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3.0 years

3 - 6 Lacs

mohali

On-site

About Us: At Amer Technology, we specialize in providing top-tier staffing solutions for the healthcare industry, ensuring our clients receive highly qualified and compassionate healthcare professionals. We are looking for an experienced US Healthcare Recruiter to join our dynamic recruitment team, with a focus on sourcing, recruiting, and placing core medical professionals. Job Summary: The US Healthcare Recruiter will be responsible for recruiting healthcare professionals, primarily in core medical roles such as Registered Nurses (RN), Licensed Practical Nurses (LPN), Certified Nursing Assistants (CNA) , Medical Assistants and other allied healthcare positions. Experience working in the education sector, particularly recruiting for schools , will be considered a significant advantage. Key Responsibilities: Full-Cycle Recruitment: Manage the end-to-end recruitment process for healthcare roles, including job posting, candidate screening, interviewing, and onboarding. Sourcing Candidates: Utilize job boards, social media, professional networks, and healthcare-specific platforms to find top talent for RN, LPN, CNA, and similar positions. Candidate Evaluation: Screen and assess candidates' qualifications, experience, and cultural fit to ensure they meet job requirements and client expectations. Industry Knowledge: Stay updated on industry trends, licensing requirements, and compliance standards to ensure candidates meet all healthcare regulatory requirements. Collaboration: Coordinate with HR teams, hiring managers, and healthcare administrators to meet recruitment goals. Documentation: Ensure all candidates' documentation is complete, accurate, and compliant with state and federal healthcare regulations. Preferred Qualifications: Proven experience as a Healthcare Recruiter specializing in core medical positions like RN, LPN, CNA . Familiarity with healthcare-related certifications, licensing, and credentialing processes. Experience recruiting for educational institutions (schools, universities, or educational programs) is a plus . Strong understanding of the US healthcare landscape and regulations. Excellent communication, negotiation, and interpersonal skills. Ability to manage multiple recruitment campaigns and prioritize effectively. Familiarity with Applicant Tracking Systems (ATS) and recruiting software (e.g., LinkedIn Recruiter, Indeed, etc.). Detail-oriented with strong organizational skills. Candidate should have 3+ Years of experience in US Healthcare Staffing industry Job Type: Full-time Pay: ₹30,000.00 - ₹50,000.00 per month Application Question(s): Do you have prior US Recruitment Experience (Night Shift)? what's your current salary? what is your expected salary? Why do you want your current job? Work Location: In person

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2.0 years

0 Lacs

india

On-site

Position: Credentialing Specialist Location: Ahmedabad, Gujarat Job Type: Full-Time Experience Required: Minimum 2 years in medical credentialing About the Role We are seeking a Credentialing Specialist to join our growing team. The ideal candidate will have at least 2 years of experience in provider credentialing and enrollment processes. This role is crucial in ensuring providers are properly credentialed with insurance payers and regulatory bodies to maintain compliance and support seamless revenue cycle management. Key Responsibilities Manage the full-cycle credentialing process for healthcare providers, including initial credentialing, re-credentialing, and ongoing updates. Verify provider information such as licenses, certifications, NPI, DEA, CAQH, and malpractice insurance . Submit and track applications with commercial insurance payers, Medicare, and Medicaid. Maintain accurate and up-to-date records in credentialing databases and systems. Ensure compliance with HIPAA, CMS, and state/federal regulations . Communicate with providers, insurance companies, and internal teams to resolve any credentialing issues. Monitor credentialing timelines and follow up proactively to avoid lapses or delays. Prepare reports and maintain documentation for audits and compliance reviews. Required Qualifications Minimum 2 years of experience in healthcare credentialing. Strong understanding of CAQH, NPI, Medicare, Medicaid, and commercial payer processes . Knowledge of healthcare compliance regulations and standards (HIPAA, CMS, etc.). Excellent attention to detail and strong organizational skills . Ability to handle multiple applications and deadlines simultaneously. Proficiency in credentialing software, MS Office Suite, and databases. Strong communication and interpersonal skills . What We Offer Competitive salary package. Growth and career advancement opportunities. Supportive and collaborative work environment. Training and certification reimbursement options. Pick and drop facility only for Female candidates. How to Apply Interested candidates can send their updated resume to rcmadmin@mediproxx.com with the subject line: “Application – Credentialing Specialist.” Job Type: Full-time Benefits: Food provided Health insurance Leave encashment Work Location: In person

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0.0 - 2.0 years

3 - 10 Lacs

vadodara

On-site

Job Title: Healthcare Recruiter Location: Vadodara Employment Type: Full-Time | Entry-Level (0–2 Years Experience) Job Summary We are looking for a motivated and people-focused Healthcare Recruiter to join our growing team. This entry-level role (0–2 years of experience) is ideal for individuals eager to build a career in recruitment and talent acquisition within the healthcare industry. You will support the hiring process by sourcing, screening, and coordinating candidates for nursing, allied health, and other clinical/non-clinical positions. Key Responsibilities Source and identify healthcare professionals through job boards, social media, referrals, and networking. Review resumes and pre-screen candidates to ensure qualifications align with requirements. Coordinate interviews between candidates and hiring managers. Assist candidates through the onboarding process, including credentialing and compliance. Maintain accurate candidate and client information in the applicant tracking system (ATS). Build and maintain strong relationships with candidates to ensure a positive experience. Provide support to senior recruiters and account managers in daily recruitment activities. Stay informed on healthcare staffing trends and workforce needs. Qualifications Required: Bachelor’s degree (or equivalent experience). 0–2 years of experience in recruitment, human resources, healthcare, sales, or customer service. Strong communication, interpersonal, and organizational skills. Ability to multitask and thrive in a fast-paced environment. Proficiency with Microsoft Office (Word, Excel, Outlook) and comfort using online platforms. Preferred: Exposure to healthcare recruitment, HR, or staffing. Familiarity with applicant tracking systems (ATS) and recruitment tools. What We Offer Structured training and mentorship for new recruiters. Competitive base salary with performance-based incentives. Career growth opportunities in healthcare staffing and human resources. Supportive, team-oriented work environment with a focus on learning and development.

