921 Credentialing Jobs - Page 34

At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. In operations and solutions at PwC, you will focus on providing consulting services to optimise overall operational performance and develop innovative solutions. You will work closely with clients to analyse operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency. Working in this area, you will provide guidance on implementing technology solutions, process automation, and operational excellence frameworks. Focused on relationships, you are building meaningful client connections, and learning how to manage and inspire others. Navigating increasingly complex situations, you are growing your personal brand, deepening technical expertise and awareness of your strengths. You are expected to anticipate the needs of your teams and clients, and to deliver quality. Embracing increased ambiguity, you are comfortable when the path forward isn’t clear, you ask questions, and you use these moments as opportunities to grow. Examples Of The Skills, Knowledge, And Experiences You Need To Lead And Deliver Value At This Level Include But Are Not Limited To: Respond effectively to the diverse perspectives, needs, and feelings of others. Use a broad range of tools, methodologies and techniques to generate new ideas and solve problems. Use critical thinking to break down complex concepts. Understand the broader objectives of your project or role and how your work fits into the overall strategy. Develop a deeper understanding of the business context and how it is changing. Use reflection to develop self awareness, enhance strengths and address development areas. Interpret data to inform insights and recommendations. Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements. Job Description Title: HCP+ Engagement Specialist Location Posted: Date Last Modified: Jul 30, 2024 BRIEF COMPANY DESCRIPTION At PwC, we connect people with diverse backgrounds and skill sets to solve important problems together and lead with purpose—for our clients, our communities and for the world at large. It is no surprise therefore that 429 of 500 Fortune global companies engage with PwC. Acceleration Centers (ACs) are PwC’s diverse, global talent hubs focused on enabling growth for the organization and value creation for our clients. The PwC Advisory Acceleration Center in Bangalore is part of our Advisory business in the US. The team is focused on developing a broader portfolio with solutions for Risk Consulting, Management Consulting, Technology Consulting, Strategy Consulting, Forensics as well as vertical specific solutions. PwC's high-performance culture is based on passion for excellence with focus on diversity and inclusion. You will collaborate with and receive support from a network of people to achieve your goals. We will also provide you with global leadership development frameworks and the latest in digital technologies to learn and excel in your career. At the core of our firm's philosophy is a simple construct: We care for our people. Globally PwC is ranked as the 3rd most attractive employer according to Universum. Our commitment to Responsible Business Leadership, Diversity & Inclusion, work-life flexibility, career coaching and learning & development makes our firm one of the best places to work, learn and excel. Apply to us if you believe PwC is the place to be. Now and in the future! JOB OVERVIEW: Compliance Central – Associate Preferred Title: HCP+ Engagement Specialist Education/Certifications: A graduate with relevant experience in a highly process driven and regulated industry, preferably with HCPs, HCOs or Patients. Roles and Responsibilities, generally: Candidate would be required to build HCP, HCO or Patient profiles in system of record, conduct exclusion, debarment screenings, research credentials, facilitate contracting with consultants, reconcile financial activity, prepare date for transparency reporting, enter data into the system of record and ensure the project file is thoroughly kept up to date, in an audit-ready state continuously. Additional Responsibilities May Include, But Are Not Limited To: AOP (Annual Operating Plan) entry into system of record Onboard HCPs by creating profiles in system of record and conducting FMV tiering Conduct Due diligence on HCPs and HCOs based on country requirements including exclusion and debarment screening and credentialing Review Contracts and Payment data to adhere to established standards Coordinate and assist with outsourced payment processes Conduct HCP invoice intake, reconciliation, and submission for payment Conduct HCP activity reconciliation, including: cCollecting and reconciling activity invoices in system of record; Review and categorize invoice items by spend type and HCP participation; Fill out transparency reporting template with itemized spend and transfer of value data Create compliance checklist for each HCP activity Generate ad hoc or curated insight reports for both compliance and business purposes Work with global IT, Compliance and legal and Business teams and ensure smooth delivery of project Other: Learn and support testing for tools on expanded areas of HCP, HCO or Patient engagement Manage deliverables on or ahead of deadlines and reporting any issues/risks beforehand Working with global tech team and developers on application modification and bug fixes Any other responsibility that flows naturally and logically to this role Skills: Individuals with 1–5 years of experience with or without prior healthcare domain knowledge, and or regulatory reporting experience Ability to consistently deliver “white glove” customer service Ability to logically, and critically evaluate HCP, HCO and Patient engagement and follow process steps. Strong research skills Experience contracting is preferable Financial acumen for reconciling expenses and payments. Strong attention to detail, and comfort with data entry. Familiarity with Advanced Excel Strong English language reading comprehension and writing skills Ability to work in a fast-paced environment, with a strong emphasis on quality and accuracy Great team player and able to work with minimal guidance © 2022 PwC. All rights reserved. PwC refers to the PwC network and/or one or more of its member firms, each of which is a separate legal entity. Please see www.pwc.com/structure for further details. This content is for general information purposes only and should not be used as a substitute for consultation with professional advisors. Legal disclaimer | Legal notices | Privacy statement Show more Show less

