1357 Credentialing Jobs - Page 30

The role involves coordinating and managing daily administrative operations related to Non-Emergency Medical Transportation (NEMT) services. You will be responsible for managing and submitting medical transportation claims for Medicaid/Medicare and private insurers, ensuring accurate and timely reimbursements through billing, coding, and documentation. Additionally, you will support credentialing, contract management, and affiliation processes with NEMT brokers such as ModivCare and MTM. Handling denied claims, resubmissions, and follow-ups, as well as maintaining driver and patient records with a focus on confidentiality and HIPAA compliance, are essential aspects of the role. You will also...

Healthcare Recruiter (Nursing, Allied & Locums) Hyderabad — 100% Onsite Employment Type: Full-time | Schedule: Monday–Friday | Primary Shift: U.S. (Night) | Optional: U.K. Shift Role Overview Lifeline Healthcare is hiring experienced Healthcare Recruiters to drive full-cycle recruitment across Nursing, Allied Health, and Locum Tenens (physicians and APPs). This is an onsite role at our Hyderabad office, supporting a fast-paced delivery environment where quality, speed, and compliance are essential. You will partner closely with U.S. account managers, credentialing, and compliance teams to ensure timely, high quality placements. Key Responsibilities  Own the full recruitment lifecycle: intak...

Skill required: Talent Development - Learning Operations Designation: Learning Advisory Manager Qualifications: Any Graduation Years of Experience: 13 to 18 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song— all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We ...

We are seeking an experienced and detail-oriented Certification Exam Development Manager to lead the design, development, and maintenance of certification exams that uphold the highest standards of validity, reliability, and fairness. This role is critical in ensuring Oracle industry-recognized professional certifications accurately assess candidate competencies. About Oracle University Oracle University (OU) is committed to providing world-class training and an unbeatable educational experience. OU focuses on delivering superior training that enhances the adoption of Oracle technologies. As one of the largest corporate training organizations in the world, OU helps make technology strategies...

The role of a Credentialing Specialist based in Gurgaon, Sector-58, involves ensuring that all credentials provided by candidates are true and valid. You will be responsible for tracking the expiration of certificates and licenses, some of which may need renewal periodically. Maintaining compliance with insurance providers, medical regulatory bodies, and accrediting institutions is crucial. Your duties will also include record-keeping, updating the database with credentials, certifications, licenses, and insurance contracts. Additionally, you will handle initial credentialing and re-credentialing applications, as well as screen practitioners" applications and supporting documents to determin...

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

Role Overview: HR Manager at a NABH‑Accredited Hospital 1. Human Resource Planning & Recruitment (HRM.1–2) Develop and maintain a documented HR plan to ensure appropriate staffing across clinical and non‑clinical areas, balancing full‑time, part‑time, contractual, and volunteer roles . Define job specifications and certifications, and conduct background checks for all new hires . Oversee recruitment, selection, offer letters, onboarding schedules, and compliance with labor laws . 2. Induction, Onboarding & Orientation (HRM.3) Conduct comprehensive induction programs covering Mayom Hospital’s mission, vision, service standards, patient rights, safety protocols, and administrative policies . E...

Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keeps us ahead of the curve. Thryve delivers next-generation solutions that enable our healthcare partners to provide positive experiences to their consumers. Our global collaborative of healthcare, operations, and IT experts creates innovative and sustainable processes for our clients, which keeps the ever-evolving consumers engaged and assists them in managing the future of their healthcare better. We r...

Job description (Medical Biller - Back office) (Location: Ahmedabad, Gujarat): Candidate will be responsible for researching and data entering US based medical doctors claims and post payments. Candidate will be ideally from science background with fluency in Read and spoken English. Candidate with 1 to 3 years' experience preferred. Minimum of 30 wpm typing speed is necessary Role Description This is a full-time on-site role for a Medical Biller (Back Office) at Speed Bird Services in Ahmedabad. The Medical Biller will be responsible for managing billing, collections, E/M management, medical coding, A/R management, and referral/authorization management. The role also involves providing cons...