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0 years

3 - 6 Lacs

ahmedabad

On-site

Respond promptly to credentialing-related emails and follow-ups within 24 hours. Manage onboarding of new providers, including welcome communication, documentation, and source verification. Handle Collaborative Agreements and update provider records in systems Submit and track payor applications and rosters; ensure follow-ups with payors. Allocate and prioritize tasks via CMD based on daily workload. Maintain and update CAQH profiles every 120 days for active providers. Conduct monthly OIG verifications and ensure compliance with client requirements. Prepare regular reports on credentialing holds, provider onboarding status, and facility credentialing by payor. Participate in weekly calls with internal stakeholders and clients. Maintain and update SOPs related to credentialing. Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹50,000.00 per month Benefits: Health insurance Leave encashment Paid sick time Provident Fund Work Location: In person

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6.0 years

0 Lacs

bengaluru, karnataka, india

On-site

About Client: Our Client is a global IT services company headquartered in Southborough, Massachusetts, USA. Founded in 1996, with a revenue of $1.8B, with 35,000+ associates worldwide, specializes in digital engineering, and IT services company helping clients modernize their technology infrastructure, adopt cloud and AI solutions, and accelerate innovation. It partners with major firms in banking, healthcare, telecom, and media. Our Client is known for combining deep industry expertise with agile development practices, enabling scalable and cost-effective digital transformation. The company operates in over 50 locations across more than 25 countries, has delivery centers in Asia, Europe, and North America and is backed by Baring Private Equity Asia. Job Title: Business Analyst Location : Hyderabad / Mumbai / Pune / Bengaluru / Chennai Experience : 6-8 Years Job Typ e: Contract to Hire Notice Period : Immediate Joiners Mandatory Skills: Strong documentation skills: BRDs, FRDs, Use Cases, Traceability Matrices. Experience in workflow modeling, process reengineering, and change management. Job description: About the Role: We are looking for a seasoned Specialist Business Analyst with 7–11 years of experience in business analysis and deep domain expertise in US healthcare systems, including Claims processing, Provider lifecycle management, and Care Management workflows. This role demands strategic thinking, stakeholder leadership, and the ability to drive complex healthcare technology initiatives from ideation to execution. Key Responsibilities: Strategic Analysis & Solutioning: Lead end-to-end business analysis for large-scale healthcare IT projects. Partner with business leaders to identify opportunities for digital transformation and operational efficiency. Define and document high-level business requirements, functional specifications, and solution architecture inputs. Conduct feasibility studies, gap analysis, and impact assessments for new initiatives. Domain Expertise – US Healthcare: Deep understanding of Claims lifecycle: submission, adjudication, payment, and denial management. Expertise in Provider workflows: credentialing, contracting, network management, and data governance. Strong knowledge of Care Management: utilization review, case management, disease management, and appeals. Familiarity with Medicare/Medicaid regulations, HIPAA compliance, and value-based care models. Technical Collaboration: Collaborate with product owners, architects, and developers to translate business needs into scalable solutions. Drive API integration strategies, data mapping, and ETL workflows for healthcare data. Ensure adherence to healthcare interoperability standards like HL7, FHIR, X12, and 508 Accessibility. Contribute to UI/UX design discussions and ensure alignment with workflow requirements. Project & Process Leadership: Lead Agile ceremonies (Scrum, PI Planning, retrospectives) and manage deliverables across Agile and Waterfall projects. Create and maintain epics, user stories, and acceptance criteria in tools like JIRA and Confluence. Develop and maintain process maps, data flow diagrams, and decision matrices. Mentor junior BAs and contribute to BA practice development and knowledge sharing. Required Skills & Experience: Core Business Analysis: Advanced proficiency in requirements elicitation, stakeholder management, and business case development. Strong documentation skills: BRDs, FRDs, Use Cases, Traceability Matrices. Experience in workflow modeling, process reengineering, and change management. Healthcare Technology: Hands-on experience with healthcare SaaS platforms, multi-tenant systems, and clinical data models. Strong understanding of claims adjudication engines, provider data platforms, and care coordination tools. Experience with data extracts, reporting tools, and analytics dashboards. Soft Skills & Leadership: Excellent communication and presentation skills for executive-level stakeholders. Strong analytical and problem-solving mindset with a strategic orientation. Proven ability to lead cross-functional teams and drive consensus. High accountability, ownership, and commitment to quality outcomes. Continuous learner with a passion for healthcare innovation and emerging technologies. Preferred Qualifications: Bachelor’s or Master’s degree in Business, Healthcare Administration, or related field. Certifications such as CBAP, CSPO, SAFe Agilist, or Lean Six Sigma are highly desirable.

