921 Credentialing Jobs - Page 29

Job Summary We are seeking a highly organized and detail-oriented Credentialing Specialist with hands-on experience in Revenue Cycle Management (RCM) to join our growing healthcare operations team. The ideal candidate will manage end-to-end credentialing and re-credentialing processes while contributing to overall revenue cycle efficiency. Key Responsibilities Manage provider credentialing and re-credentialing applications for insurance payers, including Medicare and Medicaid. Follow up with insurance companies and regulatory bodies for application status and issue resolution. Maintain accurate and up-to-date provider data in CAQH and other relevant portals. Track and manage expirables (licenses, certifications, contracts) and maintain timely renewals. Collaborate with billing teams to ensure credentialing status aligns with claims submission requirements. Assist in the denial management process related to credentialing issues. Work closely with the RCM team to support eligibility, pre-authorization, and claim submission tasks. Generate and maintain reports regarding credentialing status, expirations, and timelines. Requirements Minimum 2 years of experience in provider credentialing and RCM processes. Strong knowledge of insurance payers’ credentialing requirements, including CAQH, NPI, PECOS. Familiarity with the U.S. healthcare system, medical billing cycles, and denial management. Excellent communication skills – verbal and written. Ability to multitask, prioritize and manage time effectively. Proficient in MS Office and credentialing software/tools. Attention to detail and strong organizational skills. Job Type: Full-time Pay: ₹20,000.00 - ₹50,000.00 per month Schedule: Night shift US shift Work Location: In person

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

Job Title: Credentialing Specialist Location: Noida, M2 Business Park A-24 Sector 63, Office No. 202 Shift: Night Shift (Flexible with U.S. time zones) Experience: Minimum 1 year Salary: Based on experience Job Summary: We are seeking a detail-oriented and proactive Credentialing Specialist with a minimum of 1 year of experience in healthcare or dental credentialing. The ideal candidate should be comfortable working night shifts and able to manage time-sensitive credentialing and re-credentialing processes with accuracy and efficiency. Key Responsibilities: Process and maintain credentialing and recredentialing applications for healthcare/dental providers. Verify licensure, education, training, certifications, and work history. Communicate with insurance companies and state/federal agencies for timely enrollment. Track and follow up on credentialing applications to ensure deadlines are met. Maintain accurate and organized records in credentialing databases and systems. Respond to credentialing-related queries from providers or internal teams. Stay updated on payer requirements and compliance standards. Requirements: Minimum of 1 year of credentialing experience (preferably in a healthcare or dental setting). Comfortable working night shifts (aligning with U.S. time zones). Strong attention to detail and organizational skills. Excellent written and verbal communication skills. Ability to manage multiple tasks and meet tight deadlines. Familiarity with credentialing software and Microsoft Office Suite/Google Suite is a plus. Preferred Qualifications: Experience working with U.S.-based healthcare providers or dental organizations. Knowledge of CAQH, PECOS, NPI Registry, and payer portals. Compensation: Salary: Competitive and based on experience Growth opportunities within the company 📬 Ready to Join? Let’s connect. 📧 Send your CV to: Princy.sikarwar@dentistsbilling.com , or 9315906588 Show more Show less

Position Overview: We are seeking experienced Credentialing & Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position. Key Responsibilities: Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications for all states. Engage with payers via calls and emails to ensure successful processing of both individual and group applications. Demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans. Maintain regular communication with clients, providing updates and ensuring the active status of providers with payers. Handle end-to-end processes for creating and maintaining provider details on platforms such as CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals. Manage the application and renewal process for all provider licenses, including Professional, DEA, and Controlled Substance licenses. Ensure continuous updating and maintenance of client and application data, readily available for client requests. Requirements: A minimum of 5 years of experience in provider credentialing and enrollment. Strong organizational skills and the ability to work independently in a remote setting. Proficiency in using credentialing portals and managing the associated documentation. Exceptional communication skills to effectively engage with both clients and payers. Mandatory Requirements: Has a fast dedicated laptop/PC I5+, 8GB Ram, Windows 10 (licensed and activated), MS Office 2013 + (working copy). (I3 only considered with SSD drive and 8GB ram) Lease option available for initial months till you get laptop/PC. Quiet home office with no distractions Have at least 3 years experience working from home successfully during EST hours Minimum dedicated fast internet 100MBPS (must be fiber or cable into your home) Job Type: Full-time, Permanent Work-From-Home Salary: Competitive, based on experience and skills If you're an expert in credentialing with a passion for precision and client service, we invite you to apply! Show more Show less