Skills: Anesthesia Machine Proficiency, Regional Anesthesia Techniques, Intraoperative Crisis Management, Pediatric Cardiology, Anesthesiology, General Anesthesia, WE ARE HIRING Senior Resident / Clinical Assistant / Clinical Associate Department: Anesthesia & Pain Management Position: Anesthetist Qualifications required: MBBS + MD or MS or DNB BHMS / BAMS / BUMS / BPharm / BDS candidates PLEASE DONT APPLY Location: Mumbai, Maharashtra Experience: 1 to 5 Years Mandatory Regional License Kindly share CVs on Shraddha.Alekar@rfhospital.org or Whats app on 9324900310 Job Responsibilities Will work under the supervision of Director / Consultants. Will not ordinarily have independent privileges (U...

About Us: StafGo Health is a leading U.S.-based healthcare solutions provider specializing in dental and medical billing, credentialing, and revenue cycle management. We support practices across all 50 states, ensuring operational efficiency and maximizing reimbursements through expert RCM services. Position Overview: We are hiring an experienced Dental Biller with 7+ years of hands-on experience in end-to-end dental RCM . This is a remote position based in India, ideal for professionals who have deep expertise in the U.S. dental billing cycle and are looking to work with a high-growth, U.S.-based company. Key Responsibilities: Manage complete dental revenue cycle , including: Insurance veri...

Experience Required: 2–10 years in US Healthcare Recruitment Location: Remote (Work from Anywhere) Job Type: Freelance | Commission-Based About HIRRING . We empower freelance recruiters by providing a robust tech platform that supports flexibility, autonomy, organisations and high earning potential. Position Overview: We are seeking motivated and self-driven Freelance Healthcare Recruiters to join our expanding network. This role is ideal for professionals with a strong background in healthcare recruitment who are looking to leverage their own resources and networks. As a freelance recruiter, you will have the freedom to work remotely, set your own schedule, and earn uncapped commissions bas...

Patient care: Scheduling appointments, registering patients, and checking them in and out Record keeping: Maintaining patient records, including medical histories, treatments, and test results Insurance: Processing patient insurance claims and checking insurance documents Communication: Answering phone calls and emails from patients, and providing patient-centered customer service Administrative tasks: Assisting medical staff with administrative tasks, and maintaining a clean and organized work environment Staff management: Recruiting staff Supply management: Maintaining supplies Credentialing: Reviewing, analyzing, and following up on credentialing and privileging applications Compliance: E...

#Credentialing_Specialist_Wanted! at AccuBills Healthcare Solutions Job Title: Credentialing Specialist Job Type: Full-time Shift: Night Shift (5 days/week) Benefits: ESI, PF, and Cab facility (both sides) #About_the_Role:Join our team as a Credentialing Specialist and play a critical role in ensuring healthcare providers meet necessary qualifications and compliance standards. #Key_Responsibilities: - Prepare, submit, and track provider enrollment applications - Maintain accurate credentialing records and databases - Liaise between providers, insurance companies - Assist in audits and prepare reports - Ensure compliance with internal policies and external regulations #Requirements_and_Skills...

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...

Skills & Qualifications Must-Have 2+ years of full-cycle recruitment experience, preferably within healthcare or life sciences. Proficiency in candidate sourcing techniques, including job boards, social media, and direct outreach. Hands-on experience with ATS platforms and recruitment metrics tracking. Strong stakeholder management skills with the ability to align multiple hiring needs. Excellent verbal and written communication, with a focus on empathy and candidate experience. Knowledge of healthcare credentialing processes and compliance requirements in India. Preferred Experience recruiting for niche clinical roles (e.g., nursing, allied health, physicians). Familiarity with employer bra...

Company: Fidelity Healthcare Receivables Management Pvt Ltd The Credentialing Specialist at Fidelity Healthcare Receivables Management Pvt Ltd is responsible for ensuring healthcare providers are properly credentialed with insurance companies and government agencies. This role plays a crucial part in the revenue cycle management process. Skills Required Strong attention to detail Knowledge of healthcare industry regulations Excellent communication skills Ability to multi-task and prioritize Responsibilities Review and verify provider credentials Submit and track credentialing applications Maintain accurate provider database Communicate with providers and payers regarding credentialing status...