At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. In operations and solutions at PwC, you will focus on providing consulting services to optimise overall operational performance and develop innovative solutions. You will work closely with clients to analyse operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency. Working in this area, you will provide guidance on implementing technology solutions, process automation, and operational excellence frameworks. Driven by curiosity, you are a reliable, contributing member of a team. In our fast-paced environment, you are expected to adapt to working with a variety of clients and team members, each presenting varying challenges and scope. Every experience is an opportunity to learn and grow. You are expected to take ownership and consistently deliver quality work that drives value for our clients and success as a team. As you navigate through the Firm, you build a brand for yourself, opening doors to more opportunities. Examples Of The Skills, Knowledge, And Experiences You Need To Lead And Deliver Value At This Level Include But Are Not Limited To: Apply a learning mindset and take ownership for your own development. Appreciate diverse perspectives, needs, and feelings of others. Adopt habits to sustain high performance and develop your potential. Actively listen, ask questions to check understanding, and clearly express ideas. Seek, reflect, act on, and give feedback. Gather information from a range of sources to analyse facts and discern patterns. Commit to understanding how the business works and building commercial awareness. Learn and apply professional and technical standards (e.g. refer to specific PwC tax and audit guidance), uphold the Firm's code of conduct and independence requirements. Job Description Title: HCP+ Engagement Specialist Location Posted: Date Last Modified: Jul 30, 2024 BRIEF COMPANY DESCRIPTION At PwC, we connect people with diverse backgrounds and skill sets to solve important problems together and lead with purpose—for our clients, our communities and for the world at large. It is no surprise therefore that 429 of 500 Fortune global companies engage with PwC. Acceleration Centers (ACs) are PwC’s diverse, global talent hubs focused on enabling growth for the organization and value creation for our clients. The PwC Advisory Acceleration Center in Bangalore is part of our Advisory business in the US. The team is focused on developing a broader portfolio with solutions for Risk Consulting, Management Consulting, Technology Consulting, Strategy Consulting, Forensics as well as vertical specific solutions. PwC's high-performance culture is based on passion for excellence with focus on diversity and inclusion. You will collaborate with and receive support from a network of people to achieve your goals. We will also provide you with global leadership development frameworks and the latest in digital technologies to learn and excel in your career. At the core of our firm's philosophy is a simple construct: We care for our people. Globally PwC is ranked as the 3rd most attractive employer according to Universum. Our commitment to Responsible Business Leadership, Diversity & Inclusion, work-life flexibility, career coaching and learning & development makes our firm one of the best places to work, learn and excel. Apply to us if you believe PwC is the place to be. Now and in the future! JOB OVERVIEW: Compliance Central – Associate Preferred Title: HCP+ Engagement Specialist Education/Certifications: A graduate with relevant experience in a highly process driven and regulated industry, preferably with HCPs, HCOs or Patients. Roles and Responsibilities, generally: Candidate would be required to build HCP, HCO or Patient profiles in system of record, conduct exclusion, debarment screenings, research credentials, facilitate contracting with consultants, reconcile financial activity, prepare date for transparency reporting, enter data into the system of record and ensure the project file is thoroughly kept up to date, in an audit-ready state continuously. Additional Responsibilities May Include, But Are Not Limited To: AOP (Annual Operating Plan) entry into system of record Onboard HCPs by creating profiles in system of record and conducting FMV tiering Conduct Due diligence on HCPs and HCOs based on country requirements including exclusion and debarment screening and credentialing Review Contracts and Payment data to adhere to established standards Coordinate and assist with outsourced payment processes Conduct HCP invoice intake, reconciliation, and submission for payment Conduct HCP activity reconciliation, including: cCollecting and reconciling activity invoices in system of record; Review and categorize invoice items by spend type and HCP participation; Fill out transparency reporting template with itemized spend and transfer of value data Create compliance checklist for each HCP activity Generate ad hoc or curated insight reports for both compliance and business purposes Work with global IT, Compliance and legal and Business teams and ensure smooth delivery of project Other: Learn and support testing for tools on expanded areas of HCP, HCO or Patient engagement Manage deliverables on or ahead of deadlines and reporting any issues/risks beforehand Working with global tech team and developers on application modification and bug fixes Any other responsibility that flows naturally and logically to this role Skills: Individuals with 1–5 years of experience with or without prior healthcare domain knowledge, and or regulatory reporting experience Ability to consistently deliver “white glove” customer service Ability to logically, and critically evaluate HCP, HCO and Patient engagement and follow process steps. Strong research skills Experience contracting is preferable Financial acumen for reconciling expenses and payments. Strong attention to detail, and comfort with data entry. Familiarity with Advanced Excel Strong English language reading comprehension and writing skills Ability to work in a fast-paced environment, with a strong emphasis on quality and accuracy Great team player and able to work with minimal guidance © 2022 PwC. All rights reserved. PwC refers to the PwC network and/or one or more of its member firms, each of which is a separate legal entity. Please see www.pwc.com/structure for further details. This content is for general information purposes only and should not be used as a substitute for consultation with professional advisors. Legal disclaimer | Legal notices | Privacy statement Show more Show less