We are hiring Healthcare Recruiters in Jayanagar, Bangalore/ Banjara Hills, Hyderabad/ REMOTE . Please let me know if you are interested or anyone who might be interested. Position: Healthcare Recruiters Location: Jayanagar, Bangalore/ Banjara Hills, Hyderabad/ REMOTE Shift Time:6:30 PM-3:30 AM IST Experience:1-5 Years Employment Type: Full-Time Permanent ***ONLY APPLY IF YOU HAVE HOSPITAL RECRUITMENT BACKGROUND FOR US-BASED CLIENTS*** ______________________________________ Description : We are looking for experienced and dynamic Healthcare Recruiters with a strong background in US Healthcare Staffing to support our rapidly growing client base across the United States. You will be responsible for end-to-end recruitment of healthcare professionals (RNs, LPNs, CNAs, Allied Staff) for hospitals, rehab centers, and long-term care facilities in the US. Key Responsibilities Source qualified candidates using portals like Dice, Monster, CareerBuilder, and internal databases. Screen, interview, and assess candidates for healthcare roles across the US. Submit candidates to VMS/MSP systems and follow through on client feedback. Coordinate credentialing and compliance with support teams. Maintain candidate database and relationships for future requirements. Eligibility & Requirements 1+ years of experience in US Healthcare or Clinical Staffing . Must have strong background in Facebook Sourcing Familiarity with VMS platforms. Excellent English communication skills (spoken and written). Ability to work night shifts (US EST or PST hours). Bachelor's degree preferred but not mandatory. Must have solid database of RN, CNA and LPN/LVN Profiles across USA. Perks & Benefits Fixed Salary + Monthly Performance Incentives Bonus Program – Based on individual performance Placement-Based Incentives (Recurring + Additional Incentives for every start) Health Insurance (for employees and dependents) Career Growth Path – Promotions, Team Lead roles, Internal Trainings Employee Recognition – Yearly awards, certificates, and prizes Employee Referral Bonus Regards Vishnu Das Natesan dvishnu@radiants.com Show more Show less

Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of what's possible. As we continue to grow, we seek a talented candidate to join our team and contribute to our exciting projects. Position Overview: The Credentialing Executive will be responsible for managing the credentialing and re-credentialing processes for psychiatric care providers within our network. The role will also focus on maintaining up-to-date provider documentation, ensuring compliance with insurance companies, and monitoring provider licensing. This position requires a detail-oriented and proactive individual to ensure the smooth integration of providers into the insurance network and their continued compliance. Responsibilities: Assist in the enrollment of providers with insurance companies, ensuring all required documentation is submitted timely and accurately. Collect, verify, and maintain the necessary documentation for all providers, ensuring compliance with regulatory standards and insurance requirements. Proactively follow up with insurance companies to track the status of credentialing applications, resolve issues, and ensure providers are credentialed in a timely manner. Coordinate and manage the re-credentialing process for existing providers, ensuring timely submissions and compliance with insurance companies requirements. Monitor and maintain CAQH (Council for Affordable Quality Healthcare) profiles for all providers, ensuring accuracy and compliance with industry standards. Oversee the process of enrolling providers with Medicare, ensuring compliance with all relevant regulations and ensuring successful enrollment. Requirements: Minimum of 5 years of experience in healthcare credentialing or provider relations, preferably in US healthcare sector. Candidate must have a bachelors degree in any field. Experience with insurance portals, CAQH, and Medicare enrollment systems Excellent communication and interpersonal skills, with the ability to build rapport and trust at all levels of the organization. In-depth knowledge of credentialing processes, insurance company contracting, and regulatory requirements in the healthcare sector. Strong organizational and time management skills, with the ability to handle multiple tasks and deadlines. Ability to maintain confidentiality and work with sensitive provider data in a HIPAA-compliant manner. Diversity, Equality, and Inclusion: Diversity, equality, and inclusion are fundamental to our success at HUMS. We actively promote diversity across all aspects of our organization, including but not limited to gender, race, ethnicity, sexual orientation, religion, disability, and age. We strive to foster an inclusive culture where diverse perspectives are embraced and everyone has equal opportunities to grow, contribute, and succeed. Benefits: Competitive salary (including EPF and PS) Health insurance Four days workweek (Monday Thursday) Opportunities for career growth and professional development Additional benefits like food and cab-drop are available Please submit your resume and cover letter detailing your relevant experience and why you fit this role perfectly. We look forward to hearing from you! In case of any queries, please feel to reach out us at recruitment@hupcfl.com Note: Available to take calls between 5:45 PM to 4:45 AM IST only from Monday to Thursday.