We help design and deploy educator workforce solutions, so every learner has capable educators. The Assessment Programs Coordinator directly supports our state programs. In this role, you will assist in the development and implementation of large-scale educator credentialing programs. Success in this role requires swift action, ability to multitask, excellent verbal and written communication, successful problem-solving skills, and the ability to direct multiple projects simultaneously. The Assessment Programs Coordinator will serve in an office environment, working in the Pearson India office. Responsibilities Provides support for major components of test development, test administration, an...

Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions. This position will serve as a member of a highly skilled team of IT professionals located in Varian’s office, chartered with the remote management and monitoring of Varian’s On-Premises and Cloud-hosted Managed Service Infrastructure. The candidate will be responsible for the efficient and effective execution of all ITSM ...

Job Description : Position: Senior Business Analyst Experience: 4+ years Location: Pune (Hybrid) Availability: Immediate Joiners Preferred About Us We are a fast-scaling Indian product company building an enterprise-grade platform for the US behavioral health market. With a strong product-market fit and growing demand from large enterprise customers, we’re looking for an experienced Senior Business Analyst to translate complex customer and product needs into clear, actionable requirements that drive impact. Key Responsibilities Collaborate with product managers, engineers, and stakeholders to gather, analyze, and document business and functional requirements Work closely with US-based health...

Certification Program Manager to lead the design, development, and maintenance of Oracle's certification exams We are seeking an experienced and detail-oriented Certification Exam Development Manager to lead the design, development, and maintenance of certification exams that uphold the highest standards of validity, reliability, and fairness. This role is critical in ensuring Oracle industry-recognized professional certifications accurately assess candidate competencies. About Oracle University Oracle University (OU) is committed to providing world-class training and an unbeatable educational experience. OU focuses on delivering superior training that enhances the adoption of Oracle technol...

The ideal candidate for this position should have a minimum of 6 months of experience in Credentialing, AR Calling, or be a Fresh Graduate or pursuing a degree. The role requires working night shifts. The hiring process includes the following steps: - Application Process: Interested candidates can apply by walking in, applying online, or sending their application via email. - Test: Applicants will be required to take a simple assessment to evaluate their basic understanding. - Interview: Shortlisted candidates will have a face-to-face interview where they will discuss their job requirements and answer domain-specific questions to assess their job skills. - Offer: Successful candidates will r...

Company Description We suggest you enter details here. Role Description This is a full-time on-site role for an Enrollment - PECOS specialist located in Chennai. The specialist will be responsible for managing the provider enrollment process within PECOS, ensuring accuracy of credentialing information, and maintaining records. Day-to-day tasks include working closely with insurance providers, handling customer service inquiries, updating employee benefits information, and communicating effectively with internal and external stakeholders. Qualifications Strong skills in Credentialing and Enrollment processes, specifically within PECOS Excellent Communication skills Experience in Customer Serv...

Company Description EuropaWork specializes in the international placement of qualified nurses, connecting skilled healthcare professionals with hospitals and care institutions across India. We offer end-to-end recruitment services, including credentialing, visa processing, and relocation support, ensuring a smooth transition for both candidates and employers. Our ethical, compliant, and quality-driven approach makes us a trusted partner in global healthcare staffing. Role Description This is a full-time, on-site role for a Registered Nurse located in New Delhi. The Registered Nurse will be responsible for providing direct patient care, administering medications, monitoring patient progress, ...

Job Title: Business Development & Account Manager – Education Staffing (US Market) Location: Remote / India (Night Shift – US Time Zone) Experience: 5-10 years in US Staffing, with at least 2+ years in the Education staffing vertical Job Summary: We are seeking a driven and strategic Business Development & Account Manager to join our Education Staffing division focused on the US K-12 and Higher Education market. This role combines client acquisition and relationship management, aiming to drive sustainable revenue growth by delivering qualified educational talent to schools, districts, and academic institutions across the United States. Key Responsibilities: Business Development: Identify, ta...