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0.0 - 2.0 years

0 Lacs

hyderabad, telangana

On-site

Job Title: Associate Payment Posting Years of Experience: 1–2 years Location: Hyderabad, Telangana Mode of interview: In-person. Mode of operation: Work from office Shift Timings: 9:00 a.m.–6:00 p.m Job Description Functional Expertise: Should be able to post ERAs and Manual posting, patient-cash, check payments. Should have strong understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments and Zero claims. Should be able to identify line item denials for non-covered services, inclusive services, credentialing, medical necessity, non-par, no-auth denials, COB Denials and associated denial reason codes. Medicare claims processing-sequestration, interest payment, reporting codes, Modifiers Should be able to understand Payer specific guidelines, process secondary and Tertiary claims and patient statements. Reconciliation and balancing the payment batches. Operational Duties: Comply to daily productivity and Accuracy standards. Submit daily production reports to team lead. Stay in constant communication with team lead /operations manager Professional & behavior is expected Receive feedback from QA on errors and follow updated protocol. Additional Comments Preferably having experience with NG/eCW practice manager

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0.0 - 3.0 years

0 Lacs

hyderabad, telangana

On-site

Job Title: Associate Payment Posting Years of Experience: 2-3 years Location: Hyderabad, Telangana Mode of interview: In-person. Mode of operation: Work from office Shift Timings: 9:00 a.m.–6:00 p.m Job Description Functional Expertise: Should be able to post ERAs and Manual posting, patient-cash, check and CC payments. Should have strong understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments, capitation payments, Collection agency payments, MVA and WC payments, Correspondence and Zero claims. Should be able to access websites to retrieve, process and upload the EOBs. Should be able to identify line item denials for non-covered services, inclusive services, credentialing, medical necessity, non-par, no-auth denials, COB Denials and associated denial reason codes. Medicare claims processing-sequestration, interest payment, reporting codes, Modifiers Should be able to understand Payer specific guidelines, process secondary and Tertiary claims and patient statements. Process Insurance and patient refunds. Should be capable of interpreting and processing the EOBs, research, correct and re-file denied claims. Reconciliation and balancing the payment batches. Operational Duties: Comply to daily productivity and Accuracy standards. Submit daily production reports to team lead. Stay in constant communication with team lead /operations manager Professional & behaviour is expected Receive feedback from QA on errors and follow updated protocol. Additional Comments Preferably having experience with NG/eCW practice manager

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5.0 - 9.0 years

0 Lacs

pune, maharashtra, india

On-site

Role: Quality Engineering Lead/ Senior Consultant Location: Bhubaneswar, Pune, HYD, CHN, BLR Job Type: Work from office Client: Direct Min. 5 - 9 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 practice’s revenue cycle. Experience with Test Management tools – Rational Tool suite, JIRA. Strong communication skills. Working experience in Test Plan, Test Scripts and Test Result preparation, Status reporting. Medicare or Commercial Claims Adjudication expertise.

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11.0 years

0 Lacs

hyderabad, telangana, india

On-site

About Client: Our Client is a global IT services company headquartered in Southborough, Massachusetts, USA. Founded in 1996, with a revenue of $1.8B, with 35,000+ associates worldwide, specializes in digital engineering, and IT services company helping clients modernize their technology infrastructure, adopt cloud and AI solutions, and accelerate innovation. It partners with major firms in banking, healthcare, telecom, and media. Our Client is known for combining deep industry expertise with agile development practices, enabling scalable and cost-effective digital transformation. The company operates in over 50 locations across more than 25 countries, has delivery centers in Asia, Europe, and North America and is backed by Baring Private Equity Asia. Job Title : Business Analyst with FHIR Key Skills : Business Analyst, US Healthcare, Claims lifecycle, HL7, FHIR, X12, 508 Accessibility. Job Locations : Hyderabad Experience : 6 - 8 Education Qualification : Any Graduation Work Mode : Hybrid Employment Type : Contract Notice Period : Immediate - 10 Days Payroll : people prime Worldwide Job description: We are looking for a seasoned Specialist Business Analyst with 7–11 years of experience in business analysis and deep domain expertise in US healthcare systems, including Claims processing, Provider lifecycle management, and Care Management workflows. This role demands strategic thinking, stakeholder leadership, and the ability to drive complex healthcare technology initiatives from ideation to execution. Key Responsibilities: Strategic Analysis & Solutioning: Lead end-to-end business analysis for large-scale healthcare IT projects. Partner with business leaders to identify opportunities for digital transformation and operational efficiency. Define and document high-level business requirements, functional specifications, and solution architecture inputs. Conduct feasibility studies, gap analysis, and impact assessments for new initiatives. Domain Expertise – US Healthcare: Deep understanding of Claims lifecycle: submission, adjudication, payment, and denial management. Expertise in Provider workflows: credentialing, contracting, network management, and data governance. Strong knowledge of Care Management: utilization review, case management, disease management, and appeals. Familiarity with Medicare/Medicaid regulations, HIPAA compliance, and value-based care models. Technical Collaboration: Collaborate with product owners, architects, and developers to translate business needs into scalable solutions. Drive API integration strategies, data mapping, and ETL workflows for healthcare data. Ensure adherence to healthcare interoperability standards like HL7, FHIR, X12, and 508 Accessibility. Contribute to UI/UX design discussions and ensure alignment with workflow requirements. Project & Process Leadership: Lead Agile ceremonies (Scrum, PI Planning, retrospectives) and manage deliverables across Agile and Waterfall projects. Create and maintain epics, user stories, and acceptance criteria in tools like JIRA and Confluence. Develop and maintain process maps, data flow diagrams, and decision matrices. Mentor junior BAs and contribute to BA practice development and knowledge sharing. Required Skills & Experience: Core Business Analysis: Advanced proficiency in requirements elicitation, stakeholder management, and business case development. Strong documentation skills: BRDs, FRDs, Use Cases, Traceability Matrices. Experience in workflow modeling, process reengineering, and change management. Healthcare Technology: Hands-on experience with healthcare SaaS platforms, multi-tenant systems, and clinical data models. Strong understanding of claims adjudication engines, provider data platforms, and care coordination tools. Experience with data extracts, reporting tools, and analytics dashboards. Soft Skills & Leadership: Excellent communication and presentation skills for executive-level stakeholders. Strong analytical and problem-solving mindset with a strategic orientation. Proven ability to lead cross-functional teams and drive consensus. High accountability, ownership, and commitment to quality outcomes. Continuous learner with a passion for healthcare innovation and emerging technologies. Preferred Qualifications: Bachelor’s or Master’s degree in Business, Healthcare Administration, or related field. Certifications such as CBAP, CSPO, SAFe Agilist, or Lean Six Sigma are highly desirable.