India Staff Actuary This is a remote position. Candidates must reside within India. Your Purpose: The India Staff Actuary will advance the Society of Actuaries’ (SOA) presence and reputation in India by promoting its globally recognized actuarial pathway and building a strong pipeline of future actuaries. This role focuses on outreach, engagement, partnership building, and tailoring SOA’s offerings to meet local needs. Through strategic collaboration and community representation, the Staff Actuary supports marketing and professional development initiatives while strengthening SOA’s position as the preferred actuarial credentialing organization in India. What You’ll Do: SCollaborate with the Regional Director and India Lead Representative to implement SOA’s strategic growth plans for both domestic and offshoring/global markets in India. Support and collaborate with the India Lead Representative in building and maintaining relationships with key stakeholders - including regulators, the actuarial association, employers, educators, high schools, universities, educational entities (e.g. coaching institutes and exam prep providers), members, and volunteers - to foster trust and forge strategic partnerships. Design and lead outreach and partnership programs with high schools, universities, and other educational institutions, including digital initiatives, to strengthen the SOA candidate pipeline by highlighting SOA’s distinctive global value and its internationally recognized credentials. Collaborate with volunteers to deliver professional development, member services, and outreach initiatives that enhance candidate/ member engagement and satisfaction across India. Represent SOA at public forums and within the actuarial community, alongside the India Lead Representative, to promote the actuarial profession and SOA offerings. Lead the development and distribution of the quarterly newsletter and regular webcasts, collaborating with the India Lead Representative, on content development and stakeholder engagement to deliver timely, relevant communication to the Indian actuarial community. Initiate and contribute to research activities on emerging actuarial and risk topics, working jointly with the India Lead representative and local experts, to advance SOA’s thought leadership and address industry needs. Engage with multinational and domestic employers, in partnership with the India Lead Representative, to understand evolving talent needs and promote the value of SOA credentials for global actuarial roles. Monitor regulatory developments and stakeholder feedback to ensure SOA’s activities align with local requirements and best practices. Support the SOA India Committee by assisting the India Lead Representative in engaging Indian stakeholders and collaborating with SOA departments to deliver member and candidate services tailored to the Indian market. Provide insights for planning the budget and financial results for India. Lead projects as requested by the SOA leadership. Perform other duties as assigned. What You’ll Need: Bachelor’s degree in actuarial science or a related field preferred. ASA or FSA designation strongly preferred. Minimum of three years of relevant actuarial experience in India, with demonstrated growth in responsibility. Experience in insurance, financial services, or risk management is desirable. Strong relationship management, public speaking, and communication skills. Deep understanding of regulatory, business, and educational landscapes in India. Ability to operate independently and collaboratively across diverse groups and time zones. Comfortable working remotely and during non-standard hours when needed to support global coordination. What We Offer: Competitive Compensation: Recognition of your contributions with competitive rewards. Generous Paid Time Off: Ample leave for personal and family needs. Health and Wellness Support: Financial assistance for health benefits and wellness reimbursement. Diversity and Inclusion: A commitment to fostering a workplace where all backgrounds are respected and valued. The SOA will provide equal opportunity to all employees and applicants for employment regardless of actual or perceived race, color, religion, age, sex, pregnancy, national origin, ancestry, disability (mental or physical), genetic information, military or veteran status, marital status, order of protection status, gender identity, sexual orientation or any other category protected by applicable law. Such action shall include but is not limited to: initial consideration for employment; job placement and assignment of responsibilities; performance evaluation; promotion and advancement; compensation and fringe benefits; training and professional development opportunities; formulation and application of human resource policies and rules; facility and service accessibility; and discipline and termination. Show more Show less

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

Job Title: Credentialing Specialist Location: Noida, M2 Business Park A-24 Sector 63, Office No. 202 Shift: Night Shift (Flexible with U.S. time zones) Experience: Minimum 1 year Salary: Based on experience Job Summary: We are seeking a detail-oriented and proactive Credentialing Specialist with a minimum of 1 year of experience in healthcare or dental credentialing. The ideal candidate should be comfortable working night shifts and able to manage time-sensitive credentialing and re-credentialing processes with accuracy and efficiency. Key Responsibilities: Process and maintain credentialing and re-credentialing applications for healthcare/dental providers. Verify licensure, education, training, certifications, and work history. Communicate with insurance companies and state/federal agencies for timely enrollment. Track and follow up on credentialing applications to ensure deadlines are met. Maintain accurate and organized records in credentialing databases and systems. Respond to credentialing-related queries from providers or internal teams. Stay updated on payer requirements and compliance standards. Requirements: Minimum of 1 year of credentialing experience (preferably in a healthcare or dental setting). Comfortable working night shifts (aligning with U.S. time zones). Strong attention to detail and organizational skills. Excellent written and verbal communication skills. Ability to manage multiple tasks and meet tight deadlines. Familiarity with credentialing software and Microsoft Office Suite/Google Suite is a plus. Preferred Qualifications: Experience working with U.S.-based healthcare providers or dental organizations. Knowledge of CAQH, PECOS, NPI Registry, and payer portals. Compensation: Salary: Competitive and based on experience Growth opportunities within the company

Job Role Primary Source Verifications. Confirm credentials directly with the original source. Contacting universities to verify degrees, licensing boards to confirm licenses and verify work history. Comprehensive background checks including criminal history, sanctions, and disciplinary actions Compile and maintain current and accurate data for all providers Required Candidate Profile Minimum of 2 years of experience in Credentialing under verification process. CVO (Credentialing verification Organisation) experience will be prioritised. Excellent communication skills. Benefits A safe digital application and onboarding process Health Insurance & Accidental Insurance Both sides pick up and Drop facility/ Self Transport Allowance Subsidized Meals Fun at Work Career Growth -Best in the Industry Employee Friendly Environment Secured workplace for employees Ample scope of Reward and Recognitions Convinced? Submit your application now!!!! Synchronizing Healthcare Become ALL IN! with head, heart, and hand. Show more Show less

Job Role Primary Source Verifications. Confirm credentials directly with the original source. Contacting universities to verify degrees, licensing boards to confirm licenses and verify work history. Comprehensive background checks including criminal history, sanctions, and disciplinary actions Compile and maintain current and accurate data for all providers Required Candidate Profile Minimum of 2 years of experience in Credentialing under verification process. CVO (Credentialing verification Organisation) experience will be prioritised. Excellent communication skills. Benefits A safe digital application and onboarding process Health Insurance & Accidental Insurance Both sides pick up and Drop facility/ Self Transport Allowance Subsidized Meals Fun at Work Career Growth -Best in the Industry Employee Friendly Environment Secured workplace for employees Ample scope of Reward and Recognitions Convinced? Submit your application now!!!! Synchronizing Healthcare Become ALL IN! with head, heart, and hand. Show more Show less