At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. In operations and solutions at PwC, you will focus on providing consulting services to optimise overall operational performance and develop innovative solutions. You will work closely with clients to analyse operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency. Working in this area, you will provide guidance on implementing technology solutions, process automation, and operational excellence frameworks. You are a reliable, contributing member of a team. In our fast-paced environment, you are expected to adapt, take ownership and consistently deliver quality work that drives value for our clients and success as a team. Examples Of The Skills, Knowledge, And Experiences You Need To Lead And Deliver Value At This Level Include But Are Not Limited To: Apply a learning mindset and take ownership for your own development. Appreciate diverse perspectives, needs, and feelings of others. Adopt habits to sustain high performance and develop your potential. Actively listen, ask questions to check understanding, and clearly express ideas. Seek, reflect, act on, and give feedback. Gather information from a range of sources to analyse facts and discern patterns. Commit to understanding how the business works and building commercial awareness. Learn and apply professional and technical standards (e.g. refer to specific PwC tax and audit guidance), uphold the Firm's code of conduct and independence requirements. Job Description Title: HCP+ Engagement Specialist Location Posted: Date Last Modified: Jul 30, 2024 BRIEF COMPANY DESCRIPTION At PwC, we connect people with diverse backgrounds and skill sets to solve important problems together and lead with purpose—for our clients, our communities and for the world at large. It is no surprise therefore that 429 of 500 Fortune global companies engage with PwC. Acceleration Centers (ACs) are PwC’s diverse, global talent hubs focused on enabling growth for the organization and value creation for our clients. The PwC Advisory Acceleration Center in Bangalore is part of our Advisory business in the US. The team is focused on developing a broader portfolio with solutions for Risk Consulting, Management Consulting, Technology Consulting, Strategy Consulting, Forensics as well as vertical specific solutions. PwC's high-performance culture is based on passion for excellence with focus on diversity and inclusion. You will collaborate with and receive support from a network of people to achieve your goals. We will also provide you with global leadership development frameworks and the latest in digital technologies to learn and excel in your career. At the core of our firm's philosophy is a simple construct: We care for our people. Globally PwC is ranked as the 3rd most attractive employer according to Universum. Our commitment to Responsible Business Leadership, Diversity & Inclusion, work-life flexibility, career coaching and learning & development makes our firm one of the best places to work, learn and excel. Apply to us if you believe PwC is the place to be. Now and in the future! JOB OVERVIEW: Compliance Central – Associate Preferred Title: HCP+ Engagement Specialist Education/Certifications: A graduate with relevant experience in a highly process driven and regulated industry, preferably with HCPs, HCOs or Patients. Roles and Responsibilities, generally: Candidate would be required to build HCP, HCO or Patient profiles in system of record, conduct exclusion, debarment screenings, research credentials, facilitate contracting with consultants, reconcile financial activity, prepare date for transparency reporting, enter data into the system of record and ensure the project file is thoroughly kept up to date, in an audit-ready state continuously. Additional Responsibilities May Include, But Are Not Limited To: AOP (Annual Operating Plan) entry into system of record Onboard HCPs by creating profiles in system of record and conducting FMV tiering Conduct Due diligence on HCPs and HCOs based on country requirements including exclusion and debarment screening and credentialing Review Contracts and Payment data to adhere to established standards Coordinate and assist with outsourced payment processes Conduct HCP invoice intake, reconciliation, and submission for payment Conduct HCP activity reconciliation, including: cCollecting and reconciling activity invoices in system of record; Review and categorize invoice items by spend type and HCP participation; Fill out transparency reporting template with itemized spend and transfer of value data Create compliance checklist for each HCP activity Generate ad hoc or curated insight reports for both compliance and business purposes Work with global IT, Compliance and legal and Business teams and ensure smooth delivery of project Other: Learn and support testing for tools on expanded areas of HCP, HCO or Patient engagement Manage deliverables on or ahead of deadlines and reporting any issues/risks beforehand Working with global tech team and developers on application modification and bug fixes Any other responsibility that flows naturally and logically to this role Skills: Individuals with 1–5 years of experience with or without prior healthcare domain knowledge, and or regulatory reporting experience Ability to consistently deliver “white glove” customer service Ability to logically, and critically evaluate HCP, HCO and Patient engagement and follow process steps. Strong research skills Experience contracting is preferable Financial acumen for reconciling expenses and payments. Strong attention to detail, and comfort with data entry. Familiarity with Advanced Excel Strong English language reading comprehension and writing skills Ability to work in a fast-paced environment, with a strong emphasis on quality and accuracy Great team player and able to work with minimal guidance © 2022 PwC. All rights reserved. PwC refers to the PwC network and/or one or more of its member firms, each of which is a separate legal entity. Please see www.pwc.com/structure for further details. This content is for general information purposes only and should not be used as a substitute for consultation with professional advisors. Legal disclaimer | Legal notices | Privacy statement Show more Show less

Job Description: Thryve is hiring! We have an exciting opening in US Healthcare, See the criteria below for our Fax Intake Coordinator position. Company's Profile: 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 recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. Thryve is an equal opportunity employer and places a high value on integrity, diversity, and inclusion in the organization. We do not discriminate based on any protected attribute. For more information about the organization, please visit www.thryvedigital.com Role Description: Role: Process Analyst or Senior Process Analyst Position: Non-Technical Skill: Fax Intake Coordinator Experience: 1-2.5 Years (Any US Healthcare background) Shift: Rotational Night Shifts(6:30 PM to 3:30 AM or 10:00 PM to 7:00 AM) Work Location: Hyderabad Work Mode: Onsite (all 5 days work from office) Education: Any Graduate ( Engineering / Tech graduates are not preferred) Venue : Unit No - 601, Building Number 12D, 6th Floor, M/s Sundew Properties Ltd, IT/ITES SEZ, Mindspace Hi-Tech City, Madhapur, Hyderabad - 500081 Walk-In Date:24th May 2025, Saturday. Walk-In Time : 09:30 AM -12:30 PM Intake Coordinator is responsible for reviewing the fax that we receive and understand the medical terminology on each page of the fax. Should be able to identify the type of fax and provide authorization within TAT. Essential Responsibilities: Build cases based on the documentation on the fax after thorough review and complete the case build with in the TAT based on SLA. Ensure login timings are adhered to as the process is time-bound, and the TAT is 4-6 hours. Ensure cases are built based on updated and current tip sheets following all essential rules. To ensure quality and productivity is met based on our SLAs. Flexible enough to meet overtime requirements and take responsibility for delivering all cases assigned. Other job responsibilities as assigned from time to time. Other additional duties as assigned or requested. Requirements: 1-2.5 years experience in US Healthcare with clinical orientation/experience claims, benefits, pre-authorization, Medical Coding, Enrollment with educational qualifications as mentioned. Good communication skills including listening, reading, and speaking with ability to communicate effectively. Ability to work in rotational shifts with rotational week offs and different US shifts/night shifts continuously. Ability to thrive in an environment of change and fluctuating priorities. Preferred: Knowledge on US Healthcare industry Ability to use independent judgement and critical thinking. Any Clinical certification