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6.0 years

0 Lacs

bengaluru, karnataka, india

On-site

About Client: Our Client is a global IT services company headquartered in Southborough, Massachusetts, USA. Founded in 1996, with a revenue of $1.8B, with 35,000+ associates worldwide, specializes in digital engineering, and IT services company helping clients modernize their technology infrastructure, adopt cloud and AI solutions, and accelerate innovation. It partners with major firms in banking, healthcare, telecom, and media. Our Client is known for combining deep industry expertise with agile development practices, enabling scalable and cost-effective digital transformation. The company operates in over 50 locations across more than 25 countries, has delivery centers in Asia, Europe, and North America and is backed by Baring Private Equity Asia. Job Title: Business Analyst Location : Hyderabad / Mumbai / Pune / Bengaluru / Chennai Experience : 6-8 Years Job Typ e: Contract to Hire Notice Period : Immediate Joiners Mandatory Skills: Strong documentation skills: BRDs, FRDs, Use Cases, Traceability Matrices. Experience in workflow modeling, process reengineering, and change management. Job description: About the Role: We are looking for a seasoned Specialist Business Analyst with 7–11 years of experience in business analysis and deep domain expertise in US healthcare systems, including Claims processing, Provider lifecycle management, and Care Management workflows. This role demands strategic thinking, stakeholder leadership, and the ability to drive complex healthcare technology initiatives from ideation to execution. Key Responsibilities: Strategic Analysis & Solutioning: Lead end-to-end business analysis for large-scale healthcare IT projects. Partner with business leaders to identify opportunities for digital transformation and operational efficiency. Define and document high-level business requirements, functional specifications, and solution architecture inputs. Conduct feasibility studies, gap analysis, and impact assessments for new initiatives. Domain Expertise – US Healthcare: Deep understanding of Claims lifecycle: submission, adjudication, payment, and denial management. Expertise in Provider workflows: credentialing, contracting, network management, and data governance. Strong knowledge of Care Management: utilization review, case management, disease management, and appeals. Familiarity with Medicare/Medicaid regulations, HIPAA compliance, and value-based care models. Technical Collaboration: Collaborate with product owners, architects, and developers to translate business needs into scalable solutions. Drive API integration strategies, data mapping, and ETL workflows for healthcare data. Ensure adherence to healthcare interoperability standards like HL7, FHIR, X12, and 508 Accessibility. Contribute to UI/UX design discussions and ensure alignment with workflow requirements. Project & Process Leadership: Lead Agile ceremonies (Scrum, PI Planning, retrospectives) and manage deliverables across Agile and Waterfall projects. Create and maintain epics, user stories, and acceptance criteria in tools like JIRA and Confluence. Develop and maintain process maps, data flow diagrams, and decision matrices. Mentor junior BAs and contribute to BA practice development and knowledge sharing. Required Skills & Experience: Core Business Analysis: Advanced proficiency in requirements elicitation, stakeholder management, and business case development. Strong documentation skills: BRDs, FRDs, Use Cases, Traceability Matrices. Experience in workflow modeling, process reengineering, and change management. Healthcare Technology: Hands-on experience with healthcare SaaS platforms, multi-tenant systems, and clinical data models. Strong understanding of claims adjudication engines, provider data platforms, and care coordination tools. Experience with data extracts, reporting tools, and analytics dashboards. Soft Skills & Leadership: Excellent communication and presentation skills for executive-level stakeholders. Strong analytical and problem-solving mindset with a strategic orientation. Proven ability to lead cross-functional teams and drive consensus. High accountability, ownership, and commitment to quality outcomes. Continuous learner with a passion for healthcare innovation and emerging technologies. Preferred Qualifications: Bachelor’s or Master’s degree in Business, Healthcare Administration, or related field. Certifications such as CBAP, CSPO, SAFe Agilist, or Lean Six Sigma are highly desirable.