As a Travel RN /Allied Recruiter, you will be responsible for sourcing, screening, and placing allied healthcare professionals into temporary travel assignments at hospitals, clinics, and other medical facilities across the country. You will build strong relationships with candidates and guide them through the placement process, ensuring a positive experience for both the client and the healthcare professional. Key Responsibilities: Proactively source Travel RN /Allied Recruiter candidates through job boards, databases, social media, and referrals. Conduct phone screens and interviews to assess candidate qualifications, preferences, and availability. Match candidates to appropriate travel assignments based on skillset, licensure, and facility needs. Guide candidates through the onboarding process, including licensure, credentialing, housing, and travel arrangements. Maintain regular communication with candidates throughout their assignments to ensure satisfaction and retention. Meet or exceed recruitment metrics and placement goals set by the agency. Collaborate with account managers and clients to understand open positions and staffing needs. Manage applicant tracking systems (ATS) and maintain accurate records and documentation. Qualifications: Associate or Bachelor's degree preferred. Prior experience in healthcare recruiting, staffing, or sales is highly desirable. Strong interpersonal and communication skills. Ability to multitask and manage a high volume of requisitions and candidates. Detail-oriented with excellent organizational skills. Proficiency in Microsoft Office and applicant tracking systems. Self-motivated and goal-oriented mindset. Preferred Skills: Familiarity with allied health roles and credentialing requirements. Knowledge of travel healthcare logistics, such as licensing and housing. CRM or ATS experience (e.g., Nexus, Jobdiva, Bullhorn, Avionté). Job Type: Full-time Pay: ₹15,000.00 - ₹45,000.00 per month Schedule: Night shift US shift Work Location: In person

Location: Chandigarh and Punjab Key Responsibilities: Customer Focus and Coverage Imbibe the product related features/benefits including scientific information thereto, so as to effectively communicate with the medical doctors and handle product related customer queries. Actively participate in identifying key and potential medical practitioners and specialists in the respective therapeutic segment in the assigned territory, and prioritize for the purpose of systematic customer coverage so as to generate maximum prescription sales for the company’s range of products as per business plan. Efficiently manage the therapy area by effectively reaching out to customers. Schedule and plan the frequency of calls and personally visit the targeted doctors as per agreed coverage list. Call on the Chemists, wholesalers as the case may be to track in-market sales of the products, booking of orders to ensure timely and adequate availability of products to meet market demand. Utilize customer focused selling techniques (CSSP), continually assessing the knowledge of the customer and strategize to maintain high customer confidence and customer knowledge of company products. Maintain current, approved protocol (CSSP) and promotional materials to be included in sales presentation/ detailing. Contact customers on regular basis and deliver informative sales presentations based on customers need. Explore opportunities to develop new business in the assigned therapy area. Sales Performance & Results Achieve and exceed the sales targets on a consistent basis through effective implementation of the sales promotion strategies and scientific initiatives. Constantly update the knowledge of disease and product area so as to facilitate scientific discussion with stakeholders to enhance productivity levels as expected by the Company. Carry out Product Visibility and such ancillary or incidental activities related to the Products of the Company or Products of any other Company as may be decided from time to time, in accordance with any arrangement or agreement entered into by the Company with such other Company. Explore opportunities to develop new business avenues for assigned therapy area and territory. Planning & Sales Performance Management Tactically plans to generate tertiary demand generation. Plans and executes field working as per approved tour programmes and reports into data management system at regular intervals as per company expectations. Takes follow-up initiatives on feedback and customer service requirements. Handles special product campaigns, new product launch campaigns as per Company’s plans. Covers the Nursing homes, clinics and hospitals as per agreed coverage requirements. Collects data on annual budget for medicines, mode of purchase, rate contract/tendering etc. as may be required and takes initiatives to tap these business growth avenues. Assists in the collection of receivables, as per company policy. Communication Meets Actively participate in Cycle meetings, periodic Sales & Marketing meeting and conventions. Conducts group meetings, medical education camps, speaker programmes as may be necessary from time to time. Company, Industry & Product Knowledge Demonstrate above average knowledge of all company marketed products, disease, therapy area, competitor products, promotional strategies and objectives. Develops a clear understanding of the Company’s SOPS and protocols pertaining to his area of work. Imbibes the guidelines pertaining to Adverse Event Reporting and takes prompt action in compliance with the requirements. Market Analysis Maintain quality customer list, current profile of assigned key accounts, key influencers & clinical thought leaders. Execute Marketing Strategies in consonance with marketing guidelines. Collect Market intelligence, conduct market surveys, participate in special projects etc. Actively seek and display knowledge of key customers in the territory and therapy area. Building Relations Develop and maintain strong relationships with customers and build up a healthy rapport with them. Work collectively with other team colleagues in arranging speakers, displays, special programs and CMEs to meet the educational needs of customers. Distribution & Resource Allocation Ensure adequate inventory level with trade partner and take prompt actions to prevent date expiry of products. Use/Adherence to Internal tolls & Processes/ Administration Values Ensure timely submission of daily call report, sales documents, feedback reports, expense reports and other administrative duties are completed in an accurate and timely manner. 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: No Travel Requirements: Organon employees must be able to satisfy all applicable travel and credentialing requirements, including associated vaccination prerequisites No Travel Required Flexible Work Arrangements: Not Specified Shift: Valid Driving License: Hazardous Material(s): Number of Openings: 1 Requisition ID: R533984

