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0 years
0 Lacs
Chas, Jharkhand, India
On-site
Working Here | Experience Serving Your Community If you are looking to foster a fulfilling career path while serving your community, you are in the right place. All careers at CHAS Health allow you to make an impact on patient’s lives and our greater community. No matter what clinic or location you join, you become a part of the bigger picture – providing trustworthy, patient-centered, and attentive care to anyone who walks through our doors. We continue to expand operations and are regularly looking for talented and dedicated individuals to help us continue to make a difference in patient lives. Challenging the status quo starts with you – get started today. Everyone Welcome From the beginning, we strongly believe that all people have the right to high-quality health care. Our goal is to remove barriers to care and provide high-quality, evidence-based care in a place that is convenient – in your neighborhood. We believe everyone deserves to be treated with dignity and respect regardless of their situation. Compensation Range $121,000.00 - $188,514.00 Check out our work perks here! Job Description Purpose of Job: Essential Duties And Responsibilities Improve the overall health of the communities we serve by providing primary medical services at CHAS Health clinics in accordance with policies, procedures and regulations of the CHAS Health Board of Directors and administration as follows: Treats a mixed patient population, across gender, age and ethnicity, as well as insured and uninsured patients. Examines patient to determine general physical condition. Performs physical examinations, minor procedures and preventive health measures within prescribed guidelines. Orders or executes various tests, analyses, and diagnostic images to provide information on patient's condition. Analyzes reports and findings and diagnoses condition. Prescribes or recommends drugs or other forms of treatment such as physical therapy, inhalation therapy, or related therapeutic procedures. Orders inoculations and vaccinations for patients to immunize from communicable diseases. Refers patients to medical specialist or other practitioner for specialized treatment. Advise patients concerning diet, hygiene, and methods for prevention of disease. Records and/or signs off on physical findings, and formulates plan and prognosis, based on patient's condition, in patient’s electronic chart in accordance with established standards. Reports births, deaths, and outbreak of contagious diseases to governmental authorities. Participates in provider staff meetings to develop problem-solving techniques, and acquire team-building skills. Participates in peer reviews. Participates in clinic quality initiatives as requested. Performs other duties assigned, including supporting the CHAS Health Mission and Core Values. Qualifications Education/Experience: Graduation from a Masters level, accredited Advanced Registered Nurse Practitioner school. Valid licensure in state of practice required. Secure narcotic prescription privileges. Board Certified or Eligible. Skills: Effective oral and written communication skills required. Must be able to secure credentialing through identified agencies (Medicare, Medicaid, etc.). BLS (CPR/AED) required. Commitment to supporting a safe and respectful environment is required. Physical Demands Providers must be able to move around the facility between 1/3rd and 2/3rds of the day, as well as sit at a workstation or in patient rooms. Using hands occurs over 2/3rds of the day, while reaching with arms occurs less than 1/3rd of the day. Communicating is also required over 2/3rds of the day, while climbing, stooping or crawling is minimal. Lifting up to 10 lbs occurs about half the time, while up to and above 25 lbs occurs only occasionally. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Our core values are our foundation, the guiding sense of direction for our organization: Social Responsibility Patient-Centered Entrepreneurship Respect for Human Dignity Commitment to Continuous Quality Improvement Fun CHAS Health | Equal Employment Opportunity In order to provide equal employment and advancement opportunities to all individuals, employment decisions at CHAS Health will be based on merit, qualifications, and abilities. CHAS Health does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, gender identity and expression, sexual orientation, national origin, age, disability, or any other characteristic protected by law. Show more Show less
Posted 2 months ago
0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
When you join Accurate Background, you’re an integral part of making every hire the start of a success story. Your contributions will help us fulfill our mission of advancing the background screening experience through visibility and insights, empowering our clients to make smarter, unbiased decisions. Accurate Background is a fast-growing organization, focused on providing employment background screenings and building trustful relationships with our clients. Accurate Background continues to exceed expectations by offering an array of innovative and cutting-edge background check and credentialing products to meet the needs of human resource, loss prevention, and security/legal professionals in employment screening and vendor certification. We offer a fun, fast-paced environment, with lots of room for growth. If this sounds good to you, join our team! Our Client Services team is the “voice” of Accurate Background – they connect with customers to provide information and resolve issues. Responsibilities Develop knowledge and understanding of specific CS functions Learn specific activities and retain information, and know-how Gain an overall understanding of Order Fulfillment Develop knowledge and understanding of products Process assigned work, independently, consistently, and accurately Follow provided instructions, exactly Follow work/break/lunch schedule Develop some understanding of FCRA Communicate with clients and applicants via phone, email and chat queues Provide information about products and services Obtain details on complaints and requests Process requests and then resolve them with accuracy and efficiency Provide training/guidance Analyze and interpret information received from callers using deductive and inductive reasoning skills to determine the best solution and follow through to completion Record details of all calls and tasks, as well as actions taken, into the CRM tool Communicate with supervisors, peers, leaders, and other departments regarding caller requests Provide tutorials and guidance on proprietary system Meet Accurate Background quality standards for services by adhering to client guidelines, regulations, policies, and procedures Contribute to team effort in maintaining service level agreements (SLA) Other related duties, as needed Skills Patience Attentiveness Ability to use positive language Persuasion Time Management Multitasking (i.e., read or type while talking on the phone) Empathy Goal-oriented focus Strong written and verbal comprehension and expression skills Previous experience with Microsoft Office Suite/Office 365 (Outlook, Word, Excel, OneNote, OneDrive) Ability to type 45+ WPM Shift Timing: 6:30 PM - 4:30 AM Additional Benefits: Home pickup and drop-off facility. 🌟 Walk-in Interview: Date: 19th March 2025 Time: 3:00pm to 7:00pm Location: 14th Floor, Lodha Supremus Lodha Business District, Kolshet, Off. Ghodbandar Road, Thane-West 400 607 The Accurate Way: We offer a fun, fast-paced environment, with lots of room for growth. We have an unwavering commitment to diversity, ensuring everyone has a complete sense of belonging here. To do this, we follow four guiding principles – Take Ownership, Be Open, Stay Curious, Work as One – core values that dictate what we stand for, and how we behave. Take ownership. Be accountable for your actions, your team, and the company. Accept responsibility willingly, especially when it’s what’s best for our customers. Give others every reason to trust you, believe in you, and count on you. Rise to every occasion with your personal best. Be open. Be open to new ideas. Be inclusive of people and ways of doing things. Make yourself accessible and approachable, and communicate with genuineness, transparency, honesty, and respect. Embrace differences. Stay curious. Stay curious even as you move forward. Tirelessly ask questions and challenge the status quo in your pursuit of new ideas, ways to solve problems, and to continually grow and improve. Work as one. Work together to create the best customer and workplace experience. Put our customers and employees first—before individual or departmental agendas. Make sure they get the help they need to succeed. About Accurate Background: Accurate Background’s vision is to make every hire the start of a success story. As a trusted provider of employment background screening and workforce monitoring services, Accurate Background gives companies of all sizes the confidence to make smarter, unbiased hiring decisions at the speed of demand. Experience a new standard of support with a dedicated team, comprehensive technology and insight, and the most extensive coverage and search options to advance your business while keeping your brand and people safe. Special Notice: Accurate is aware of schemes involving fraudulent job postings/offers and/or individuals or entities claiming to be employees of Accurate. Those involved are offering fabricated employment opportunities to applicants, often asking for sensitive personal and financial information. If you believe you have been contacted by anyone misrepresenting themselves as an employee of Accurate, please contact humanresources@accurate.com. Please be advised that all legitimate correspondence from an Accurate employee will come from "@accurate.com" email accounts. Accurate will not interview candidates via text or email. Our interviews are conducted by recruiters and leaders via the phone, Zoom/Teams or in an in-person format. Accurate will never ask candidates to make any type of personal financial investment related to gaining employment with the Company. Show more Show less
Posted 2 months ago
1.0 - 5.0 years
2 - 5 Lacs
Noida, Chennai, Bengaluru
Work from Office
Experience: 1-4years 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
Posted 3 months ago
1.0 - 5.0 years
2 - 5 Lacs
Bengaluru
Work from Office
Position 1: AR Caller / Senior AR Caller Experience: 2 to 5 years Required Skills: Expertise in Hospital Billing (UB04) Strong understanding of UB04 claim forms and related processes Strong in Denial Management Good communication skills Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred Shift: Night shift only Location: Bangalore Email: manijob7@gmail.com Call / Whatsapp 9989051577
Posted 3 months ago
0 years
0 Lacs
India
Remote