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10.0 years

0 Lacs

gurugram, haryana, india

On-site

Job Summary We are seeking a data-driven and strategically minded Strategic Compensation Specialist to bridge business goals with workforce performance. Design and run Neolytix’s pay-for-performance engine. Translate company/department goals into role-level incentive plans with clear metrics, guardrails, and ROI. Govern the full cycle—design, communication, tracking, reporting, and payout approval. Key Responsibilities What you’ll do Architect incentives: Build department- and role-level incentive frameworks tied to revenue, gross margin, quality, productivity, and client outcomes. Translate goals to plans: Convert departmental OKRs (incl. your L2 “core” vs L3 “extra-mile”) into personal goal forms with weighted KPIs and payout curves. Model & size pools: Run scenario models to allocate bonus pools; set targets, thresholds, accelerators, and balance factors (your friendlier term vs “decelerators”) for risk/GM/collections. Define metrics: Standardize KPI definitions (e.g., DSO, denial overturn rate, FTR, QA, SLA adherence, ACV/TTV for sales) with data lineage and auditability. Governance & compliance: Establish plan docs, approval flows, audit logs, and cross-border compliance (US/India/PH); annual refresh cadence. Performance ops: Build dashboards (Power BI), monthly scorecards, and Q/Q payout recommendations; manage disputes and exceptions. Change management: Train managers, run plan rollouts, and communicate simply (one-pager plan summaries per role). Continuous improvement: A/B test plan design, remove metric gaming, and iterate based on effectiveness and fairness. Systems: Partner with HRIS/Finance to automate data feeds, validations, and payout files. Example work you’ll own (by function) RCM/AR/Denials: DSO reduction, net collections %, denial overturns, promise-to-pay throughput, productivity/quality blend. Credentialing/CVO: TAT by payer, first-pass approval %, rework rate, capacity planning. Contact Center / Patient Access: QA score, SLA, AHT with quality gates, occupancy/utilization, CSAT/NPS. Sales/Revenue: New logos/ACV with GM guardrails, time-to-revenue, expansion revenue with risk-adjusters. Corporate/Enabling: Project delivery milestones, on-time automation launches, cost-to-serve improvements. 90-day success outcomes Day 10: Inventory all current plans; publish metric dictionary; align payout calendar & RACI. Day 11-60: Ship v1 standardized templates (plan doc, KPI scorecard, payout calc & governance) across all major functions. Day 90: Pilot redesigned plans (e.g., RCM, Credentialing, Sales) and deliver first monthly performance dashboard + payout recommendation pack. Qualifications Must-have 7–10 years in Total Rewards/C&B and Performance Management with strong financial modeling and people analytics. Proven incentive design across multiple functions (ops + sales), ideally in BPO/ITES/healthcare services. Advanced Excel; confident in BI (Power BI/Tableau) and data QA Excellent plan documentation, stakeholder communication, and change management. Integrity, audit mindset, and comfort with sensitive data (HIPAA awareness a plus). Nice-to-have Experience implementing commission/bonus systems; HRIS reporting; familiarity with US pay rules. Exposure to AI-enabled ops or automation metrics. Powered by JazzHR e2WWBODlcL

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8.0 - 10.0 years

0 Lacs

india

Remote

Job Description Director of Revenue Cycle Management (RCM) Location: Remote Reports To: CEO / VP of RCM (U.S.-based) Team Oversight: 2540 offshore billers, AR callers, credentialing specialists, and auditors (India-based team) Role Overview The Director of RCM will provide strategic leadership and operational oversight for our offshore billing operations, ensuring end-to-end revenue cycle performance for U.S. healthcare provider clients. This leader will be responsible for building robust processes, maintaining payer compliance, driving collections, minimizing denials, and mentoring offshore teams to deliver world-class results. Key Responsibilities Strategic Leadership Define and execute the vision for RCM operations in alignment with company growth and client expectations. Develop policies, SOPs, and workflows that optimize revenue cycle performance across specialties (Orthopedics, Physical Therapy, Dermatology, Behavioral Health, Rheumatology, etc.). Partner with U.S. leadership to ensure client needs, compliance standards, and performance goals are consistently met. Operational Management Oversee the daily operations of the billing team in India, including charge entry, payment posting, AR calling, denial management, credentialing, and reporting. Implement audit and QA frameworks to monitor accuracy, timeliness, and compliance. Standardize reporting cadence: daily, weekly, and monthly dashboards for AR, denials, collections, and payer trends. Ensure smooth onboarding of new clients and practices into billing workflows. People Leadership Manage and mentor offshore managers, team leads, and billers to ensure accountability and career growth. Build a performance-driven culture with clear KPIs, evaluation frameworks, and feedback mechanisms. Drive recruitment, training, and upskilling initiatives to maintain high-quality output. Client & Stakeholder Engagement Act as a bridge between U.S. leadership and offshore teams to ensure clear communication and alignment. Participate in client calls, providing updates on revenue performance, denial trends, and improvement initiatives. Proactively identify client risks and recommend process improvements. Compliance & Process Improvement Ensure adherence to U.S. healthcare billing regulations, HIPAA compliance, and payer-specific requirements. Monitor payer changes, industry trends, and regulatory updates to update internal SOPs. Leverage technology and automation tools (e.g., practice management systems, RPA, reporting dashboards) to drive efficiency. Qualifications Bachelors degree required; Masters in Business, Healthcare Administration, or related field preferred. Minimum 8+ years of U.S. healthcare RCM experience , with at least 5 years in leadership roles overseeing offshore teams. Deep knowledge of the end-to-end RCM cycle (charge capture, claim submission, payment posting, AR follow-up, denial management, credentialing, patient collections). Proven experience managing teams of 30+ billers in India, Pakistan, or the Philippines. Strong understanding of U.S. payers, EHR/PM systems (e.g., Athena, eClinicalWorks, AdvancedMD, Kareo, Epic, DrChrono, Experity), and compliance frameworks (HIPAA, CMS). Excellent communication, leadership, and analytical skills. Key Skills Strategic thinking and operational execution Strong analytical/reporting abilities (Excel, Power BI, or similar tools) Team leadership across multiple geographies Client management and presentation skills Problem-solving and process optimization Performance Metrics (KPIs) AR Days: Maintain < 35 days Clean Claim Rate: > 95% Denial Rate: < 5% Collection Rate: > 95% of net collectible revenue Productivity: Calls/claims processed per FTE per day Team Performance: Adherence to SLAs and quality scores Show more Show less