Job Description: Thryve is hiring! We have an exciting opening for Fresher in US Healthcare, See the criteria below for our Fax Intake Coordinator (Apprentice) position. Company's Profile: 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 recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. Thryve is an equal opportunity employer and places a high value on integrity, diversity, and inclusion in the organization. We do not discriminate based on any protected attribute. For more information about the organization, please visit www.thryvedigital.com Role Description: Role: Fresher (Apprentice) for initial 6 months Position: Non-Technical Skill: Fax Intake Coordinator Shift: Rotational Night Shifts(6:30 PM to 3:30 AM or 10:00 PM to 7:00 AM) Apprentice Stipend: 21,000 (for six months) + Medical Insurance 5,00,000 Post Apprentice: 3,25,000 /PA +Medical Insurance 5,00,000 + Conversion bonus 24,000/- Work Location: Hyderabad Work Mode: Onsite (all 5 days work from office) Education: Any Graduate (Engineering/Tech graduates are not preferred) Venue : Unit No - 601, Building Number 12D, 6th Floor, M/s Sundew Properties Ltd, IT/ITES SEZ, Mind space Hi-Tech City, Madhapur, Hyderabad - 500081. Walk-In Date:24th May 2025, Saturday. Walk-In Time : 09:30 AM -12:30 PM Intake Coordinator is responsible for reviewing the fax that we receive and understand the medical terminology on each page of the fax. Should be able to identify the type of fax and provide authorization within TAT. Essential Responsibilities: Build cases based on the documentation on the fax after thorough review and complete the case build with in the TAT based on SLA. Ensure login timings are adhered to as the process is time-bound, and the TAT is 4-6 hours. Ensure cases are built based on updated and current tip sheets following all essential rules. To ensure quality and productivity is met based on our SLAs. Flexible enough to meet overtime requirements and take responsibility for delivering all cases assigned. Other job responsibilities as assigned from time to time. Other additional duties as assigned or requested. Requirements: Knowledge in US Healthcare with clinical orientation/experience claims, benefits, pre- authorization, Medical Coding, Enrollment with educational qualifications as mentioned. Good communication skills including listening, reading, and speaking with ability to communicate effectively. Ability to work in rotational shifts with rotational week offs and different US shifts/night shifts continuously. Ability to thrive in an environment of change and fluctuating priorities. Preferred: Knowledge on US Healthcare industry Ability to use independent judgement and critical thinking. Any Clinical certification

Manage the Credentialing team in a US Medical Billing setup. Ensure refined workflows, meet compliances with efficiency and accuracy. Required Candidate profile Extensive experience of leading credentialing efforts in a US medical billing domain.

Job Title: Compliance Intern Company: IFANGLOBAL/ JOBIZO Location: Gurgaon, Haryana, Onsite Type: Internship (Full-Time) Experience: Fresher or up to 1 year of relevant coursework or internship About the Company IFANglobal, a renowned worldwide healthcare and recruitment and training company with a legacy of more than 20 years. The transfer comes at a pivotal moment when the healthcare sector is witnessing a surge in demand for skilled professionals, positioning Jobizo as a key player in the industry. With the strategic move, Jobizo expands its global reach and talent pool, and plans to complete its ecosystem by turning it into a one-stop solution for healthcare professionals globally. As we step into this exciting phase of transformation, we are dedicated to catering to the ever-evolving needs of the healthcare industry, connecting top-tier talent with exceptional opportunities worldwide. Our mission is not only to simplify the hiring process but to contribute to the growth and advancement of the healthcare sector by ensuring the right professionals find the right positions. Join us in shaping the future of healthcare hiring. Be a part of Jobizo, where innovation, dedication, and excellence converge to forge a path towards a stronger healthcare workforce and a healthier world. Role Overview As a Compliance Intern, you will work closely with the compliance and risk management team to ensure the organization adheres to internal policies, external regulations, and ethical standards. You will gain first hand experience in policy development, and regulatory research. Key Responsibilities Assist in tracking updates to healthcare regulations. Support the development and documentation of internal compliance policies and SOPs. Conduct research on legal frameworks impacting healthcare staffing and workforce deployment. Help maintain records for candidate credentialing, audits, and risk assessments. Contribute to the preparation of compliance reports and dashboards for internal stakeholders. Support the delivery of compliance training sessions and awareness campaigns for internal teams. Assist with data accuracy and confidentiality efforts in alignment with healthcare regulations. Work with cross-functional teams to identify and mitigate potential compliance risks. Requirements Currently pursuing or recently completed a degree in Law, Healthcare Management, Life Sciences, or Business Administration. Interest in healthcare compliance, data privacy, or workforce ethics. Strong communication, research, and documentation skills. Proficiency in MS Office (Excel, Word, PowerPoint). High attention to detail and ability to handle confidential information responsibly. Self-motivated and eager to learn in a dynamic, fast-paced healthcare tech environment What We Commit to You Mentorship from experienced compliance and legal professionals. Firsthand exposure to healthcare HR tech regulatory frameworks. Internship certificate and letter of recommendation based on performance. A collaborative, purpose-driven work culture. Flexible work options (hybrid/remote, based on location and team needs). Job Types: Full-time, Permanent Pay: ₹10,000.00 - ₹15,000.00 per month Benefits: Cell phone reimbursement Paid sick time Schedule: Day shift Monday to Friday Morning shift Weekend availability Application Question(s): What is your current CTC ? What is your ECTC ? Work Location: In person