Job Title "Senior DevOps Engineer at Certify, Remote Role" 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 - Design and implement scalable infrastructure on AWS and GCP to support CertifyOS's API-first platform. - Automate cloud provisioning, monitoring, and scaling using tools like Terraform and Ansible. - Develop CI/CD pipelines using Docker and Kubernetes to streamline deployments. - Collaborate to optimize cloud services and reduce operational costs. - Troubleshoot and resolve issues on the AWS, GCP, and Azure Cloud platforms. - Enhance platform reliability and performance using Google Kubernetes Engine (GKE) and Azure services. - Contribute to infrastructure-as-code solutions in Python, Go, and Groovy. - Support real-time data integration for healthcare provider network management. Cultural Expectations - Collaborate effectively across teams to ensure seamless integration and automation of provider data processes. - Embrace agility and innovation in managing cloud infrastructure for real-time healthcare data solutions. - Commit to excellence and accuracy in service delivery and provider verification. - Engage openly in problem-solving, valuing diverse perspectives to overcome technical challenges. - Lead with a continuous improvement mindset, proactively identifying and implementing process enhancements. Hiring Process Phone screening - Talent team 45 min intro call with the Hiring Manager 90 mins technical screening - Hiring Manager (Involves live coding in Codility) Values Interview Show more Show less
Posted 3 months ago
5.0 years
0 - 1 Lacs
Chandigarh
On-site
Key Responsibilities: Oversee and manage end-to-end revenue cycle operations, including charge entry, payment posting, claims submission, denial management, AR follow-up, and patient billing. Supervise RCM teams, ensuring KPIs and SLAs are met consistently. Monitor account receivables and take proactive actions on aging and outstanding claims. Collaborate with the credentialing, eligibility & verification, and audit teams to streamline processes and resolve escalations. Identify process improvement opportunities and drive efficiency in the revenue cycle. Generate and analyze RCM reports to monitor performance, cash flow, and trends. Ensure compliance with US healthcare regulations and payer requirements. Train and mentor team members to maintain high-quality standards. Act as the point of contact for internal stakeholders and US-based clients. Qualifications: Bachelor’s degree or equivalent; healthcare or business-related field preferred. Minimum 5 years of experience in US healthcare RCM, with at least 1–2 years in a leadership or assistant manager role. Strong knowledge of billing processes, payer guidelines, AR cycles, and denial management. Proficient in RCM tools, clearinghouses, and EMR/EHR software. Excellent analytical, communication, and team management skills. Willing to work in US shift hours. What We Offer: Opportunity to work in a dynamic and fast-growing US healthcare organization. Exposure to diverse RCM functions with career growth opportunities. Competitive salary and performance-based incentives. Supportive and collaborative work environment. Immediate joiners preferred. Job Type: Full-time Pay: ₹60,000.00 - ₹100,000.00 per month Benefits: Commuter assistance Food provided Provident Fund Schedule: Monday to Friday Night shift US shift Work Location: In person
Posted 3 months ago
2.0 - 3.0 years
0 Lacs
Mysore, Karnataka, India
On-site
Credentialing Specialist – Job Description Position Overview: We are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Specialists applying for this role must be extremely comfortable working nightshift and be willing to make extra efforts to communicate/engage with our credentialing team. This position requires complex levels of organizational skills and the ability to complete assigned tasks within the allotted time to do so. Must have: • Minimum of 2-3 years’ experience in provider credentialing and enrollment • Must have expertise in filing Letters of Interest, enrollment applications from all states, and engaging with payers via calls and/or emails, as well as ensuring conclusions for both individual and group application types. • Must have a working knowledge of documents required for both individual and group applications and the ability to submit them flawlessly for private commercial, Medicare, and Medicaid payors as well as Medicaid MCO and Medicare supplement/replacement plans. • Must have the ability to engage with clients, keeping them updated on a regular basis and also ensuring maintenance of active status with payers. • End-to-end working knowledge of creating and maintaining provider details on CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals. • Be able to apply for and renew as needed all provider licenses; Professional, DEA, Controlled Substance, etc. • Ensure client and application data is updated and maintained continuously to share with clients when needed at a moment's notice. • Job Type: Full-time • Salary: Best in the Industry based on skills Show more Show less
Posted 3 months ago
2.0 - 7.0 years
4 - 7 Lacs
Hyderabad
Work from Office
HIRING Experienced Provider Enrollment of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile: Must have minimum 2 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in preparing privileges or enrollment applications 2 - 4 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (6:30 PM to 3:30 AM). Excellent customer service skills; communicates clearly and effectively Ability to work independently as well as in a team environment. Ability to prioritize and manage work queue. Good typing skills with a speed of min 30-35 words /min. Strong interpersonal skills with a focus on customer service. Personable and positive demeanor, especially when dealing with customers and patients. Whatsapp your resume to , 9100337774, 7382307530, 8247410763, 9059683624 Address: Advantum Health Pvt Ltd, Cybergateway, Block C, 4th Floor, Hitech City, Hyderabad Location: https://goo.gl/maps/yVe5kkAcv9Ers3mr8 Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) Salary upto 50k Per Month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Role & responsibilities: Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications. Maintain internal provider grid to ensure all information is accurate and logins are available. Update each providers CAQH database file timely according to the schedule published by CMS. Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid etc. Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing. Maintain accurate provider profiles on CAQH, PECOS, NPPES, Payer directory and CMS databases. Maintain strict confidentiality in accordance with HIPAA regulations and company policy Meeting daily/weekly and monthly targets set for an individual. Follow us on LinkedIn, Facebook and Instagram for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Thank you and best regards. Abdul Amaan Khan
Posted 3 months ago
7.0 years
0 Lacs
Jaipur, Rajasthan, India
On-site
PROFESSIONAL EXPERIENCE/SKILLS REQUIRED 7+ years’ experience in technical program management or product management. PMI Certified. BS/BA Degree in Information Technology or equivalent industry experience. In-depth knowledge of Agile Development or Scrum Project Management methodologies. Multiple years of global Training & Certification implementation experience. Corporate Training & Certification domain expertise is preferred. Proven track record of building or leading the implementation of third-party system deployment lifecycle, from RFP process through Go-Live. Demonstrated leadership with matrix teams. Ability to influence extended teams and command respect. Experience managing geographically dispersed teams across different time zones. Strong interpersonal and relationship-building skills. Self-starter with a ‘get it done’ attitude and a strong sense of team spirit. Able to work quickly and accurately under pressure and time constraints. Desire to roll up your sleeves to see a project to successful completion. Ability to deliver results with large-scale, cross-functional teams in a fast-paced environment. Ability to build trusting relationships, credibility, and strong communication skills to influence stakeholders, connect partners, and improve project decision-making, which drives business value. Excellent oral, written, and presentation skills; confident communicator with the ability to present complex issues and solutions in a clear, concise fashion to technical and non-technical audiences. Ability to work under pressure, highly adaptable, and well-organized. Ability to shift directions quickly when priorities change. Ability to think through problems to come up with innovative solutions and deliver against tight deadlines. Customer-focused; balance a "get it done" attitude with diplomacy to work effectively across different teams and at all levels. Strong knowledge of software development methodologies and best practices. Results-oriented with a focus on delivering value for the customer. Strategic thinker who can see the big picture, innovate, and adapt to constant change. PRIMARY RESPONSIBILITIES Own the end-to-end build, releases, and stability of the product, including Stakeholder Management, Program Management, Change Management, and User Adoption. Rapidly establish an understanding of both current state and future needs of the Salesforce Credentialing business. Develop a solid understanding of business use cases and requirements for the new solution. Act as a technology consultant and trusted advisor for business on all aspects related to the new solution. Serve as the technical project manager for end-to-end implementation. Provide leadership and oversight of all work streams, including internal partner groups, vendors, and consultants. Partner and consult with the Salesforce Credentialing business, selected solution vendor, Business Technology (Salesforce’s IT), and vendor Professional Services teams. Manage relationships with contracting vendors and supervise vendor resources. Cultivate effective, trusted working relationships with matrix teams located globally across time zones. Drive completion of milestones and deliverables; hold teams and individuals accountable for their work. Consult with and obtain sign-off from business stakeholders on key decisions. Create and maintain key project management documentation (project charter, stakeholder lists, project plan, roles & responsibilities, issues/risks, decisions, communications plan, etc.). Deliver hands-on work as an individual contributor, including short presentations, project status slides, or highly organized documents that anticipate customer needs and answer them in business process flows. Track and report implementation project status. Develop and execute User-Acceptance-Testing plans. Develop post-implementation support strategy and transition plan to the support team. Show more Show less
Posted 3 months ago
2.0 - 3.0 years
3 - 5 Lacs
Gurugram
Work from Office
Responsibilities: * Manage revenue cycle from claims submission to payment posting. * Ensure timely credentialing and denial handling. * Process claims, manage AR, and post payments. * Handle denials through appeals process.
