. The role will involve identifying business opportunities, developing client relat...

You are a Process Specialist with 4 to 5 years of experience in HealthCare Products. Your expertise lies in Prov Privileges excluding Hospital Demo Changes Credentialing and Re-credentialing by Calls. In this role, you will work in a hybrid model including night shifts, ensuring the smooth operation of healthcare processes to enhance overall efficiency and effectiveness of services. Your responsibilities will include overseeing the management of healthcare products for compliance with industry standards, maintaining accurate provider information, managing demo changes, handling credentialing and re-credentialing processes, collaborating with departments for process streamlining, conducting a...

Job Description Summary In this role you will be focused on obtaining and maintaining global third-party supplier documentation for Imaging Accessories& Supplies (A&S) products. Under the instruction from A&S Product RA ensuring documentation requirements are obtained in accordance with the supplier contract for initial global market access, maintenance of global registrations, and continuous upkeep as business needs arise. Job Description Roles and Responsibilities Collaborates across the regulatory organization and cross-functionally with product managers to support global submission documentation requirements in identified markets. Requests and maintains supplier documentation in designat...

The role involves retrieving medical records, coordinating with external entities, verifying accuracy, maintaining an organized database, collaborating with internal teams, and conducting quality checks. Required Candidate profile Salary : up to 35 ctc + Other Benefits. Shift :6:30 pm to 3:30 am ( Night Shift ). Experience : 0.6 Month to 5 Year.

🚀 Job Title : Provider Credentialing Specialist 📍 Location : Mohali (Remote/Hybrid) 📄 Job Type : Full-time 🧑‍💻 Experience : 1-5 Years 🏢 Company Description RevGroMD enables growth in healthcare practice by providing expert revenue solutions. We navigate the complexities of provider enrollment, revenue cycle, and market dynamics so that you can focus on providing exceptional care. Our trio of essential services includes Insurance Credentialing, Revenue Cycle Management, and targeted Marketing Services to fortify your healthcare practice or facility. 🎯 Role Description This is a full-time remote role for a Provider Credentialing Specialist based in Mohali. The Provider Credentialing Specialist...

📋 Job Title: Provider Credentialing Specialist 📍 Location: Remote 🕒 Type: Full-Time 🏢 About RevGroMD RevGroMD helps healthcare practices across the US and Canada grow by providing expert support in Insurance Credentialing , Revenue Cycle Management , and Digital Marketing . Our mission is to eliminate operational roadblocks for healthcare providers so they can focus on delivering excellent care. We are looking for a detail-oriented and process-driven Credentialing Specialist to join our operations team and manage the end-to-end provider enrollment process. 🎯 Role Overview As a Provider Credentialing Specialist , you will be responsible for handling the end-to-end provider credentialing and e...

Experience: 1-5 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 Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

Company Details CertifyOS revolutionizes U.S. healthcare by providing API-first, UI-agnostic platforms for seamless provider network management. Automating verification and credentialing with extensive primary source integrations, CertifyOS ensures efficient, real-time data access and supports all provider networking needs. Located in New York City, Series A funded. Job Roles & Responsibilities - Write clean, efficient Java and Core Java code for healthtech B2B applications. - Develop robust, scalable full-stack solutions using Core Java. - Ensure seamless integration with primary source systems. - Optimize application performance and ensure low-latency execution. - Collaborate with product ...

We are seeking an Associate Director – Media and Design to help drive and scale our media and visual content strategy of educational materials within the EdTech landscape. In this leadership role, you will play a critical part in visualising and executing high-impact media solutions, mentoring creative teams, and advancing innovation through emerging tools and technologies. You will collaborate closely with senior stakeholders and guide mid-level talent to deliver next-generation learning experiences that are visually compelling, globally relevant, andpowered by intelligent media workflows. Key Responsibilities �� Design and Media Leadership ● Lead the conceptualization and development of di...

Refunds Specialist - Cash Applications - 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 **We are offering walk-in interviews at our Mysore office on any weekday between 10 am - 4 pm** Hours: Monday - Friday: Shift : 7:30 am - 4:30 pm IST Status: Full-time 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, ...

All Care Therapies is a rapidly growing IT and Medical back office Management Company providing superior consulting and management services for the healthcare industry. Our innovative approach to back office healthcare management sets us apart in the industry. As our US Talent Acquisition team expands, we are seeking a dedicated RN Credentialing / Compliance Officer with essential US health care (Nursing) staffing and credentialing/compliance experience for US Healthcare clients. This position is crucial in ensuring the smooth onboarding and compliance of our nursing staff. Location: Noida, UP Shift: PST Zone Salary: Commensurate with experience and skills Key Responsibilities: - Provide adm...