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1.0 - 6.0 years

3 - 8 Lacs

hyderabad

Work from Office

Conduct market research to identify and assess potential Pediatrics and OBGY doctors. Maintain a database of prospective and current doctors. Engage with identified doctors for potential collaboration opportunities. 2. Onboarding of Doctors Coordinate with HR for seamless onboarding. Ensure necessary documentation, contracts, and agreements are in place. Familiarize new doctors with hospital policies, procedures, and systems. 3. Credentialing and Privileging Oversee credentialing processes ensuring compliance with standards. Manage privileging processes based on qualifications and experience. Update records related to doctors credentials and privileges. 4. Performance Analysis Monitor performance using KPIs and feedback mechanisms. Provide reports on doctor performance with recommendations. 5. Facilitation of Consultants Meetings and Events Organize regular consultants meetings for effective communication. 6. Relationship Management Act as the primary contact between hospital administration and doctors addressing concerns or issues. Foster strong professional relationships ensuring satisfaction. 7. Compliance & Regulatory Adherence Ensure all processes comply with relevant healthcare regulations. Stay updated on changes in healthcare laws that may impact doctor relations. Job Type: Full Time Job Location: Maximum allowed file size is 100 MB. Allowed Type(s): .pdf, .doc, .docx By using this form you agree with the storage and handling of your data by this website. *

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25.0 years

0 Lacs

delhi

On-site

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: The Senior Security and Compliance Analyst will be responsible for driving security initiatives, managing risk assessments, ensuring compliance with regulatory frameworks, and supporting audits. This role requires a strong background in security governance, risk, and compliance (GRC), along with hands-on experience implementing security controls across cloud and enterprise environments. Qualifications Bachelor’s degree in Information Security, Computer Science, or related field (or equivalent experience). 5–8 years of experience in information security, risk management, or compliance. Strong knowledge of security frameworks: National Institute of Standards and Technology Cybersecurity Framework (NIST CSF), ISO 27001, Center for Internet Security Controls (CIS Controls), SOC 2. Experience with regulatory compliance requirements: HIPAA, GDPR, CCPA, HITRUST. Hands-on experience with security tools (SIEM, DLP, IAM, Cloud Access Security Broker – CASB). Excellent communication and documentation skills. Relevant certifications preferred: CISSP – Certified Information Systems Security Professional CISA – Certified Information Systems Auditor ISO 27001 LA/LI – ISO 27001 Lead Auditor/Lead Implementer CCSK – Certificate of Cloud Security Knowledge 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.

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2.0 years

0 Lacs

uttar pradesh, india

On-site

Create the future of e-health together with us by becoming a Associate/Sr. Associate Credentialing At CompuGroup Medical, our mission is to build groundbreaking solutions for digital healthcare. We aim to revolutionize how healthcare professionals produce, access, and utilize information, enabling them to focus on the core value of their work: patient outcomes. As one of the Best in KLAS organizations in the industry, we offer a full scope of Electronic Health Records (EHR), Billing, Payment services, and Revenue Cycle Management (RCM) services. We provide our team members with the training and solutions to grow across various technologies and processes. What You Can Expect From Us High Performing Team: You will be part of a close-nit, elite team within CGM that will move fast, with accuracy and hit deadlines with confidence. In-Person Team Environment: The role and the team will be onsite in Noida. We’re making work human again. No more working with people that you never meet in person. In this role, you will build in-person relationships with your team, and friendships for years to come. Comprehensive Benefits: Extensive group health and accidental insurance programs. Seamless Onboarding: A safe digital application process and a structured onboarding program. Engagement Activities: Tons of fun at work with engagement activities and entertaining games. Career Growth: Various career growth opportunities and a lucrative merit increment policy. Flexible Transportation: Choose between a self-transport allowance or our pick-up/drop-off service. Subsidized Meals: Enjoy our kitchen and food hall with subsidized meals, for your convenience. What You Can Do For Us Ensure credentialing processes are following professional standards, bylaws, state and federal regulatory requirements. Oversee day-to-day operational credentialing and privileging activities. Collaborating with the Credentialing Manager to ensure proper functioning of activities, policies, and procedures. Acting as a resource and subject matter expert, resolving issues, Coordinating with Credentialing contacts regarding the credentialing process. Verifying primary source data, such as provider education, board certifications, licensure, and other eligibilities /documents. Ensuring timely credentialing and re-credentialing of network providers and working with Internal/External Team to ensure credentialing files completed within timeframe and compliance. Calling Payers for Enrollment application status and take necessary action. What Is Expected From You Minimum of 2 years of experience as a Credentialing in US RCM industry. Should have knowledge in CAQH modules, provider enrollment. Overall, should be expertise with CAQH. Candidate should be a graduate. Basic knowledge about Internet Concepts, Windows, Micorsoft ,Adobe products. Should possess strong documentation and presentation skills. Should be flexible to work in shifts, based on business need. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. We create the future of e-health. Become part of a significant mission.