Posted 3 months ago
2.0 years
0 Lacs
Mumbai Metropolitan Region
On-site
Job Description The Position External Healthcare Professionals (HCPs) & Healthcare Organizations (HCOs) is a vital, global activity that spans across many Organon functions. The lack of a centralized group or process to manage the HCP engagements has each function and region developing their own processes and/or using disparate vendors. There are immediate opportunities for harmonization, optimization & advancement of this capability for HCP Strategy & Identification, Planning & Execution as well as within HCP Operations (FMV, Contracting, Payments and Technology Enablement). The HCP Enablement Resources (HER) Project can enable Organon to benefit from harmonized strategy & execution more efficient operations, addressing compliance and reputational risks and create a scalable platform for future growth. The Senior Specialist oversees and manages all HCP Fee-For-Service agreement requests originating from in R&D, Commercial and/or Global External Affairs both in the United States and Ex-US, as required. This role interfaces with internal stakeholders to plan and coordinate annual HCP engagement needs, restricted expert lists, and strategic utilization of experts and the operationalization/execution of due diligence, contracting, meeting planning & events and payments. Responsibilities Serve as a point of contact for external consultants (KOLs, Thought Leaders, HCPs, etc.) and internal matrix teams. Act as a resource on processes and systems, including planning, execution, and issue management/resolution. Support the HER Project medical, commercial, R&D, and external affairs teams on processes, resources, and capabilities. Support vendor relationships, including due diligence, contracting, and logistics. Guide stakeholders, providing recommendations and support for consultant engagements (e.g., speaker, advisory boards, presentations, symposia). Develop and contribute innovative solutions for process simplification and harmonization. Manage strategic engagement processes, including cross-border engagements, scientific leader relationships, and medical association partnerships. Required Education, Experience And Skills A bachelor’s degree in science, business, healthcare, or a related field is required, with a strong preference for a concentration in a scientific or applied discipline. An advanced degree (e.g., MS) is preferred. Project management certification (PMP) and/or formal coursework/training in project management is strongly preferred. 2-5 years of biopharmaceutical experience. 2+ years in Research and Development (R&D) and/or Commercial Operations roles Experience in the pharmaceutical industry in commercial and/or medical affairs. Experience collaborating with medical/scientific leaders. Experience working with medical associations and societies. Strong communication and interpersonal skills Project management Collaboration and relationship management Understanding of the drug development process and HCP fee-for-service engagements Attention to detail and critical thinking Ability to embrace change and innovation Cultural sensitivity and cross-geographical collaboration Secondary Job Description Who We Are: Organon delivers ingenious health solutions that enable people to live their best lives. We are a $6.5 billion global healthcare company focused on making a world of difference for women, their families and the communities they care for. We have an important portfolio and are growing it by investing in the unmet needs of Women’s Health, expanding access to leading biosimilars and touching lives with a diverse and trusted portfolio of health solutions. Our Vision is clear: A better and healthier every day for every woman. As an equal opportunity employer, we welcome applications from candidates with a diverse background. We are committed to creating an inclusive environment for all our applicants. Search Firm Representatives Please Read Carefully Organon LLC, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. Annualized Salary Range Annualized Salary Range (Global) Annualized Salary Range (Canada) Please Note: Pay ranges are specific to local market and therefore vary from country to country. Employee Status Regular Relocation: VISA Sponsorship Travel Requirements: Organon employees must be able to satisfy all applicable travel and credentialing requirements, including associated vaccination prerequisites Shift Flexible Work Arrangements: Valid Driving License Hazardous Material(s): Number Of Openings 1 Requisition ID: R532930 Show more Show less
Posted 3 months ago
4.0 - 5.0 years
0 Lacs
Bangalore Urban, Karnataka, India
On-site
Job Summary We are seeking a dedicated and detail oriented Team Leader Operations with 4 to 5 years of experience in Accounts Receivable The ideal candidate will have a strong understanding of revenue cycle management and be able to effectively manage a team in a hybrid work model This role requires night shift availability and does not require travel Responsibilities Manage and oversee the daily operations of the accounts receivable team Ensure timely and accurate processing of accounts receivable transactions Monitor and analyze accounts receivable data to identify trends and areas for improvement Implement strategies to reduce outstanding receivables and improve cash flow Collaborate with other departments to resolve billing and payment issues Provide regular reports on accounts receivable performance to senior management Develop and maintain policies and procedures for accounts receivable processes Train and mentor team members to ensure high performance and professional growth Utilize denial processing and provider credentialing knowledge to enhance operational efficiency Ensure Compliance With Company Policies And Regulatory Requirements Address and resolve any escalated issues related to accounts receivable Foster a positive and productive work environment within the team Utilize revenue cycle management expertise to optimize financial outcomes Qualifications Possess a strong background in accounts receivable with 1 to 5 years of relevant experience Demonstrate knowledge of denial processing and provider credentialing Have experience in revenue cycle management and accounts receivables Exhibit excellent analytical and problem solving skills Show proficiency in using accounts receivable software and tools Display strong communication and interpersonal skills Be able to work effectively in a hybrid work model and night shift Demonstrate the ability to lead and motivate a team Have a keen eye for detail and accuracy Show a commitment to continuous improvement and professional development Be adaptable and able to handle multiple priorities Exhibit strong organizational and time management skills Maintain a high level of integrity and confidentiality Show more Show less
Posted 3 months ago
5.0 years
0 Lacs
Hyderabad, Telangana, India
Remote
We are united in our mission to make a positive impact on healthcare. Join Us! South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2024 2024 Black Book Awards, ranked #1 EHR in 11 Specialties 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold) 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who We Are We Are Modernizing Medicine (WAMM)! We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed is based in Boca Raton, FL, with office locations in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US. The RCM Quality and Outcome Improvement Analyst is a key position within the Modmed India Operations. Analysts will be assigned to a group of practices under one or multiple specialties reporting to a specialty lead. While they are responsible for working on claims escalated by practice or Global Partners, an Analyst is responsible for observing and analyzing the gaps/ trends and identifying opportunities to improve the process efficiency which will enhance the overall outcome for new and established customers. Your Role Play a critical role in meeting productivity targets, delivering a high level of customer service, and ensuring ModMed’s overall service delivery is consistently maintained at the highest