Job Title: US Healthcare Recruiter Location: DSL Abacus IT Park, Uppal, Hyderabad Experience: 1-5 Years Job Type: Full-Time | Onsite Industry: US Staffing / Healthcare Recruitment Functional Area: Recruitment, Talent Acquisition Job Description: We are hiring an experienced US Healthcare Recruiter to join our recruitment team in Hyderabad. The ideal candidate must have a strong background in sourcing and placing healthcare professionals such as RNs, LPNs, CNAs, and other allied healthcare staff for US-based clients. Roles and Responsibilities: End-to-end recruitment for US healthcare clients (per diem, travel, contract roles) Source candidates through job boards (Dice, Monster, CareerBuilder, Indeed, etc.), LinkedIn, and internal ATS Screen, interview, and assess candidates for various clinical and non-clinical roles Coordinate interviews and facilitate onboarding and credentialing processes Maintain candidate database and track submissions, interviews, and placements Meet daily and weekly submission and placement targets Stay updated on compliance, credentialing, and US healthcare hiring trends Desired Candidate Profile: 15 years of experience in US Healthcare Staffing Excellent communication and interpersonal skills Strong understanding of US healthcare job roles and requirements Familiarity with HIPAA regulations, VMS/MSP platforms, and background checks Proficiency in using sourcing tools and applicant tracking systems (ATS) Perks and Benefits: Attractive salary with performance-based incentives Opportunity to grow with an expanding team Work in a dynamic and professional environment

Company Description CrystalVoxx Global LLP is a healthcare econometrics company specializing in Medical Billing and Coding Services for individual and group practices. With a focus on Provider Insurance Credentialing, Claims Management, and Revenue Cycle optimization, CrystalVoxx helps practices improve their financial performance. The company's process workflow, analytics, and technology ensure no money is left uncollected, with 14 years of experience in healthcare caretaking across various specialties. Role Description This is a full-time on-site role for an AR Trainee located in Nagpur. The AR Trainee will be responsible for tasks related to Accounts Receivable including debt collection, invoicing, financial analysis, and communication with stakeholders. The role involves ensuring timely payment collection and maintaining accurate financial records. Qualifications Effective Communication skills Attention to detail and strong organizational skills Proficiency in MS Excel and other financial software Show more Show less

Job Type: Full Time Job Category: IT Job Description Job Title: US Healthcare Onboarding Specialist Job Summary: We are currently looking for US Healthcare Onboarding Specialist for our office in Noida ❖ Experience required - 1.5 year to 3 years ❖ Roles and Responsibilities- Must have 1.5+ year of experience in US healthcare client Credentialing and Onboarding. Should be highly communicative with onboarding candidates to ensure their retention until they join. Must have experience in healthcare credentialing. Should be able to read and understand immunization reports, drug reports, and other health related documents of candidates. Must have experience in understanding client background check (BGC) requirements and executing them through various BGC companies. Should have experience in conducting USA state-specific searches and fingerprinting. Must be familiar with licensure validation processes. Should have knowledge of credentialing standards and regulations (e.g. NCQA, Joint Commission). Must be familiar with US tax terms to facilitate easy communication with candidates. Should have knowledge of timesheet-related queries. ❖ Job Qualifications - Excellent verbal and written communication skills Strong desire to self-learn Willing to work on tight deadlines. Comfortable with high-speed working under pressure Diploma or bachelor’s degree ❖ Benefits: Employee friendly work culture Excellent Salary structure. Timings are fixed (7: 30 PM to 4:30 AM) with Saturday and Sunday off In-House Meals are available. Strong recognition for our employees, giving them excellent career path. An outstanding opportunity to work with On-shore US clients. #USHealthcare #OnboardingSpecialist #HealthcareOnboarding #HRJobs #HealthcareJobs #USJobs #JobDescription #HealthcareProfessionals #NewEmployees #OrientationSessions #TrainingOpportunities #HealthcareAdministration #HumanResources #HRPolicies #IndustryTrends #BestPractices #Multitasking #InterpersonalSkills #OrganizationalSkills Required Skills

Job Summary ( 2 to 3 years experience) We are seeking a diligent and detail-oriented Medical Biller to join our team in the Medical billing. The successful candidate will play a vital role in ensuring the accuracy of medical billing and coding processes, which are essential for the smooth operation of healthcare services. As a Medical Biller, you will be responsible for managing billing cycles, reviewing patient records, and submitting claims to insurance companies. You will work closely with healthcare providers, insurance agencies, and patients to address billing inquiries and resolve discrepancies and payment posting. The ideal candidate will possess strong analytical skills, proficiency in medical billing software, and a comprehensive understanding of US healthcare regulations and reimbursement methodologies. Roles and Responsibilities Review and validate medical records and patient information for accuracy. Prepare claim (UB-04 and CMS-1500) and timely submit claims to insurance companies. Follow up on outstanding claims and resolve any billing issues or disputes. Review and analyze billing data to identify inconsistencies or errors. Maintain updated knowledge of medical billing codes, insurance guidelines, payment posting and regulatory requirements. Communicate effectively with healthcare providers, patients, and insurance representatives regarding billing inquiries. Generate regular reports on billing activities and outstanding claims for internal review. Qualifications Graduate with 2 to 3 years experience as a Medical Biller or in a similar billing role in the US healthcare sector. Complete RCM cycle knowledge. Knowledge of medical billing software and electronic health record systems. Familiarity with ICD-10, CPT, and HCPCS coding standards. Strong attention to detail and exceptional organizational skills. Excellent verbal and written communication abilities. Ability to analyze data and problem-solve efficiently. Knowledge of US healthcare insurance processes and regulations.

