1357 Credentialing Jobs - Page 27

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...

Role & responsibilities Preferred candidate profile Urgent Hirings-SPE Credentialing-Voice/Team Lead/Quality Analyst. Good communication skills US Healthcare Flexibiity to work US shifts. Work location-Chennai Currently WFH

Job Summary Join our dynamic team as a Specialist in Provider Credentialing where you will leverage your expertise in healthcare products and credentialing processes to ensure compliance and efficiency. With 4 to 6 years of experience you will play a crucial role in maintaining the integrity of our provider network. This hybrid role offers the flexibility of night shifts allowing you to balance work and personal commitments effectively. Responsibilities Oversee the credentialing and re-credentialing processes for healthcare providers to ensure compliance with industry standards and regulations. Collaborate with cross-functional teams to streamline credentialing workflows and improve operatio...

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

We are pleased to inform you that we are conducting a Walk-in Drive on 23rd August 2025 (Saturday) from 12:00 PM to 4:00 PM at our Bangalore location. • Experience: Minimum 1 to 4 years in AR domain Role: Associate / Senior AR Associates/ Analyst Required Candidate profile Process: Physician Billing or Hospital Billing - Denial Management Voice Priority: High – quality profiles are requested Job Location Bangalore Email: manijob7@gmail.com Call or Whatsapp 9989051577

📍 Location: Crystal Voxx Ltd (Panchvati Circle, Ahmedabad) 🕔 Shift Timings: 05:30 PM – 02:30 AM 💼 Employment Type: Full-Time About Us Crystal Voxx Ltd is a fast-growing healthcare outsourcing company specializing in Revenue Cycle Management (RCM) , including medical billing, credentialing, coding, denial management, and more. We are committed to delivering accurate, efficient, and reliable services to healthcare providers across the U.S. We are currently seeking AR Executives to join our Medical Billing team and help drive results through effective Accounts Receivable management. Key Responsibilities Perform AR calling to U.S. insurance companies for claims follow-up. Resolve denied and pend...

Job Summary: We are seeking a dynamic and results-driven US Healthcare Recruiter to join our growing team. In this role, you will be responsible for sourcing, screening, and placing qualified healthcare professionals across various specialties and locations within the US healthcare system. Key Responsibilities: Source and recruit qualified healthcare professionals (RNs, LPNs, CNAs, Allied Health, etc.) through job boards, databases, referrals, and social media Conduct initial screening and interviews to assess candidate fit Build strong candidate pipelines for current and future job openings Coordinate interviews between candidates and clients/hiring managers Maintain strong relationships wi...

Responsibilities: * Ensure timely enrollment processing * Manage credentialing process from start to finish * Maintain accurate provider data records * Collaborate with healthcare providers on documentation requirements

Job description Skill: Candidates must have at least 2 years of experience in handling credentialing process and have excellent communication skills. Education: Minimum 10th Qualified Mode of work: Work from home, US Shift (Night Shift) Work timings: Night shift - US timings Notice period: Immediate to Max 30 days Roles & responsibilities Conduct provider enrollment and credentialing processes to facilitate smooth claims processing. Utilize US healthcare knowledge to navigate complex billing procedures and regulations. Identify and resolve issues related to provider data discrepancies, improving overall efficiency in the revenue cycle management process. Collaborate with internal teams to im...

Greetings from EqualizeRCM Role : Credentialing Specialist Roles and Responsibility : Should have experience in complete Provider Credentialing process. Should be familiar with the payor and their procedure to enroll provider. Should have experience in completing Applications/Request/CAQH without any Errors. Should have experience in Calling/Sending Emails/Sending Fax to payor for Credentialing Status of a Provider. Flexible to work for US Shifts *************************************************************************************************** Are you ready to take your career to the next level? Exciting Work from Home Opportunity! We're looking for talented candidates to join our dynamic t...

1.Demonstrated high performance and competence in all clinical aspects of dentistry with sound clinical reasoning, advanced problem solving skills and extensive experience with the management of complex patient presentations. 2.Ability to provide a highly advanced range of efficient dental services, rarely requiring support or advice from more Senior Clinicians. 3.Ability to provide advice to Junior Dental Practitioners, interns and the team. 4.Manage patient complaints, establish (where required) and maintain clinical guidelines, and policies. 5.Participate and lead quality and safety initiatives as well as audit and reporting requirements as indicated 6.Ensure all clinical staff are up to ...

Line of Service Advisory Industry/Sector Not Applicable Specialism SAP Management Level Manager Job Description & Summary At PwC, our people in business services and support focus on providing efficient and effective administrative support to enable smooth operations within the organisation. This includes managing schedules, coordinating meetings, and handling confidential information. Those working as assistants and office support at PwC will provide high-level administrative support to senior executives, including managing their schedules, coordinating meetings, and handling confidential information. You will play a crucial role in maintaining smooth operations and effective communication ...

Line of Service Advisory Industry/Sector Not Applicable Specialism Operations Management Level Associate Job Description & Summary At PwC, our people in business services and support focus on providing efficient and effective administrative support to enable smooth operations within the organisation. This includes managing schedules, coordinating meetings, and handling confidential information. Those working as assistants and office support at PwC will provide high-level administrative support to senior executives, including managing their schedules, coordinating meetings, and handling confidential information. You will play a crucial role in maintaining smooth operations and effective commu...