standards while ensuring ModMed’s billing and compliance processes and Standard Operating Procedures (SOPs) are followed. Responsible for identifying and addressing opportunities to improve workflows and reduce non-meaningful touches by analyzing trends on inflows of claim-level assignments. Set up and manage online portals following the requirements and payer details provided by global partners, including, but not limited to, creating W9 forms and following up with payers. Work claims escalated from global partners, practices and onshore teams as per Standard Operating Procedures. (SOPs). Including but not limited to: Analyze claims addressed for credentialing issues from global partners and work closely with onshore to resolve credentialing issues. Review claims assigned to practice for quality and determine if decision tree enhancements will prevent future escalation of a similar claim. Analyze Dashboards/Reports for production and AR trends to identify quality issues; sample the claims and fill out Quality Analysis forms. Run reports regularly and maintain a status tracker to keep a close eye on various inventories to ensure global partners are working on the claims timely. Closely review the Practice Instructions (client specific requirements) and bring any opportunities to enhance and update to onshore RCM Client Advisors. Review KPIs and other important matrix data to ensure the allocated practices are green and have an “A” on the health scorecard. Review Jira tickets created by RCM Client Advisors and global partners for timely resolution; analyze ticket trends to recommend fixes to reduce ticket traffic. Present and review trends, issues and observations with RCM Client Advisors and join respective practice and vertical calls when appropriate. Analyze all functions of practice escalations and contribute to the plans of action shared by global partners and ensure any concerns to meet the plan are addressed. Regularly review SOPs to ensure workflows are being followed as documented and any new opportunity is identified where workflows can be improved. Work closely on new implementations to identify knowledge transfer challenges and audit the work before it is released. Assist in monitoring of Service Legal Agreements (SLA) by our global partners as well as internal teams. Perform additional projects and job duties as assigned. Skills & Requirements 5+ years of related working experience in core Provider RCM out of which minimum 2 years as SME, Asst. Team Lead, Team Lead , QA, QA Lead, etc. within a professional setting. Strong understanding of RCM Processes and best practices - knowledge at a transaction level is required. Experience working on process improvements/ six sigma quality projects preferred. Proven expertise in the front-end and back-end functions of the provider side of US Healthcare RCM such as charges, payment posting , AR follow ups, denials, eligibility, etc. Comprehensive understanding of the full revenue cycle process for claim submission, medical insurance policies, and ICD-10 and CPT coding guidelines. Proven knowledge of various insurance carriers, including Medicare, private HMOs, PPOs, Capitation and Workers’ Comp. Advanced excel skills such as the ability to use formulas to analyze data, create and format pivot tables and templates, use and conditional formatting and validation functions, able to create visualizations of data through charts, graphs and powerpoints; able to manage information located in multiple software systems. Exceptional written, verbal and interpersonal communication skills required. Committed to developing expertise in respective ModMed products (PM or gPM) within 3 months of employment. Professional demeanor, team player, strong time management skills required. Able to work during US night shifts within a hybrid work model from home and office is required - this position requires working closely with onshore/offshore teams, as well as with payer reps. ModMed Benefits Highlight: At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits: India Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk, Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees, Allowances: Annual wellness allowance to support your well-being and productivity, Earned, casual, and sick leaves to maintain a healthy work-life balance, Bereavement leave for difficult times and extended medical leave options, Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave, Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind. United States Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution, 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep. Generous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters. PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (first.lastname@modmed.com). Please check senders’ email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website. Show more Show less
Posted 3 months ago
0 years
0 Lacs
Itanagar, Arunachal Pradesh, India
Remote
Why Clipboard Health Exists: We exist to lift as many people up the socioeconomic ladder as possible. We dramatically improve lives by letting healthcare professionals turn extra time and ambition into career growth and financial opportunity. We achieve this with our app-based marketplace that connects healthcare facilities and healthcare professionals, allowing professionals to book on-demand shifts and facilities to access on-demand talent. About Clipboard Health: Clipboard Health is a fast-growing Series C marketplace. We are a leader in our Long Term Care vertical and are expanding into several others (Dental Offices, Schools, etc). We are a YC Top Company with a global, remote team of 600+ people. We have been profitable since 2022, and fill millions of shifts annually at partner workplaces across the US, where tens of thousands of professionals work with us every year. We are looking for your help to keep growing so we can serve more professionals and workplaces. To learn more about us, take a look at our website here. About The Role We are looking for a highly detail-oriented and process-driven Subject Matter Expert (SME) to join our core operational team at Clipboard Health. This role is critical in managing document escalations, preventing fraud, and guiding internal teams on credentialing standards for healthcare professionals using our platform. You will be part of a ~40-member internal SME group responsible for handling edge-case documentation issues, internal consults, and trust-related escalations that ensure the quality, safety, and compliance of our marketplace. If you’re someone who thrives on solving high-stakes operational challenges and wants to be a key player in maintaining trust at scale, this is the role for you. Key Responsibilities Manage Escalated Document Cases: Review and resolve complex or unclear documentation submitted by healthcare professionals (HCPs) that have been flagged for issues, fraud indicators, or quality concerns. Prevent Risk & Fraud: Identify suspicious documentation patterns and prevent potentially unsafe actors from entering the platform. Cross-Team Consultations: Serve as an internal consultant to Sales, Account Management, Product, Legal, and other teams regarding document standards, onboarding requirements, and policy interpretations. Process Ownership & Documentation: Own and execute daily operational tasks such as document status changes, mapping, unread document resolution, and special projects. Continuous Improvement: Regularly contribute to refining internal policies, updating requirements (e.g., new attestation forms), and closing process gaps. Collaboration & Communication: Work cross-functionally to resolve inquiries and improve internal workflows. Respond to questions with clarity and speed via Slack and other internal tools. Stay Current: Remain up to date with evolving product features and documentation requirements to ensure decisions are aligned with the latest guidelines. What We're Looking For Some experience in trust & safety, document verification, compliance operations, healthcare credentialing, customer support, or similar. Strong analytical skills and attention to detail — you're someone who notices what others miss. Ability to make sound decisions quickly in ambiguous or gray-area situations. Strong written communication skills and the ability to explain complex topics clearly. Highly organized and reliable, with a bias for action and ownership. Proven track record of operating well in fast-paced, remote work environments. Comfortable using productivity tools such as Slack, Google Sheets, and task managers. Ability to work independently while collaborating effectively across teams. Technical & Workspace Requirements Located in the Asia-Pacific region. Wired internet connection with minimum 15Mbps download speed. Minimum system requirements: CPU: Intel i5 (8th gen+) / AMD Ryzen 5 (2000 series+) / Apple M1 or higher RAM: 12 GB (16 GB recommended) Quiet and professional working environment. Noise-canceling headset and stable power/internet connection. Apply Now If this sounds like you, we’d love to hear from you. Please submit your resume and a brief cover letter explaining your interest in the role and relevant experience. Want to know more? Please feel free to check out our Clipboard Remote Work Guidelines . Show more Show less