Job Title: Onboarding Specialist (HR) Location: Onsite – Jayadev Vihar, Bhubaneswar, Odisha Shift: Night Shift (US Time Zone) Experience Required: Minimum 1 year in Healthcare domain (US Staffing) Job Description: We are looking for a detail-oriented and proactive Onboarding Specialist (HR) to join our HR team. The ideal candidate must have a minimum of 1 year of experience in the Healthcare domain within US Staffing . You will be responsible for ensuring a smooth and compliant onboarding process for new hires, especially healthcare professionals, while maintaining a strong candidate experience. Key Responsibilities: Coordinate and manage end-to-end onboarding processes for healthcare professionals placed with US clients Collect and verify all pre-employment documents, including specific healthcare-related background checks, licenses, certifications, etc. Ensure compliance with US healthcare staffing regulations and client-specific requirements Communicate regularly with recruiters, candidates, and client managers to facilitate timely onboarding Track onboarding status and maintain accurate records in internal HR systems Conduct onboarding orientations and support candidates with questions related to onboarding paperwork Liaise with credentialing and compliance teams to ensure all hiring standards are met Provide regular updates to HR and account managers on onboarding progress Requirements: Minimum 1 year of experience in US Staffing (Healthcare domain preferred) Strong understanding of onboarding processes and US employment documentation Excellent communication and organizational skills Attention to detail and ability to handle confidential information Proficiency in MS Office and applicant tracking systems (ATS) Willingness to work onsite in Bhubaneswar and in night shift Job Type: Full-time Pay: From ₹15,000.00 per month Schedule: Night shift US shift Work Location: In person

Title: Blockchain Architect – Healthcare Data Platforms Experience: 8+ Years Position Summary: We are seeking a highly experienced Blockchain Architect with deep expertise in Hyperledger Fabric and exposure to other enterprise blockchain platforms to lead the design and development of a secure, privacy-preserving healthcare data sharing platform. This role will drive innovation in interoperability, consent management, and data security in a complex, multi-stakeholder healthcare ecosystem. The ideal candidate will have hands-on experience with various blockchain frameworks (e.g., Ethereum, Corda, Quorum), smart contract development, and integration with cloud-native and on-premise healthcare infrastructure. 🎯 Key Responsibilities - Architect decentralized solutions for healthcare data sharing using Hyperledger Fabric and other blockchain platforms as needed. - Lead the development of chaincode / smart contracts for consent, access control, auditability, and data provenance. - Design network architecture: peers, orderers, channels, Certificate Authorities, private data collections, etc. - Define data governance and privacy strategies leveraging Fabric's features (channels, ACLs, encryption, and endorsement policies). - Integrate blockchain solutions with EHR/EMR systems (e.g., Epic, Cerner) and healthcare APIs (e.g., FHIR, HL7). - Evaluate use of Ethereum, Quorum, Corda, or Polygon for specific decentralized use cases. - Ensure system-level compliance with HIPAA, GDPR, and regional health regulations through secure smart contract logic. - Guide the implementation of permissioned vs permissionless network components based on stakeholder needs. - Create and maintain technical architecture diagrams, specifications, and operational runbooks. - Act as a blockchain SME internally and externally, contributing to strategic decisions and innovation roadmaps. 🛠️ Required Skills & Experience - 8+ years in software or solution architecture, with at least 2 years of hands-on experience with Hyperledger Fabric. - Solid experience with blockchain fundamentals: consensus, smart contracts, DIDs, tokens, PKI, and distributed ledgers. - Proficiency in Go and/or Node.js for Fabric chaincode; knowledge of Solidity or Kotlin for Ethereum or Corda is a plus. - Proven track record designing and deploying enterprise blockchain networks in production. - Understanding of healthcare interoperability standards (FHIR, HL7) and healthcare data workflows. - Experience with Docker, Kubernetes, CI/CD, and infrastructure automation (e.g., Terraform, Helm). - Practical understanding of cryptography, key management, secure storage, and zero-trust access models. - Strong documentation, communication, and stakeholder engagement skills. ✅ Preferred Qualifications - Hands-on experience with multiple blockchain platforms: Ethereum, Corda, Quorum, Polygon, Hedera, or Avalanche. - Prior experience developing consent frameworks, patient identity solutions, or provider credentialing on blockchain. - Experience contributing to Hyperledger, Ethereum, or other blockchain open-source projects. - Familiarity with Web3 tools (e.g., Truffle, Hardhat, Remix, Infura, MetaMask) and identity frameworks (e.g., DID, SSI). - Exposure to cloud platforms (AWS, Azure, GCP) for deploying decentralized infrastructure. - Certifications in blockchain technologies (e.g., Certified Blockchain Architect, Hyperledger Certified Developer). You can connect to me over 9978369136 or you can email me at hr@squadrontechnology.com Show more Show less