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0.0 - 5.0 years

0 Lacs

tolichowki, hyderabad, telangana

On-site

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 bachelor’s 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 4:45 PM to 3:45 AM IST only from Monday to Thursday. #LI-DNI gw4Cj8PFVg

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25.0 years

0 Lacs

chennai, tamil nadu, india

On-site

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: The Senior Security and Compliance Analyst will be responsible for driving security initiatives, managing risk assessments, ensuring compliance with regulatory frameworks, and supporting audits. This role requires a strong background in security governance, risk, and compliance (GRC), along with hands-on experience implementing security controls across cloud and enterprise environments. Qualifications Bachelor’s degree in Information Security, Computer Science, or related field (or equivalent experience) 5–8 years of experience in information security, risk management, or compliance Strong knowledge of security frameworks: National Institute of Standards and Technology Cybersecurity Framework (NIST CSF), ISO 27001, Center for Internet Security Controls (CIS Controls), SOC 2 Experience with regulatory compliance requirements: HIPAA, GDPR, CCPA, HITRUST Hands-on experience with security tools (SIEM, DLP, IAM, Cloud Access Security Broker – CASB) Excellent communication and documentation skills Relevant certifications preferred: CISSP – Certified Information Systems Security Professional CISA – Certified Information Systems Auditor ISO 27001 LA/LI – ISO 27001 Lead Auditor/Lead Implementer CCSK – Certificate of Cloud Security Knowledge 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.

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25.0 years

0 Lacs

pune, maharashtra, india

On-site

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: The Senior Security and Compliance Analyst will be responsible for driving security initiatives, managing risk assessments, ensuring compliance with regulatory frameworks, and supporting audits. This role requires a strong background in security governance, risk, and compliance (GRC), along with hands-on experience implementing security controls across cloud and enterprise environments. Qualifications Bachelor’s degree in Information Security, Computer Science, or related field (or equivalent experience) 5–8 years of experience in information security, risk management, or compliance Strong knowledge of security frameworks: National Institute of Standards and Technology Cybersecurity Framework (NIST CSF), ISO 27001, Center for Internet Security Controls (CIS Controls), SOC 2 Experience with regulatory compliance requirements: HIPAA, GDPR, CCPA, HITRUST Hands-on experience with security tools (SIEM, DLP, IAM, Cloud Access Security Broker – CASB) Excellent communication and documentation skills Relevant certifications preferred: CISSP – Certified Information Systems Security Professional CISA – Certified Information Systems Auditor ISO 27001 LA/LI – ISO 27001 Lead Auditor/Lead Implementer CCSK – Certificate of Cloud Security Knowledge 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.

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5.0 - 10.0 years

4 - 7 Lacs

chennai

Work from Office

Responsibilities: * Manage credentialing process from application to approval. * Ensure timely submission of applications and follow-ups with payers. * Coordinate AR calls with providers and resolve billing issues.

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3.0 - 7.0 years

0 Lacs

chennai, tamil nadu

On-site

As a US Healthcare Recruiter at Avacend Solutions Private Limited, located in TICEL Bio Park, Taramani, Chennai, India, you will be responsible for sourcing candidates with 3-5 years of experience in US Healthcare Recruitment. Your role will involve utilizing your proven recruitment skills to manage the end-to-end recruitment lifecycle, including screening resumes, conducting interviews, and performing credentialing and licensing verification. Strong communication and negotiation skills are essential, along with familiarity with US healthcare compliance and credentialing. In this role, you will source candidates through job portals, databases, and networking, while also collecting professional and compliance documents. Additionally, you will be conducting assessments, background verification, and compliance checks to ensure the suitability of candidates. Providing onboarding support for selected candidates will also be a part of your responsibilities. Avacend Solutions offers you the opportunity to work with US-based MNC and Fortune 100 clients, providing a competitive salary and benefits package. This role also offers the chance to grow your career in a dynamic and fast-paced environment. If you have an interest in joining our team, please send your resume to madhu@avacendsolutions.com with the Subject Line: US Healthcare Recruiter - Your Name. We look forward to considering your application.,

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1.0 - 5.0 years

2 - 5 Lacs

noida, chennai, bengaluru

Work from Office

Experience: 1-5 years in AR calling (US healthcare) Exp in denial management and handling AR calls Exp with healthcare billing software Ensure accurate & timely follow up where required. Required Candidate profile Immediate Joiners are preferred Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Noida, Bangalore Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

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1.0 - 5.0 years

2 - 5 Lacs

bengaluru

Work from Office

We are pleased to inform you that we are conducting a Walk-in Drive from 5:00 PM to 6:00 PM at our Bangalore location. • Experience: Minimum 1 to 4 years in AR domain/ Denial Management 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