Posted 3 months ago
1.0 years
0 Lacs
Sahibzada Ajit Singh Nagar, Punjab, India
Remote
📋 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 new and re-credentialing applications, ensuring compliance with payer requirements, and facilitating smooth provider onboarding. You’ll play a crucial role in accelerating our clients’ revenue cycles by securing timely approvals from commercial and government payers. 🔍 Key Responsibilities ✅ Prepare and submit credentialing and re-credentialing applications to commercial and government insurance payers (e.g., Medicare, Medicaid, BCBS, Aetna, Cigna, etc.). ✅ Maintain accurate provider records in systems like CAQH , PECOS , NPPES , and internal databases. ✅ Follow up proactively with payers to track application status and resolve delays. ✅ Communicate with clients/providers to obtain missing documents, signatures, or clarifications. ✅ Track and manage re-credentialing deadlines to ensure continued network participation. ✅ Update internal tracking systems and maintain detailed logs for every case. ✅ Collaborate with cross-functional teams to support seamless provider setup. ✅ Ensure 100% compliance with payer, state, and federal regulations. 📌 Qualifications & Skills ✔ 1+ years of experience in provider credentialing or healthcare operations (preferred). ✔ Strong knowledge of payer portals, credentialing processes, and enrollment guidelines. ✔ Familiarity with CAQH, PECOS, NPPES, and payer-specific platforms. ✔ Excellent written and verbal communication skills. ✔ Ability to manage multiple priorities, stay organized, and meet deadlines. ✔ Proficiency in Google Workspace or MS Office (Excel, Word). ✔ Strong attention to detail and problem-solving skills. 🌟 What We Offer ✨ Opportunity to work with a fast-growing startup ✨ Collaborative, supportive, and process-driven work environment ✨ Exposure to cross-functional projects in RCM, marketing & automation ✨ Skill development in a high-demand healthcare operations niche Show more Show less
Posted 3 months ago
2.0 - 3.0 years
0 - 0 Lacs
Hyderābād
On-site
Job Title: Credentialing Executive – Medical Billing Location: [Hyderabad] Job Type: [Full-time] Reports To: Manager Job Summary: The Credentialing Executive is responsible for overseeing and executing the provider credentialing and enrollment process with insurance payers to ensure that all healthcare professionals are properly credentialed and enrolled for reimbursement. This role is critical in preventing claim rejections, delays in payments, and maintaining overall billing compliance. Key Responsibilities: 1. Handle end-to-end provider credentialing and payer enrollment for new and existing healthcare providers. 2. Prepare and submit credentialing applications to government and commercial insurance payers, including Medicare, Medicaid, and private insurers. 3. Monitor and track the status of applications, follow up with payers, and ensure timely approvals. 4. Maintain accurate and up-to-date records of provider credentials, including licenses, board certifications, malpractice insurance, DEA registration, and other required documentation. 5. Update and manage provider profiles in credentialing databases and portals such as CAQH, PECOS, NPPES, and insurance payer websites. 6. Work closely with the medical billing team to ensure all credentialing information is correctly reflected in billing systems to prevent denials or payment issues. 7. Renew and re-credential providers as required by payers and regulatory agencies. 8. Identify and resolve credentialing-related issues and discrepancies that could affect billing and reimbursement. 9. Ensure compliance with all regulatory standards including NCQA, CMS, and payer-specific credentialing requirements. 10. Support audits by providing credentialing documentation and reports when requested. Required Qualifications: -High school diploma or equivalent; Associate’s or Bachelor’s degree in Healthcare Administration or related field preferred. -Minimum of 2–3 years of experience in provider credentialing and payer enrollment in a medical billing or RCM (Revenue Cycle Management) environment. -Strong knowledge of payer requirements and credentialing processes for Medicare, Medicaid, and commercial payers. -Proficiency with credentialing software and systems (e.g., CAQH, PECOS, NPPES, Availity). -Familiarity with billing systems and medical billing workflow (e.g., claim submissions, denials related to credentialing). -Strong attention to detail and organizational skills. -Excellent written and verbal communication skills. -Preferred Skills and Certifications: -Certified Provider Credentialing Specialist (CPCS) or Certified Medical Reimbursement Specialist (CMRS) – preferred but not required. -Experience with credentialing in a multi-provider or multi-specialty environment. -Ability to manage multiple priorities and meet deadlines in a fast-paced environment. Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹35,000.00 per month Benefits: Flexible schedule Health insurance Leave encashment Life insurance Paid sick time Paid time off Schedule: Evening shift Fixed shift Monday to Friday Night shift US shift Supplemental Pay: Overtime pay Performance bonus Work Location: In person
Posted 3 months ago
1.0 - 4.0 years
0 Lacs
Hyderābād
On-site
Job Title: Healthcare Recruiter Location: Onsite/ Rmeote(India-based, working US hours) Employment Type: Full-Time Company: CENTSTONE SERVICES LLC Job Summary: We are seeking a dedicated Healthcare Recruiter to source and recruit qualified professionals for a wide range of healthcare roles, including nurses, therapists, technicians, and allied health staff. The ideal candidate will have prior experience in healthcare recruiting, strong communication skills, and a commitment to delivering high-quality staffing solutions. Key Responsibilities: Source healthcare professionals through job boards, databases, social media, and referrals Conduct initial screenings, license verification, and credential checks Coordinate interviews and support candidates through onboarding and placement Build and maintain pipelines for key clinical and allied health positions (RNs, LPNs, CNAs, therapists, behavioral health, etc.) Understand client-specific credentialing, compliance, and documentation requirements Maintain accurate records in CEIPAL (ATS) and ensure timely follow-ups Collaborate with account managers and compliance teams to ensure smooth placements Requirements: 1 4 years of healthcare recruiting experience (clinical or non-clinical roles) Familiarity with US healthcare roles, state licensure, credentialing, and compliance Excellent communication and relationship-building skills Ability to work US hours (EST/CST) and manage multiple requisitions Strong organizational skills and attention to detail Experience with CEIPAL or similar ATS platforms preferred Thanks & Regards, Adarsh Mallik | IT Recruiter LinkedIn | 3322307193 adarsh.mallik@centstone.com CENTSTONE SERVICES Address: 3400 State Route 35, Suite 9B, Hazlet, New Jersey, 07730 USA.