About Certify: At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our platform is the ultimate source of truth for provider data, offering unparalleled ease and trust while making data easily accessible and actionable for the entire healthcare ecosystem. What sets us apart? Our cutting-edge, API-first, UI-agnostic, end-to-end provider network management platform automates licensing, enrollment, credentialing, and network monitoring like never before. With direct integrations into hundreds of primary sources, we have an unbeatable advantage in enhancing visibility into the entire provider network management process. Plus, our team brings over 25+ years of combined experience building provider data systems at Oscar Health, and we're backed by top-tier VC firms who share our bold vision of creating a one-of-a-kind healthcare cloud that eliminates friction surrounding provider data. But it's not just about the technology; it's about the people behind it. At Certify, we foster a meritocratic environment where every voice is heard, valued, and celebrated. We're founded on the principles of trust, transparency, and accountability, and we're not afraid to challenge the status quo at every turn. We're looking for purpose-driven individuals like you to join us on this exhilarating ride as we redefine healthcare data infrastructure. ABOUT THE ROLE: As CertifyOS scales, we’re looking to bring on board a Chief of Staff to elevate our executive team and the overall company – someone who combines best-in-class leadership with data-driven decision making and a relentless desire to help the company succeed. This individual will put on a masterclass in influence without authority, partnering with the CEO and full executive team on the most important decisions and projects impacting Certify. WHAT YOU’LL DO: Spearhead Strategic Initiatives There will often be white-space in our org structure that you’ll fill in on a temporary basis to drive forward a strategic initiative This could include scoping and driving forward a new opportunity (e.g. M&A, partnership), filling in when there’s a key leadership gap and leading a team, or driving forward critical hiring processes Act as a Force Multiplier for the CEO & Executive Team You will be involved in all of the most important meetings at the company, serving alongside the CEO and executive team to make decisions and drive forward execution Your role will be both as an organizer – preparing and refining strategic decisions, taking notes and follow-up actions, etc. – and as a thought partner. The expectation is that you will actively contribute to the course of action the company takes You will be a node between the executive team and the rest of the company, regularly meeting with cross-functional leaders to understand what merits the attention of the executive team and bringing problems + decisions that will accelerate progress Drive Cross-Functional Alignment and Improve Operational Excellence At Certify, we use OKRs; you will take over our existing OKR processes, constantly evaluate them for efficacy, and improve them. If you haven’t read Measure What Matters, that will be a month 1 requirement You’ll take note of what’s working and what isn’t in how teams collaborate and improve internal processes to improve coordination You’ll always have your finger on the pulse of what each department is prioritizing and ensuring it’s aligned with the most important objectives for the company Manage Internal & External Communications You’ll be involved in several forms of executive communication, ranging from board deck preparation, to investor updates, to leading preparation for our monthly All Hands meeting You’ll clearly translate the company strategy into clear, digestible messaging for the broader team WHAT YOU’LL NEED: Exceptional communication skills, both verbal and written. You know how to distill complexity into bite-sized simplicity for conveying to the full organization Strong analytical skills to diagnose problems, pull and analyze your own data, interpret it, and develop strategic solutions based on it You have to be a jedi in organization skills, with the ability to manage multiple projects simultaneously, setting priorities and ultimately meeting deadlines Collaboration excellence. You thrive when you’re building and maintaining relationships across all levels of the organization, facilitating collaboration and alignment across individuals and teams A desire to work in a fast-paced environment where you’ll need to be scrappy to get things done The flexibility and adaptability to navigate a fast-paced, constantly changing environment, who embraces change when it’s needed At your core, you’re a problem solver. You have a proven ability to identify issues, understand their root causes, and ultimately solve issues, whether independently or by corralling a large group At Certify, we're committed to creating an inclusive workplace where everyone feels valued and supported. As an equal opportunity employer, we celebrate diversity and warmly invite applicants from all backgrounds to join our vibrant community. Show more Show less

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview The Clinical Coding Policy Analyst is a subject matter expert that clinically reviews claims within the Clinical Coding Policy queues and is responsible for maintaining up-to-date clinical guidelines for review of these claims. The Clinical Coding Policy Analyst is also responsible for reviewing the disputes from providers for the edits that were accepted in this queue. This will include analysis and research of specific coding scenarios as well as assisting in edit ideation and maintaining review guidelines. Essential Functions Provide in-depth clinical coding analysis of professional and facility claims routed to the Clinical Coding Policy queue based on new or updated edit logic. Works well with a team. Provide in-depth research on Coding Scenarios. Communication and a team-work approach. Identify and provide root-cause analysis of edit performance issues. Advise leadership if edits are working as intended and support decision with validation data. Assist in creating and maintaining job aides aimed at promoting consistency in clinical validations and claims workflow process improvements. Assist in the submission of IT requests associated with validations and the enhancement of reports/tools needed to maximize results. Maintain current industry knowledge of claim edit references including, but not limited to: AMA, CMS, NCCI. Assists in the documentation of updated process, guidelines for review, enhancements, and automation. Work closely with leadership in departmental functions and special projects. Work closely with the resolution analysts. Job Requirements 2+ years of relevant experience or equivalent combination of education & work within healthcare payers/claims payment processing Certified Coder (CCS, CCS-P or CPC) RN, LPN or LVN preferred but not required Ability to interpret claim edit rules and references Solid understanding of claims workflow and the ability to interpret professional and facility claim forms Knowledge of payer reimbursement policies, state and federal regulations and applicable industry standards Ability to apply industry coding guidelines to claim processes Strong understanding of Clinical Policy interpretation required Ability to perform audits of claims processes and apply root-cause Ability to manipulate data in Excel Experience managing business relationships Excellent verbal & written communication skills 1+ years of experience in review of Medical Records and application of NCCI editing Education RN or LPN, Bachelor’s Degree preferred Current, active CPC or equivalent credentialing required Show more Show less

|| New AR Openings || upto 50th || Experience :- Min 1+ years of AR Calling. Qualification :- Degree Mandate Work From Office (WFO) Location :- Hyderabad 2 Way Cab :- 30 KMS Radius Notice Period :- 0 to 60 Days, Relieving Mandate Shift Timings :- 6pm to 3am Working Days :- Monday to Friday Interview Mode :- Virtual Interview Rounds :- 2 ( HR & Manager ) Skills :- Must have Good Commuication and good knowledge about denails and RCM Process interested candidates can share your resume HR - saharika ( 9951772874) email : saharika.axis@gmail.com

Key Responsibilities: Maintain and update the onboarding tracker, ensuring timely follow-ups. Leverage background verification processes effectively. Communicate proficiently with Native American stakeholders via phone, email, and text messages. Key Skills: Attention to detail. Prior experience in US healthcare credentialing. Strong verbal and written communication skills.