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5.0 years

0 Lacs

manipur, india

On-site

Responsibilities: Lead Client Onboarding: Oversee and manage the entire onboarding process for new clients, ensuring a seamless transition and successful implementation of our healthcare Credentialing services. Relationship Management: Establish and maintain strong client relationships, serving as the primary point of contact during onboarding and beyond, addressing any concerns or inquiries promptly. Requirements Gathering: Work closely with clients to understand their specific needs, workflows, and operational requirements, ensuring accurate configuration and customization of Credentialing solutions. Project Coordination: Collaborate with cross-functional teams, including sales, operations, and IT, to ensure the timely completion of onboarding tasks, milestones, and deliverables. Documentation & Training: Create and maintain comprehensive onboarding documentation, including SOPs and training materials, to facilitate smooth knowledge transfer and user adoption. Compliance Adherence: Ensure that all onboarding activities comply with relevant healthcare regulations, such as HIPAA, and other industry-specific standards. Issue Resolution: Identify and address any issues that arise during the onboarding process, working closely with internal teams and clients to provide timely resolutions and mitigate risks. Continuous Improvement: Identify and implement opportunities for process improvements within the client onboarding function, enhancing overall efficiency and client satisfaction. Performance Tracking: Monitor key performance indicators (KPIs) related to onboarding activities, providing regular reports to management that highlight successes, challenges, and areas for improvement. Industry Knowledge: Stay informed on industry trends, regulatory updates, and best practices in healthcare Credentialing to ensure that our onboarding process remains current and compliant. Team Leadership: Provide leadership, mentoring, and coaching to develop a well-trained, high-performing team that meets or exceeds performance standards. Qualifications: At least 5 years of experience in Credentialing, with a minimum of 4 years in people management and 3 years in client onboarding or credentialing process management. Full-time qualification in Payer Credentialing from a recognized professional body. Strong technical knowledge of client onboarding and Credentialing processes. Proven expertise in project planning and management. Excellent project management, presentation, interpersonal, and leadership skills. Strong customer service and communication abilities. Ability to work under pressure while maintaining a high level of perseverance. A team player with strong conflict-resolution skills. 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) If you're a seasoned professional with a passion for client success and a deep understanding of healthcare Credentialing, we encourage you to apply!

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8.0 years

0 Lacs

india

Remote

Job Description – Director of Revenue Cycle Management (RCM) Location: Remote Reports To: CEO / VP of RCM (U.S.-based) Team Oversight: 25–40 offshore billers, AR callers, credentialing specialists, and auditors (India-based team) Role Overview The Director of RCM will provide strategic leadership and operational oversight for our offshore billing operations, ensuring end-to-end revenue cycle performance for U.S. healthcare provider clients. This leader will be responsible for building robust processes, maintaining payer compliance, driving collections, minimizing denials, and mentoring offshore teams to deliver world-class results. Key Responsibilities Strategic Leadership Define and execute the vision for RCM operations in alignment with company growth and client expectations. Develop policies, SOPs, and workflows that optimize revenue cycle performance across specialties (Orthopedics, Physical Therapy, Dermatology, Behavioral Health, Rheumatology, etc.). Partner with U.S. leadership to ensure client needs, compliance standards, and performance goals are consistently met. Operational Management Oversee the daily operations of the billing team in India, including charge entry, payment posting, AR calling, denial management, credentialing, and reporting. Implement audit and QA frameworks to monitor accuracy, timeliness, and compliance. Standardize reporting cadence: daily, weekly, and monthly dashboards for AR, denials, collections, and payer trends. Ensure smooth onboarding of new clients and practices into billing workflows. People Leadership Manage and mentor offshore managers, team leads, and billers to ensure accountability and career growth. Build a performance-driven culture with clear KPIs, evaluation frameworks, and feedback mechanisms. Drive recruitment, training, and upskilling initiatives to maintain high-quality output. Client & Stakeholder Engagement Act as a bridge between U.S. leadership and offshore teams to ensure clear communication and alignment. Participate in client calls, providing updates on revenue performance, denial trends, and improvement initiatives. Proactively identify client risks and recommend process improvements. Compliance & Process Improvement Ensure adherence to U.S. healthcare billing regulations, HIPAA compliance, and payer-specific requirements. Monitor payer changes, industry trends, and regulatory updates to update internal SOPs. Leverage technology and automation tools (e.g., practice management systems, RPA, reporting dashboards) to drive efficiency. Qualifications Bachelor’s degree required; Master’s in Business, Healthcare Administration, or related field preferred. Minimum 8+ years of U.S. healthcare RCM experience , with at least 5 years in leadership roles overseeing offshore teams. Deep knowledge of the end-to-end RCM cycle (charge capture, claim submission, payment posting, AR follow-up, denial management, credentialing, patient collections). Proven experience managing teams of 30+ billers in India, Pakistan, or the Philippines. Strong understanding of U.S. payers, EHR/PM systems (e.g., Athena, eClinicalWorks, AdvancedMD, Kareo, Epic, DrChrono, Experity), and compliance frameworks (HIPAA, CMS). Excellent communication, leadership, and analytical skills. Key Skills Strategic thinking and operational execution Strong analytical/reporting abilities (Excel, Power BI, or similar tools) Team leadership across multiple geographies Client management and presentation skills Problem-solving and process optimization Performance Metrics (KPIs) AR Days: Maintain < 35 days Clean Claim Rate: > 95% Denial Rate: < 5% Collection Rate: > 95% of net collectible revenue Productivity: Calls/claims processed per FTE per day Team Performance: Adherence to SLAs and quality scores

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3.0 years

0 Lacs

kamakhyanagar, odisha, india

On-site

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.

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