Posted 3 months ago
2.0 years
0 Lacs
Ranchi, Jharkhand, India
On-site
About Us: As a pioneer in Healthcare, Manipal Hospitals is among the top healthcare providers in India serving over 5 million patients annually. Today we stand as an integrated network with a pan-India footprint of 37 hospitals across 19 cities with 10,500 beds, and a talented pool of over 5,600 doctors and an employee strength of over 20,000. Job Description Provides clinical and administrative direction for the clinical operation of medical departments and services. Responsible for the co-ordination and oversight of all medical care and support clinical related quality monitoring /accreditation/quality assurance. Roles & Responsibilities Responsible for overall co-ordination and oversight of all medical care provided at the unit and quality of clinical services rendered Ensure statutory compliances with regards to MTP, PCPNDT, AERB, Radiation Safety etc Analyze department mix and need for consultants Participate in tariff revision and clinical compensation patterns Analyze performance of retainers Monitor & Rationalize Doctor cost Rationalization of surgical & Medical Charges Responsible for the clinician / clinical related quality monitoring/accreditation /quality assurance services Co-ordinate and conduct medical Advisory Board, Clinical HOD Committee, departmental meetings. Participate and key contributor to Infection Control Committee, Pharmacy and Therapeutic Committee, Ethics Committee, Blood transfusion Committee, CPR analysis Committee. To Oversee reporting and communication of quality improvement initiatives, quality and patient safety awareness, safety culture survey administration, and recognition programs Addressing requirement of consultants and recruitment of consultants Induction, On boarding, Credentialing and privileging, formulating Contracts with inputs from Hospital Director for the new Consultants. Training and re privileging and monitoring performance and appraisal of the Consultants and maintaining personnel file with all the documents. Addressing any clinical governance related issues and initiating appropriate action when necessary Addressing of clinical Patient concerns/ complaints / potential medico legal complaints in coordination with treating Doctor. To review, peer review and formulate the draft reply for the medico legal cases with inputs from the treating team. Submit all documents and the draft version to the legal team. To maintain medicolegal tracker and follow up on active cases Conducting morality Mortality meetings periodically and review cases Audit-Clinical billing codes To provide clinical input to Unit Head whenever required for medico legal cases received Any new projects for MHEPL as per the Medical Admin with regard to clinical assessment To engage with the team through various initiatives like training, performance management, continual feedback, coaching and reward and recognize people to motivate them to deliver desired results Recommend junior clinical manpower for effective functioning of clinical departments Evaluate and initiate academic activities and programs like DNB/FNB/ Fellowship/ Training and certification Courses Ensure training of doctors on patient safety, service excellence initiatives and healthcare communication Prepare the biomedical equipment capital expenditure budget based on inputs from clinicians and biomedical department. Planning, rationalizing and optimizing the utilization of the equipment and providing inputs for procurement Oversight of medical records department and initiate digitization, Electronic records where feasible Conduct awareness programs, campaigns and drives for dissemination of service excellence initiatives, patient experience videos, effective communication strategies Medical Audits and facilitator of JCI/NABH Accreditation What We Are Looking For: Qualification : MBBS + MHA Minimum 2 years of experience in Medical Superintendent role. Proven team leadership skills with the ability to work effectively in a highly collaborative team environment. What We Offer: Competitive salary and benefits package Opportunities for professional development and career growth A collaborative and inclusive work environment How to Apply: Ready to make your mark with us? Apply now by sending your resume to deepika.banerjee@manipalhospitals.com Show more Show less
Posted 3 months ago
2.0 - 8.0 years
0 Lacs
Mumbai Metropolitan Region
On-site
Responsibilities Job Description Order to Cash (OtC) Management OtC Cycle Oversight: Manage the entire Order to Cash cycle, including customer order management, execution, and ensuring timely delivery of products to customers. Alliance Partners and SCM Governance: Collaborate with alliance partners to establish and maintain effective supply chain governance, ensuring compliance and alignment with strategic goals. Order Management: Coordinate order processing for all market customers, ensuring compliance with commercial and quality guidelines/SOPs. Inventory Control: Monitor inventory levels across super distributors (SDs) to prevent obsolescence and ensure product availability aligns with forecasts. Timely Shipment Delivery: Process, monitor, and deliver shipments to respective SDs/customers in a timely manner, maintaining high service levels (On-Time In-Full, Line-Item Fill Rate). Compliance Assurance: Ensure adherence to standard operating procedures (SOPs) and company policies throughout the OtC process, Including all ERP (Athena) transactions. Planning Process Management Demand Planning: Oversee demand planning for India and neighboring markets, ensuring accurate forecasts that align with business objectives. Fulfillment Planning: Manage fulfillment planning for local source supplies & review import supplies, optimizing supply chain efficiency. MRP Cycle Monitoring: Review the Material Requirements Planning (MRP) cycle, communicating net requirements to the respective import teams. Supply Chain Execution Management: Drive initiatives to monitor plan versus actuals, addressing chronic supply issues and updating stakeholders on constraints and potential sales losses. Collaboration with Regulatory : Collaborate with regulatory team to identify impacts on planning & supplies due to regulatory changes. Product Availability Monitoring: Ensure product availability aligns with forecasts at hubs. SD Management : Ensure product availability at Super distributors. Manage inventory across SDs while controlling inventory obsolescence. Key Deliverables Cost to Serve: Monitor and optimize the cost to serve metrics. Inventory Management: Analyze inventory norms based on product contributions and support improvements in inventory planning. Service Levels: Maintain high service levels and ensure compliance metrics are met. Forecast accuracy , On-Time In-Full, Line-Item Fill Rate) Relationship Management Organizational Development: Build and lead a highly effective supply chain organization capable of cross-functional collaboration. Stakeholder Engagement: Cultivate strong relationships with internal and external stakeholders to continuously understand and meet customer requirements. Required Education, Experience And Skills Graduate in Engineering or Supply Chain-related fields. A Master's degree is an added advantage. Experience in Supply Chain (Order to Cash, Planning Process, and Alliance Management). SAP experience 2-8 years - MM Module Secondary Job Description Who We Are: Organon delivers ingenious health solutions that enable people to live their best lives. We are a $6.5 billion global healthcare company focused on making a world of difference for women, their families and the communities they care for. We have an important portfolio and are growing it by investing in the unmet needs of Women’s Health, expanding access to leading biosimilars and touching lives with a diverse and trusted portfolio of health solutions. Our Vision is clear: A better and healthier every day for every woman. As an equal opportunity employer, we welcome applications from candidates with a diverse background. We are committed to creating an inclusive environment for all our applicants. Search Firm Representatives Please Read Carefully Organon LLC, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. Annualized Salary Range Annualized Salary Range (Global) Annualized Salary Range (Canada) Please Note: Pay ranges are specific to local market and therefore vary from country to country. Employee Status Regular Relocation: No relocation VISA Sponsorship Travel Requirements: Organon employees must be able to satisfy all applicable travel and credentialing requirements, including associated vaccination prerequisites Shift Flexible Work Arrangements: Valid Driving License Hazardous Material(s): Number Of Openings 1 Requisition ID: R534498 Show more Show less
Posted 3 months ago
2.0 - 3.0 years
0 Lacs
Mumbai Metropolitan Region
On-site
Skills: Talent Acquisition, Interviewing, Employer Branding, Healthcare Recruitment, campus hiring, leadership hiring, Job Title: Senior Manager Talent Acquisition Location: Mumbai Position Summary: The Senior Manager Talent Acquisition will be responsible for leading the end-to-end recruitment strategy and execution for the hospital group, covering clinical, non-clinical, leadership, and campus hiring across all locations. This role will focus on self-sourcing, employer branding, digital hiring innovation, and talent pipeline creation, ensuring that the organization attracts and retains high-quality talent to support its mission of clinical excellence and patient-centric care. Key Responsibilities Talent Acquisition Strategy & Execution Design and drive an integrated TA strategy across functions and units in alignment with business and manpower plans. Lead hiring for Doctors, Nurses, Paramedics, Allied Health Staff, Support Services, Administrative, and Leadership roles. Ensure fast TAT, high-quality selection, and seamless onboarding process management. Self-Sourcing Methods & Strategies Build a direct sourcing engine to reduce dependency on external agencies and drive cost-efficiency. Deploy creative sourcing methods including: LinkedIn search strategies Boolean searches, GitHub (for IT/Tech roles), Practo/medical communities (for clinical sourcing) Internal database mining and referral network optimization Targeted outreach via WhatsApp campaigns, emailers, and SMS Passive talent mapping and talent pipelining for critical and niche roles Maintain and refresh internal talent pools segmented by function, seniority, and location. Run referral drives and alumni re-engagement programs to tap into known high-potential talent. Leadership & Critical Role