Career Opportunity – Credentialing Specialist – Primary Source Verification (PSV) at InteliX Systems Job Summary We are seeking a detail-oriented and experienced Credentialing Specialist/Co-Ordinator to join our team, with a primary focus on Primary Source Verification (PSV) . The ideal candidate will be responsible for verifying the credentials and qualifications of healthcare providers to ensure compliance with industry standards, regulatory bodies, and internal policies. This role is critical in maintaining the integrity and accuracy of our credentialing process. Location: KPHB, Hyderabad Shift: 6.30 PM – 3.30 AM IST Role & Responsibilities Perform Primary Source Verification (PSV) for provider credentials including, but not limited to: * Medical education * Residency and fellowship training * State licensure * Board certification * Work history and malpractice history Verify credentials in accordance with applicable regulatory standards such as NCQA, URAC, JCAHO, and internal policies. Contact medical schools, licensing boards, hospitals, and other institutions to obtain and validate provider information. Accurately document all communications, verification outcomes, and any follow-up actions required. Maintain and update provider records in the credentialing database (e.g., CAQH, MD-Staff, Ceipal). Collaborate with the credentialing team and other departments to resolve discrepancies and ensure timely processing. Assist in audits and internal reviews by preparing credentialing documentation as needed. Stay informed about changes in credentialing standards and regulations. Preferred Qualifications Experience working with hospitals, health plans, or credentialing verification organizations (CVOs). Required Qualifications Minimum 4–5 years of experience in credentialing, preferably in a healthcare or managed care environment. Strong working knowledge of Primary Source Verification (PSV) processes and regulatory standards (NCQA, URAC, JCAHO). Experience with credentialing databases and systems (e.g., CAQH, MD-Staff, Echo, Ceipal). Excellent attention to detail and accuracy. Strong organizational, communication, and time management skills. Ability to work independently in a fast-paced environment and handle confidential information with discretion. What we offer A competitive salary and benefits package. Opportunities for professional growth and career advancement. A dynamic and supportive work environment. The chance to work on exciting projects that make a difference. 📍Location: InteliX Systems, Hyderabad 📩Apply Now: Send your resume to swathi.kolisetty@intelixsys.com 📞Contact: 6301535020 Show more Show less

Job Title: Full Stack Engineer Location: Remote in India (EST Time Zone) Employment Type: Full-Time Department: Engineering Reports To: Director of Technology / Lead Engineer About the Role We are seeking skilled and self-motivated Full Stack Software Developers to join our fast-growing, fully remote engineering team. This is an exciting opportunity to be part of a mission-driven startup that is transforming how caregivers and administrators connect through modern scheduling, credentialing, and communication solutions. As part of a distributed team, you’ll be developing core features of our platform using cutting-edge Microsoft technologies in a high-impact, agile environment. The ideal candidate is passionate about delivering elegant, scalable solutions and thrives in a fast-paced, collaborative setting. Key Responsibilities Develop, test, and deploy features using Blazor , ASP.NET Core Web API , and .NET MAUI Build and maintain hybrid mobile applications for both iOS and Android platforms Work with Azure SQL Server and Dapper for data access Design secure and scalable solutions using Azure App Services , Azure Functions , and Service Bus Implement AI-driven features involving NLP , automation , and predictive analytics Integrate third-party services including Stripe , Checkr , and Plivo Collaborate closely with UI/UX designers using SyncFusion and Bootstrap Manage and support notification systems via Azure Push Notifications , AWS SMTP , and SMS gateways Participate in agile sprint planning , code reviews, and team discussions Required Qualifications Minimum 3 years of professional software development experience Proficiency in C# , .NET Core , and ASP.NET Core Hands-on experience with Blazor (Server or WebAssembly) Experience with .NET MAUI or other cross-platform mobile frameworks Working knowledge of AI/ML technologies , such as OpenAI , Azure AI , or NLP libraries Solid understanding of REST APIs , SQL , and cloud architecture (preferably Azure) Comfortable working independently in a remote, asynchronous team environment Preferred Qualifications (Nice to Have) Familiarity with Azure AI Services , OpenAI API , or custom ML model deployment Experience with Dapper , Azure Maps , and SyncFusion Understanding of CI/CD pipelines and DevOps workflows on Azure Background in healthcare tech , workforce scheduling , or gig-economy platforms Why Join Us? Work remotely in a flexible, async-friendly environment Be part of a purpose-driven team building real-world solutions that make a difference Opportunity to work with modern technologies and cloud-native architecture Collaborative team culture with room to grow, learn, and lead Show more Show less