Job Description Create the future of e-health together with us by becoming a Sr. Associate Credentialing As one of the Best in KLAS RCM organizations in the industry we offer a full scope of RCM services as well as BPO services, our organization gives our team members the training and solutions to learn and grow across variety of technologies and processes. As an innovator and leader in the e-health services we offer unparalleled growth opportunities in the industry. What You Can Expect From Us A safe digital application and a structured and streamlined onboarding process. An extensive group health and accidental insurance program. Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office. Subsidized meal facility. Fun at Work: tons of engagement activities and entertaining games for everyone to participate. Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion. Best HR practices along with an open-door policy to ensure a very employee friendly environment. A recession proof and secured workplace for our entire workforce. Ample scope of reward and recognition along with perks like marriage gift hampers and gifts for birth of a child. What You Can Do For Us Should have working experience in US Healthcare -Credentialing Process-Payer and Provider Processes. 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. Profile Qualifications Minimum of 1 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. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. Show more Show less

Job Title: Compliance Intern Company: IFANGLOBAL/ JOBIZO Location: Gurgaon, Haryana, Onsite Type: Internship (Full-Time) Experience: Fresher or up to 1 year of relevant coursework or internship About the Company IFANglobal, a renowned worldwide healthcare and recruitment and training company with a legacy of more than 20 years. The transfer comes at a pivotal moment when the healthcare sector is witnessing a surge in demand for skilled professionals, positioning Jobizo as a key player in the industry. With the strategic move, Jobizo expands its global reach and talent pool, and plans to complete its ecosystem by turning it into a one-stop solution for healthcare professionals globally. As we step into this exciting phase of transformation, we are dedicated to catering to the ever-evolving needs of the healthcare industry, connecting top-tier talent with exceptional opportunities worldwide. Our mission is not only to simplify the hiring process but to contribute to the growth and advancement of the healthcare sector by ensuring the right professionals find the right positions. Join us in shaping the future of healthcare hiring. Be a part of Jobizo, where innovation, dedication, and excellence converge to forge a path towards a stronger healthcare workforce and a healthier world. Role Overview As a Compliance Intern, you will work closely with the compliance and risk management team to ensure the organization adheres to internal policies, external regulations, and ethical standards. You will gain first hand experience in policy development, and regulatory research. Key Responsibilities Assist in tracking updates to healthcare regulations. Support the development and documentation of internal compliance policies and SOPs. Conduct research on legal frameworks impacting healthcare staffing and workforce deployment. Help maintain records for candidate credentialing, audits, and risk assessments. Contribute to the preparation of compliance reports and dashboards for internal stakeholders. Support the delivery of compliance training sessions and awareness campaigns for internal teams. Assist with data accuracy and confidentiality efforts in alignment with healthcare regulations. Work with cross-functional teams to identify and mitigate potential compliance risks. Requirements Currently pursuing or recently completed a degree in Law, Healthcare Management, Life Sciences, or Business Administration. Interest in healthcare compliance, data privacy, or workforce ethics. Strong communication, research, and documentation skills. Proficiency in MS Office (Excel, Word, PowerPoint). High attention to detail and ability to handle confidential information responsibly. Self-motivated and eager to learn in a dynamic, fast-paced healthcare tech environment What We Commit to You Mentorship from experienced compliance and legal professionals. Firsthand exposure to healthcare HR tech regulatory frameworks. Internship certificate and letter of recommendation based on performance. A collaborative, purpose-driven work culture. Flexible work options (hybrid/remote, based on location and team needs). Job Types: Full-time, Permanent Pay: ₹10,000.00 - ₹15,000.00 per month Benefits: Cell phone reimbursement Paid sick time Schedule: Day shift Monday to Friday Morning shift Weekend availability Work Location: In person