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, ...

To maintain individual provider files to include up to date information needed to complete the required federal and commercial provider credentialing applications. To Maintain internal provider data to ensure all information is accurate and logins are available up-to date. To Update each providers CAQH database file timely according to the priority norms. To Complete re-validation requests for all federal and commercial applications To Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid. To Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. To Ready and adaptable to perform the daily assigned duties with Quality . Conta...

Job Title: Credentialing Specialist Company: Vee Healthtek Pvt Ltd Location: Hyderabad Job Type: Full-time Salary: Competitive (based on experience) Benefits: 1200 Allowances, 1200 Food Card & Two-way Cab Mandatory Requirements: Minimum 12 years of provider credentialing experience. Proven experience making high-volume or detailed outbound calls related to credentialing or provider data verification. Strong knowledge of CAQH, PECOS, NPPES, and payer portals. Excellent written and verbal communication skills. Proficiency with credentialing software and MS Office Suite. If your interested in joining our team, please reach out to Vinith R at 9566699374 or email your resume to vinith.ra@veehealt...

Key Responsibilities: 1. Training & Development Design and deliver comprehensive onboarding training programs for all new RCM hires (billers, collectors, authorization reps, eligibility & benefits, etc.) Train staff on home health-specific billing workflows , including: Billing cycles (Medicare, Medicaid, Managed Care) NOA (Notice of Admission) processes Final claim submission Rebills, adjustments, and corrections Deliver denial management training , including: Root cause analysis Appeals submission Timely follow-up strategies Preventative action education Develop interactive modules to teach effective insurance portal navigation (UHC, Availity, NaviNet, Medicare DDE, Medicaid portals, etc.)...

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...

Job Title: Healthcare Recruiter - Fresher Location: Panjagutta, Hyderabad (Onsite) Job Type: Full-Time Shift: Night Shift from 7pm - 4am IST (U.S. Business Hours) Job Summary: We are seeking a motivated Healthcare Recruiter to join our team and specialize in recruiting healthcare professionals for travel assignments across the United States. This is an excellent opportunity for someone with BPO or international voice calling experience, or a fresh college graduate with exceptional communication skills, to enter the healthcare staffing industry. The ideal candidate will have outstanding verbal and written communication abilities and experience interacting with U.S.-based candidates during Ame...

Line of Service Advisory Industry/Sector Not Applicable Specialism Operations Management Level Associate Job Description & Summary At PwC, our people in business services and support focus on providing efficient and effective administrative support to enable smooth operations within the organisation. This includes managing schedules, coordinating meetings, and handling confidential information. Those working as assistants and office support at PwC will provide high-level administrative support to senior executives, including managing their schedules, coordinating meetings, and handling confidential information. You will play a crucial role in maintaining smooth operations and effective commu...

Line of Service Advisory Industry/Sector Not Applicable Specialism SAP Management Level Manager Job Description & Summary At PwC, our people in business services and support focus on providing efficient and effective administrative support to enable smooth operations within the organisation. This includes managing schedules, coordinating meetings, and handling confidential information. Those working as assistants and office support at PwC will provide high-level administrative support to senior executives, including managing their schedules, coordinating meetings, and handling confidential information. You will play a crucial role in maintaining smooth operations and effective communication ...

Line of Service Advisory Industry/Sector Not Applicable Specialism Operations Management Level Associate Job Description & Summary At PwC, our people in business services and support focus on providing efficient and effective administrative support to enable smooth operations within the organisation. This includes managing schedules, coordinating meetings, and handling confidential information. Those working as assistants and office support at PwC will provide high-level administrative support to senior executives, including managing their schedules, coordinating meetings, and handling confidential information. You will play a crucial role in maintaining smooth operations and effective commu...

Job description: Job description: Ideal candidate must have followed: Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups . Track all activities in the process of credentialing/recredentialing providers and clinics. Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed. Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Dev...

1.Demonstrated high performance and competence in all clinical aspects of dentistry with sound clinical reasoning, advanced problem solving skills and extensive experience with the management of complex patient presentations. 2.Ability to provide a highly advanced range of efficient dental services, rarely requiring support or advice from more Senior Clinicians. 3.Ability to provide advice to Junior Dental Practitioners, interns and the team. 4.Manage patient complaints, establish (where required) and maintain clinical guidelines, and policies. 5.Participate and lead quality and safety initiatives as well as audit and reporting requirements as indicated 6.Ensure all clinical staff are up to ...

Role & responsibilities Outbound calls to insurances for claim status and eligibility verification Denial documentation and further action Calling the insurance carriers based on the appointment received by the clients. Working on the outstanding claims reports/account receivable reports received from the client or generated from the specific client software. Calling insurance companies to get the status of the unpaid claims. Willing to work in any process pertaining to voice based on the requirement (Insurance Follow UP, Patient calling, Provider outreach program etc. Maintain the individual daily logs. Performs assigned tasks/ completes targets with speed and accuracy as per client SLAs Wo...