Hiring Drive proactive succession hiring and high-impact leadership recruitment (clinical and non-clinical). Collaborate with executive search firms as needed while maintaining an in-house pipeline. Implement structured assessments and interview frameworks for leadership roles. Campus Hiring & Medical Education Engagement Create a pan-India campus hiring roadmap nursing, paramedical, and management institutes. Build deep, long-term engagement with top-tier institutions through: Campus presentations and hospital brand showcases Internship pipelines and residency programs Faculty relationship management and academic partnerships Manage end-to-end execution of campus visits, interview logistics, offer rollout, and conversion tracking. Employer Branding & Talent Marketing Own the hospital groups employer brand positioning in the healthcare talent market. Strategically showcase the organization on platforms like LinkedIn, Glassdoor, college networks, and medical associations. Develop compelling content: recruitment videos, career stories, role spotlights, and EVP messaging. Collaborate with marketing and communications teams for integrated branding campaigns. Hiring Operations, Process Excellence & Analytics Implement best-in-class recruitment processes, governance frameworks, and hiring SLAs. Ensure data-driven dashboards and MIS reporting. Track key TA metrics: Sourcing Mix, Time to Fill, Offer Acceptance, Source-to-Hire ratios, Cost per Hire, and Quality of Hire. Onboarding Operations & Candidate Experience Oversee the seamless transition from offer acceptance to onboarding, ensuring timely documentation, medical verification, background checks, and pre-joining engagement. Coordinate with HR operations, IT, medical admin, and business functions to ensure Day 1 readiness (system access, ID cards, induction slotting, etc.). Ensure all clinical and regulatory onboarding compliances are fulfilled, including credentialing, medical council registration, and contract issuance. Monitor and improve onboarding satisfaction scores and early attrition rates by tracking feedback from new hires across cohorts. Education Candidate Profile: MBA / PGDM in Human Resources or Hospital/Healthcare Management Additional certifications in talent sourcing, digital recruiting, or employer branding (preferred) Experience 8 plus years of progressive talent acquisition experience, with minimum 2 - 3 years in healthcare or hospital-based hiring Proven expertise in self-sourcing, leadership hiring, and campus recruitment Hands-on experience managing high-volume and high-impact hiring in a service or healthcare environment Skills & Competencies Strong command of sourcing tools: LinkedIn Recruiter, ATS platforms, Boolean search Clinical role understanding and ability to engage medical professionals Strong project management, interpersonal, and influencing skills Digital-first mindset with creativity in candidate outreach and branding Ability to work in a fast-paced, high-growth environment with urgency and ownership Show more Show less
Posted 3 months ago
10.0 - 12.0 years
0 - 0 Lacs
Coimbatore
Work from Office
Provider Credentialing (US healthcare medical billing) 1. Collect all the data and documents required for filing credentialing applications from the physicians 2. Store the documents centrally on our secure document management systems 3. Understand the top payers to which the practice sends claim and initiate contact with the payers 4. Apply the payer-specific formats after a due audit 5. Timely follow-up with the Payer to track application status 6. Obtain the enrolment number from the Payer and communicate the state of the application to the physician 7. Periodic updates of the document library for credentialing purposes. Required Candidate profile Desired Candidate Profile: 1. Should have worked as a Credentialing Analyst for at least 3-year medical billing service providers 2. Good Knowledge in Provider credentialing (Doctor side). 3. Good knowledge in clearing house setup - Electronic Data Interchange setup (EDI) - Electronic Remittance Advice Setup (ERA) - Establish Insurance Portals (EFT) 4. Experience in Insurance calling. 5. Good knowledge in filling insurance enrollment applications. 6. Good experience in CAQH, PECOS application. 7. Experience in Medicare, Medicaid, Commercial insurance enrollment. 8. Positive attitude to solve problems 9. Knowledge of generating aging report 10. Strong communication skills with a neutral accent Note: Minimum of 8 to 12 years of Provider Credentialing experience must. Location: Coimbatore (Onsite job) Preference will be given to candidates who can start immediately or with short notice. Candidates who are freshers or have experience in other domains are kindly requested not to apply for this position.
Posted 3 months ago
1.0 - 5.0 years
2 - 6 Lacs
Visakhapatnam
Work from Office
Role & responsibilities Getting providers/physicians enrolled and contracted with payers. Maintenance and recredentialing requirements of the providers. Tracking and updating credentialing related information. Sharing updates with clients & management for all credentialing updates Preferred candidate profile Minimum 2- years experience is required in Medical Billing and/or Account Receivables for US Healthcare mandatory. Should have worked as a credentialing analyst for at least 1 year of medical billing service providers. Should have end to end provider US healthcare credentialing. Should have experience in CMS 855I, 855R. Tracks expiration dates and maintains current state licenses, DEA certification, malpractice coverage and any other required documents for all providers. Malpractice coverage and any other required documents for all providers. Compiles information and sets up provider files in verity credentialing system. Maintains verity credentialing software to ensure information is accurate and up to date. Completes initial provider credentialing applications, monitors applications, and follows up as needed. Track all expired provider certification. initiate re-credentialing application as requested by insurance companies. Collect all the data and documents required for filling credentialing application form the physicians. Store the documents centrally on our secure document management systems. Understand the top payers to which the practice sends claims and initial contract with the payers. Good experience in CAQH, PECOS application. Knowledge of all provider enrollments related portals and navigation. Experience in Medicare, Medicaid, Commercial payer enrollment process. Strong communication skills with a neutral accent. Proficiency in Microsoft office tools Willingness to work the night shift Education and Experience - Graduation completed - 3+ Years with minimum 1 year in credentialing for US Healthcare Providers. Perks and benefits Free cab facility to female employees all statutory benefits friendly environment work life balance please share your resumes to hiring@medrcm360.com, ta@medrcm360.com, careers@medrcm360.com and WhatsApp the resumes or call us to +91 7416630188, +917386430588, 7416630788.
Posted 3 months ago
10.0 - 12.0 years
0 Lacs
India
On-site
Infor Managed Services (IMS) team is seeking a Senior Infor Workforce Management (WFM) Consultant to lead the design, implementation, and optimization of Infor WFM solutions. This role requires strong expertise in Infor WFM modules, including Multi-Viewer Scheduler (MVS), Time & Attendance, and Labor Forecasting. Responsibilities: As a Senior WFM Consultant for IMS, the candidate will be required to perform the following: * Work as an integral part of the IMS WFM Team - coordinating activities with the customers, stakeholders, and Infor team members of all levels. * Develop strong techno-functional consulting skills surrounding Infor WFM application (and related third party) technologies and tools in order to support product customizations, modifications and related consulting/training activities. * Lead end-to-end implementation of enhancement / customization of Infor WFM application, with a focus on: o Multi-Viewer Scheduler (MVS) for complex shift planning and real-time visibility o Time & Attendance for accurate tracking and compliance o Labor Forecasting and Budgeting for proactive workforce planning * Provide expert-level troubleshooting and analyse customers' business requirements objectives; develop business processes to meet customers' business needs. * Assist customers in using available tools to deploy the Infor solution efficiently. * Mentor junior consultants and provide guidance on best practices and solutions. * Develop and maintain documentation, training materials, and change management plans. * Open to working on US shift (primarily). * Open to working on weekends and holidays. * Open to working as on-standby or on-call during off shift hours. Qualifications: * Bachelor's Degree in Computer Engineering, Computer Science, Information Technology, Information Systems, Industrial Engineering, or equivalent. * At least 10 to 12 years of proven work experience specializing in the implementation and strategic practice of Workforce Management or Timekeeping software packages such as Kronos Timekeeping, or related HCM software packages such as Workbrain, ADP etime, PeopleSoft, or Workforce Now. * Experience in reporting tools for data analysis and dashboarding, such as Cognos Report Builder * Extensive experience in implementing, customizing, and resolving critical issues for customers in all verticals * High proficiency in process improvement including release cycle, build and deployment, migration, and go-live support. * Strong understanding of clinical scheduling, labor laws, and credentialing requirements. * Excellent communication, stakeholder management, and leadership skills. * With Infor WFM certification on Time and Attendance, MVS, or LFSO * Experience on full-cycle implementation of Infor WFM application, including Multi-Viewer Scheduler (MVS) and Labor Forecasting and Optimization Schedule (LFSO). * Computer programming or software application coding skills using Groovy, Java / J2EE, XML (Xpath, XQuery, SAX, JDOM), JavaScript (Node JS, Angular) Writing and tuning advanced complex SQL queries for Oracle, SQL Server About Infor Infor is a global leader in business cloud software products for companies in industry specific markets. Infor builds complete industry suites in the cloud and efficiently deploys technology that puts the user experience first, leverages data science, and integrates easily into existing systems. Over 60,000 organizations worldwide rely on Infor to help overcome market disruptions and achieve business-wide digital transformation. For more information visit www.infor.com Our Values At Infor, we strive for an environment that is founded on a business philosophy called [1] Principle Based Management™ (PBM™) and eight Guiding Principles: integrity, stewardship & compliance, transformation, principled entrepreneurship, knowledge, humility, respect, self-actualization. Increasing diversity is important to reflect our markets, customers, partners, and communities we serve in now and in the future. We have a relentless commitment to a culture based on PBM. Informed by the principles that allow a free and open society to flourish, PBM™ prepares individuals to innovate, improve, and transform while fostering a healthy, growing organization that creates long-term value for its clients and supporters and fulfillment for its employees. Infor is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive work environment. Infor does not discriminate against candidates or employees because of their sex, race, gender identity, disability, age, sexual orientation, religion, national origin, veteran status, or any other protected status under the law. If you require accommodation or assistance at any time during the application or selection processes, please submit a request by following the directions located in the FAQ section at the bottom of the infor.com/about/careers webpage. At Infor we value your privacy that’s why we created a policy that you can read [2] here. References Visible links 1. https://www.kochind.com/about/business-philosophy 2. https://www.infor.com/about/privacy Show more Show less