We are hiring for a Business Development Executive at medtigo. Location- Remote We are seeking a motivated and results-driven Business Development Executive to promote and sell our medical licensing services to healthcare professionals and institutions in the United States. This person will play a key role in expanding the journal’s academic presence by actively reaching out to medical professionals, researchers, and subject-matter experts. They will be responsible for identifying and engaging potential authors, onboarding peer reviewers, and fostering strategic partnerships to enhance content quality and journal visibility. The ideal candidate will have a strong understanding of the healthcare industry, a consultative sales approach, and experience in selling services. Key Responsibilities for Licensing: Identify, qualify, and convert leads into paying clients—primarily physicians, nurse practitioners, physician assistants, and healthcare administrators. Promote and sell medical licensing and related services via outbound calls, email campaigns, LinkedIn outreach, and virtual presentations. Understand client needs and recommend tailored service packages that solve their licensing pain points. Manage the complete sales cycle from prospecting to closing, ensuring high levels of customer satisfaction and retention. Collaborate with the operations and customer success teams to ensure a seamless client onboarding process. Maintain and update CRM with accurate lead and sales data. Achieve and exceed monthly/quarterly sales targets. Keep current with licensing regulations, healthcare compliance trends, and competitor offerings in various U.S. states. Key Responsibilities for medtigo Journal: · Identify and contact qualified medical professionals, researchers, and academics to contribute as authors or peer reviewers. · Develop and manage relationships with institutions, medical associations, and academic networks. · Collaborate with the editorial team to understand publishing needs and align outreach efforts accordingly. · Assist in onboarding new peer reviewers and guiding authors through the submission process. · Track outreach metrics, lead conversion, and maintain accurate records in CRM tools. · Represent the journal at virtual or in-person academic events, webinars, and networking sessions. · Support marketing initiatives to promote published articles and journal issues. · Conduct market research to identify trends and opportunities in medical publishing. Requirements: Bachelor’s degree in Business, Marketing, Healthcare Administration, or a related field. Excellent American-English written and verbal communication skills Excellent interpersonal skills with the ability to function as a member of a team 3+ years of experience in sales, preferably in healthcare, staffing, credentialing, or professional services. Strong understanding of U.S. medical licensing and healthcare credentialing Proven track record of meeting or exceeding sales quotas. Excellent communication, negotiation, and interpersonal skills. Ability to work independently and manage a pipeline of leads in a remote setup. Proficiency with CRM tools Show more Show less

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

💼 Job Role: Credentialing Specialist 📍 Location: Ahmedabad (On-site)(Hybrid- US Shift) 📩 Apply at: hr@collabglobus.com 🕐 Experience: 0 to 2 years 🗣️ Freshers with Good English Communication Skills are Welcome to Apply! Key Responsibilities: Manage provider enrollment and credentialing processes with insurance companies Maintain accurate and up-to-date provider documentation Ensure compliance with credentialing regulations and timelines Coordinate with healthcare providers and payers to resolve any discrepancies Update internal systems and trackers for credentialing statuses Preferred Skills: Good verbal and written communication in English Detail-oriented and organized Knowledge of US Healthcare , RCM , Medical Billing , or Accounts Receivable (AR) is a plus Familiarity with insurance portals and provider credentialing workflows is an added advantage Who Can Apply? ✅ Fresh graduates with strong English communication ✅ Professionals from RCM, US Healthcare AR, Medical Billing, AR Specialist background looking to transition into Credentialing ✅ Candidates based in Ahmedabad or willing to relocate 📩 Send your resume to hr@collabglobus.com Credentialing Specialist , RCM Specialist , Revenue Cycle Management , US Healthcare AR , AR Specialist , Medical Billing , US Healthcare Show more Show less

Company Overview: DirectShifts is a pioneering healthcare staffing platform dedicated to connecting clinicians directly with healthcare institutions for short-term clinical work, including locum tenens positions, using an AI-based platform. We are a team of physicians, entrepreneurs, and problem solvers who have come together to solve major pain points facing medical professionals today. Our mission is to modernize healthcare recruiting by eliminating intermediaries, ensuring transparency, and empowering healthcare professionals. Backed by esteemed investors such as Y Combinator and Serent Capital, we proudly serve clients like Walmart Health, Mount Sinai Health System, BetterHelp, and Headway. DirectShifts is headquartered in New York, NY, and our team is spread across the US and India. Role Summary: We are seeking a full-time Licensing Specialist with at least 1 year of experience in handling licensing applications for U.S. healthcare professionals . You’ll be responsible for managing end-to-end license applications for: MDs Advanced Practice Providers (NPs and PAs) Licensed Therapists (LCSW, LMHC, LMFT, LPCC, Psychologists) Registered Nurses (RNs) This role is entirely Remote, and candidates must be comfortable working from 6 PM to 3 AM IST to align with U.S. business hours. Key Responsibilities: Prepare, submit, and manage licensure applications for clinicians across multiple U.S. states Stay up-to-date with state board requirements and application processes for all clinician types Communicate with state licensing boards, educational institutions, and verification bodies Track application progress and ensure timely follow-ups and completion Work closely with clinicians to gather required documents and guide them through the process Maintain accurate records and update licensing dashboards and tools What We’re Looking For: Minimum 1 year of direct experience in U.S. healthcare licensing Strong knowledge of licensing processes for MDs, NPs, PAs, RNs, and behavioral health professionals Highly organized and detail-oriented with strong follow-up skills Excellent communication and client management skills Comfortable using Google Workspace, tracking tools (like Trello or Airtable), and internal platforms A self-starter who can work independently and handle multiple applications at once Nice to Have: Prior experience in a staffing, credentialing, or telehealth environment Familiarity with licensing in all 50 states Why Join DirectShifts? Opportunities for professional development and growth. A collaborative and supportive work environment. Yearly off-sites to connect with the team in person. The chance to make a meaningful impact in the healthcare industry. Paid time off to maintain a work-life balance. Show more Show less