Role & responsibilities: Overall Role: The Senior Manager – AI in Education & Digital Learning will be responsible for leading KEF’s strategic initiatives at the intersection of education and artificial intelligence. This includes the end-to-end design and implementation of the AI in Education Fellowship, as well as spearheading teacher and internal staff capacity-building through innovative, AI-integrated training programs. In addition to shaping the broader digital learning strategy, the role will ensure that AI-driven pedagogical approaches and content are aligned with national priorities and global education frameworks. The Senior Manager will work closely with internal teams, EdTech specialists, government stakeholders, and external partners to build future-ready, tech-enabled school ecosystems, with a strong focus on inclusive and responsible use of AI in education. Key Responsibilities Areas: Design and lead the AI in Education Fellowship program for teachers, including the development of training content, delivery strategy, assessment tools, and certification framework. Develop and implement AI-integrated teacher training modules that promote critical thinking, problem-solving, and responsible AI usage in classrooms. Stay updated with national and international developments in AI in Education, including frameworks like UNESCO's AI competencies for teachers, and embed relevant practices in KEF programs. Collaborate with AI and EdTech partners, universities, and research institutions to build a robust ecosystem that supports AI-driven learning in urban, vernacular medium schools. Monitor and evaluate the impact of AI interventions in teaching-learning processes and iterate based on feedback and data. Support the development of scalable AI-based digital tools to enhance instructional planning, personalized learning, and formative assessments in classrooms. Mentor internal teams and partner educators in understanding and applying AI in pedagogically sound and ethical ways. Planning, Monitoring and communication of the Project execution Develop annual learning and growth plans for teachers, students, and schools, incorporating AI-enabled teaching strategies and digital tools. Leverage AI-based analytics platforms and dashboards to track training delivery, teacher engagement, and student learning outcomes in real time. Use predictive insights from data tools to anticipate challenges, personalize interventions, and adjust strategies to improve implementation quality. Work closely with the MIS and M&E teams to ensure AI-driven monitoring systems are effectively capturing key data points for both process and outcome tracking. Create reports and presentations that communicate project progress and impact, using visualization tools powered by AI (e.g., dashboards, trend mapping). Ensure consistent communication with internal and external stakeholders to share insights, success stories, and learnings from AI-enabled interventions. External Collaborations Identify and collaborate with leading AI and EdTech organizations, academic institutions, research bodies, and foundations working on the intersection of AI and education. Forge strategic partnerships with organizations developing AI tools for adaptive learning, teacher support systems, and classroom data analytics. Explore collaborations with global and national initiatives (e.g., UNESCO, NITI Aayog, IITs, or AI for Education initiatives) to align with emerging best practices and frameworks. Partner with content providers and certification bodies to co-develop AI-integrated teacher training programs and micro-credentialing modules. Leverage external technical expertise to ensure ethical and inclusive use of AI in education, especially for vernacular, under-resourced school contexts. Represent KEF at forums, panels, and collaborative platforms focused on AI in education, EdTech innovation, and digital equity. Financial management Prepare and manage project budgets, ensuring alignment with AI-related program goals. Monitor fund utilization and ensure compliance with organizational and donor guidelines. Optimize resource allocation for AI tools, training, and implementation activities. Candidate specifications: Educational Qualification Master’s in Education/ MSc.IT /Education Technology/B.Tech. MBA with specialization in CSR/ Education Technology Certification or Education in AI Years of experience 10+ years in designing, executing, and leading school education-based projects Minimum 5 years in EdTech projects with experience in CSR/EdTech in education organizations, teacher training, school LMS, and digital learning solutions Work skills Excellent interpersonal skills and stakeholder management Strong command of quantitative and qualitative data analysis, report writing, and presentations Project design and planning, team leadership, and time management Familiarity with EdTech and AI tools relevant to education Other skills Learning orientation and creative problem-solving Strong integrity and self-motivation Organized, analytical, and results-drivenincts to develop new approaches and solutions Attributes Analytical: breaks down problems and applies a systematic approach Organized: demonstrates concern for accuracy and detail Self-motivated: displays interest and persistence in doing the tasks at hand Integrity: achieves a high level of trust in relationships Job Specifications: Nature of job: On payroll Location: HO, Mumbai Hours of work: 8 hours 6 days a week (alternate Saturdays are weekly offs) Working conditions The job can involve working conditions that include 8 hour shifts between 8 am to 7 pm. There are two week offs in a month apart from casual and privilege leaves. This job will also involve working in challenging community areas with infrastructural and other disadvantages and travelling across the project locations across India. Disclaimer The above statements are intended to describe the general nature and level of work performed by employees assigned to this position. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. Kotak Education Foundation reserves the right to amend and change responsibilities to meet intervention and organizational needs as necessary. About KEF : Kotak Education Foundation (KEF) was founded by Uday Kotak. He was the Founder Trustee of KEF and former Managing Director & CEO, of Kotak Mahindra Bank Ltd. He has led the group in a broad range of financial services for over 30 years. Kotak Education Foundation’s (KEF) mission is to support children and youth from underprivileged families through different education-based interventions to rise above the poverty line and lead a life of dignity through sustainable processes. KEF works with some of India's most economically underprivileged communities, attempting to alleviate poverty through education and livelihood programs. KEF works on various Educational initiatives, Livelihoods & Scholarship programs in India and below are some of the highlights: SCHOOL EDUCATION- State Education transformation achieved in 2 States (Maharashtra and Gujarat, piloting projects in other states) impacting learning outcomes of 1 million students for progressive improvement in grade appropriateness SCHOLARSHIPS- 15,000 Scholarships awarded for higher education with 2,500 graduating and gainfully employed, yielding a 2.5X ROI in a year VOCATIONAL EDUCATION- 60,000 youth (dropouts/graduates) and 30,000 school students trained on futuristic employable skills yielding an 8X ROI in a year Visit our website https://kotakeducation.org/ to learn more about our programs. Show more Show less

Job Title: U.S. Healthcare Recruiter (With Own Candidate Database) Location: [Ahmedabad - Remote ] Employment Type: [Full-time] Industry: Healthcare Staffing / Recruitment Job Summary: We are seeking an experienced and results-driven Healthcare Recruiter with a strong understanding of the U.S. healthcare system and a personal bank of pre-vetted candidates . The ideal candidate will be responsible for sourcing, screening, and placing qualified healthcare professionals in roles across hospitals, clinics, and other healthcare facilities in the United States. Key Responsibilities: Utilize your own candidate pool to quickly fill urgent and ongoing healthcare positions (RNs, LPNs, CNAs, Allied Health, etc.). Source additional healthcare talent through job boards, referrals, social media, and professional networks. Conduct initial screening interviews to assess candidate qualifications, experience, and fit. Coordinate interviews between candidates and clients. Maintain compliance with federal and state employment laws and client-specific requirements. Manage candidate documentation, credentialing, and onboarding processes. Build and maintain strong relationships with both candidates and healthcare clients. Qualifications: Proven experience as a U.S. healthcare recruiter (2+ years preferred). Must have an active and current database of healthcare candidates (nurses, therapists, technologists, etc.). In-depth knowledge of U.S. healthcare staffing procedures and credentialing requirements. Strong communication, organizational, and negotiation skills. Proficiency with applicant tracking systems (ATS) and recruitment tools. Ability to work independently and meet tight deadlines. Preferred: Experience with travel nursing or locum tenens placements. Familiarity with JCAHO, HIPAA, and other compliance standards. What We Offer: Competitive salary Flexible work hours and remote options Supportive team and access to top-tier clients Growth opportunities within a fast-paced environment Show more Show less