Posted 3 months ago
1.0 - 5.0 years
0 Lacs
Sahibzada Ajit Singh Nagar, Punjab, India
Remote
🚀 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 will be responsible for managing the provider enrollment process, ensuring accurate and timely completion of credentialing applications, and maintaining credentialing files. They will also collaborate with internal teams and insurance companies to resolve any credentialing issues and ensure compliance with Medicare and other regulatory requirements. 🔍 Key Responsibilities ✔ Review and authenticate credentials, qualifications, licenses, certifications, and other relevant documents submitted by individuals or organizations. ✔Take care of the provider's CAQH account, PECOS (Medicare Account), & application enrollment with Medicare & Medicaid. ✔ Complete and submit applications to insurance payers (Medicare, Medicaid, commercial payers). ✔ Track application progress and follow up regularly with insurance companies regarding provider enrollment status until completion . ✔ Maintain and update credentialing files and databases. ✔ Ensure compliance with HIPAA and industry regulations and standards. ✔ Collaborate with internal teams to resolve credentialing-related issues. 📌 Qualifications & Skills ✔ 1-5 years of hands-on experience in provider credentialing or payer enrollment ✔ Familiarity with CAQH, NPPES, PECOS, and payer portals ✔ Knowledge of end-to-end provider enrollment process ✔ Knowledge of Medicare, Medicaid, and commercial insurance enrollment processes ✔ Excellent written and verbal communication skills ✔ Strong organizational skills and attention to detail ✔ Proficiency with Google Workspace, credentialing software/tools, and project management tools 🤷 Why Join RevGroMD ✅Be part of a mission-driven team simplifying healthcare operations ✅ Growth opportunities and skill development ✅ Flexible work environment with ownership of your work ✅ Make a direct impact on revenue cycle performance and provider satisfaction Show more Show less
Posted 3 months ago
10.0 - 12.0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions. Job Description: General Manager VARIAN Oncology solutions. Key Responsibilities Relationship Management Maintain working and business relationship with all key stakeholders in assigned territory (Hospital Top management, Procurement team, Biomedical, Doctors, Physicists), who will influence the complete sales cycle. Engage with various internal functions like service , projects and regulatory to support the customers during and post the sales process. Account Management Take complete responsibility of accounts of the assigned region Identify the clinical end users and maintain relationship with them regularly. Consistently work towards creating a healthy funnel Updating the MIS regularly on market trends , competition activities and customer feedback. Opportunity conversion Work closely with customers to identify the prospects and align the same as per the maturity dates. Facilitate and lead the product presentation along with technical experts with the prospective customers. Create the techno commercial offers in line with the configuration finalised. Engage Varian management and leadership if required for the closure of the deals. Order to Remittance Work with internal and external stakeholders to ensure that the orders mature into sales within the committed time. Work with Sales Admin team to ensure that the LC guidelines and PI are provided in time. Hand holding with customer by engaging them with our Site solutions and Sales Admin team to provide clean LC and import authorization in a timely manner. Account receivables Accountability and Ownership to ensure that account receivables from the assigned accounts in your territory to Varian is in good control. Facilitate and work with other functional team to help recover service/ project receivables if any in time. Compliance Ensure adherence to Compliance standards of the organization in dealings with various internal and external stakeholders Education/Experience Education in business (MBA) / technical marketing (BE) and/or medical Physics with good understanding of medical technology and electronics. Number Of Years Related Experience Minimum 10-12 years of selling experience which should include working with Private accounts and Big Corporate Account. Sales experience in Western Region would be added advantage. Sales Experience in Radiology / Radiotherapy would be added advantage. KNOWLEDGE Ability to handle large contracts from commercial, legal, risks & execution standpoint Ability to work with Key stakeholders, as well as cross functional teams Hands on experience in sales and an ability to deliver excellent customer experience Knowledge of CRM software and MS Office (MS Excel in particular), MS PPT Additional Evaluation Specs Self-Driven and energetic professional Strong inter-personal skills Strong result Orientation Effective Communication and Negotiation skills Critical thinking and Problem solving Applicable To The Oncology Systems Business Only Position must have full access to VMS client sites to perform the essential functions of this position. Many VMS clients require VMS employees and representatives to meet certain “Vendor Credentialing” requirements before they will be allowed to have access to their sites. Unless prohibited by law, position must meet all Vendor Credentialing requirements necessary to have full client access, and must continue to meet those requirements during the course of VMS employment in this position. Performs all required management responsibilities including but not limited to implementing the company's policies, programs, and guidelines; ensuring productivity and growth; managing resources; knowing Varian's business; and maintaining functional, technical, and external market awareness necessary for managing immediate organization. Minimum Required Skills And Knowledge Ability, competence, and confidence to lead people. Effective interpersonal skills. Other Desired Skills and Knowledge: Required Certifications and Training: Obtains and completes LMS training plan specific to assigned responsibility. Applicable to the Oncology Systems business only: Meets all Vendor Credentialing requirements necessary to gain VMS client site access, unless prohibited by law. These requirements vary by client and may include, but are not limited to: Proof of valid identification (photo, driver’s license, SSN) Criminal background checks Drug screens Immunizations (Hep B, MMR, Varicella, Influenza, Tetanus) Annual TB testing Healthcare trainings Who we are : We are a team of more than 73,000 highly dedicated Healthineers in more than 70 countries. As a leader in medical technology, we constantly push the boundaries to create better outcomes and experiences for patients, no matter where they live or what health issues they are facing. Our portfolio is crucial for clinical decision-making and treatment pathways. How we work : When you join Siemens Healthineers, you become one in a global team of scientists, clinicians, developers, researchers, professionals, and skilled specialists, who believe in each individual’s potential to contribute with diverse ideas. We are from different backgrounds, cultures, religions, political and/or sexual orientations, and work together, to fight the world’s most threatening diseases and enable access to care, united by one purpose: to pioneer breakthroughs in healthcare. For everyone. Everywhere. Sustainably. To find out more about Healthineers’ specific businesses, please visit our company page here. As an equal opportunity employer, we welcome applications from individuals with disabilities. Data Privacy : We care about your data privacy and take compliance with GDPR as well as other data protection legislation seriously. For this reason, we ask you not to send us your CV or resume by email. We ask instead that you create a profile where you can upload your CV. Setting up a profile also lets us know you are interested in career opportunities with us and makes it easy for us to send you an alert when relevant positions become open. Register here to get started. Beware of Job Scams: Please beware of potentially fraudulent job postings or suspicious recruiting activity by persons that are currently posing as Siemens Healthineers recruiters/employees. These scammers may attempt to collect your confidential personal or financial information. If you are concerned that an offer of employment with Siemens Healthineers might be a scam or that the recruiter is not legitimate, please verify by searching for the posting on the Siemens Healthineers career site. To all recruitment agencies : Siemens Healthineers does not accept agency resumes. Please do not forward resumes to our jobs alias, employees, or any other company location. Siemens Healthineers is not responsible for any fees related to unsolicited resumes. As an equal opportunity employer, we welcome applications from individuals with disabilities. Show more Show less
Posted 3 months ago
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