Job Title: Locum Recruiter – Fresher (US Healthcare Staffing) Location: Noida, Uttar Pradesh Shift Timing: Night Shift (EST Hours: 6:30 PM – 3:30 AM IST) Company: LanceSoft, Inc. About LanceSoft: LanceSoft is a premier global staffing and consulting services company, delivering high-quality workforce solutions in the Healthcare, IT, Engineering, Finance, and Non-IT sectors. With over two decades of experience and a footprint across the US and India, we are committed to connecting talent with opportunity. Job Description: We are looking for dynamic and enthusiastic fresher candidates to join our growing US Locum Staffing team. As a Locum Recruiter , you will play a key role in sourcing, screening, and onboarding qualified locum tenens physicians and healthcare providers for short- and long-term assignments across the United States. Key Responsibilities: Source and recruit locum tenens physicians and advanced practice providers through various channels (job boards, databases, LinkedIn, etc.) Conduct initial screening calls to assess candidate qualifications and availability Maintain and update candidate databases and trackers Coordinate interviews and manage documentation for credentialing and compliance Build and maintain strong relationships with healthcare professionals Work closely with Account Managers to understand client needs and fill open positions quickly Ensure timely follow-up and communication with candidates throughout the recruitment lifecycle Required Skills & Qualifications: Education: Any graduate (BBA/BSc/BCom/BA/B.Tech or equivalent) Strong communication skills in English (both written and verbal) Willingness to work in a night shift (EST hours) Excellent interpersonal and organizational skills Fast learner with a proactive attitude Basic computer proficiency (MS Office, email, internet research) Job Type: Full-time Pay: ₹9,962.43 - ₹25,000.00 per month Benefits: Food provided Health insurance Provident Fund Schedule: Night shift Language: English (Required) Work Location: In person

Job Position Overview: The Account Receivable (AR) Specialist in Medical Billing and Insurance Credentialing is responsible for managing the collection process, ensuring timely payments, and ensuring the accuracy of medical billing and insurance claims. This role also requires proficiency in eligibility benefits verification and insurance credentialing to support accurate billing processes and to ensure that claims are processed efficiently. Key Responsibilities: Medical Billing & Accounts Receivable Management: Process and review medical claims for accuracy before submission to insurance companies. Post payments and adjustments to patient accounts, ensuring all transactions are accurate and up-to-date. Follow up with insurance companies and patients on outstanding balances or denied claims. Maintain detailed records of payment statuses and track overdue accounts to facilitate timely collections. Review patient and insurance payments to ensure compliance with contracted rates. Insurance Credentialing: Manage and maintain the provider’s insurance credentialing and re-credentialing process. Submit applications for new provider enrollments and follow up on approval status. Work with insurance companies to resolve any issues with provider credentials or billing discrepancies. Eligibility and Benefits Verification: Verify patient insurance coverage and benefits prior to providing services. Confirm eligibility, co-pays, deductibles, and patient out-of-pocket responsibilities by contacting insurance carriers. Assist patients with understanding their insurance coverage and financial responsibilities. Claim Denials & Appeals: Investigate and resolve denied, rejected, or unpaid claims by working with insurance carriers and resubmitting claims or filing appeals when necessary. Ensure that proper documentation is in place to support the appeals process and communicate effectively with insurance representatives to resolve issues. Patient Communication: Communicate with patients regarding their outstanding balances, explaining billing statements and payment plans if necessary. Provide assistance in setting up payment arrangements or determining financial assistance options. Compliance & Documentation: Ensure adherence to all healthcare regulations, including HIPAA, while managing patient information. Maintain accurate, organized, and complete billing documentation in compliance with insurance requirements and healthcare regulations. Stay updated on changes in healthcare regulations, insurance policies, and billing practices. Reporting & Analysis: Generate and review accounts receivable reports to track payment trends, aging balances, and collection progress. Assist in the preparation of financial reports related to billing and collections for the management team. Required Qualifications: High school diploma or equivalent (Associate's or Bachelor's degree in Healthcare Administration or related field preferred). Minimum of 2-3 years of experience in medical billing, accounts receivable, or healthcare finance. Familiarity with medical insurance carriers, claims processing, and eligibility verification procedures. Experience with medical billing software and electronic health record (EHR) systems (e.g., Epic, AthenaHealth, Cerner). Knowledge of insurance terminology, coding (ICD-10, CPT), and regulatory guidelines such as HIPAA. Strong organizational, communication, and problem-solving skills. Ability to manage multiple priorities and meet deadlines in a fast-paced environment. Desired Skills: Previous experience in insurance credentialing and provider enrollment. Ability to handle complex billing and insurance inquiries. Proficient with Microsoft Office Suite (Excel, Word, Outlook). Work Environment: Office setting with potential for remote work depending on the organization’s policies. Compensation: Competitive salary based on Benefits Job Type: Full-time Pay: ₹25,000.00 - ₹35,000.00 per month Schedule: Monday to Friday Night shift US shift Work Location: In person

We are seeking an experienced Senior Healthcare Recruiter to lead end-to-end recruitment for healthcare positions across hospitals, clinics, and healthcare systems. The ideal candidate will have a deep understanding of the healthcare industry, strong sourcing skills, and a proven ability to engage and close top healthcare talent. Key Responsibilities: Partner with healthcare clients or internal hiring managers to understand job requirements and hiring needs Source, screen, and shortlist candidates for roles including physicians, nurses, therapists, technicians, and administrative staff Manage the full recruitment lifecycle – from job posting to candidate onboarding Utilize job boards, social media, internal database, and professional networks to identify qualified candidates Conduct detailed interviews to assess skills, experience, and cultural fit Coordinate interview schedules, follow-ups, and feedback with candidates and clients Maintain accurate and up-to-date candidate records in ATS or tracking systems Provide market insights and talent availability trends to clients Mentor junior recruiters (if applicable) and contribute to process improvements Ensure compliance with healthcare hiring regulations and standards Requirements: Bachelor’s degree in Human Resources, Healthcare Administration, or related field 4+ years of experience in healthcare recruitment (agency or in-house) Familiarity with roles like RNs, LPNs, CNAs, Physicians, Lab Technicians, etc. Strong sourcing skills using LinkedIn, job boards, referrals, and healthcare-specific platforms Excellent communication and negotiation skills Ability to manage multiple roles and clients in a fast-paced environment Experience working with an ATS or recruitment CRM Preferred: Experience with U.S. healthcare staffing (for international recruiting firms) Knowledge of healthcare regulations and credentialing requirements Strong network within the healthcare community Show more Show less

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB