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0 years

0 Lacs

Noida, Uttar Pradesh

Remote

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

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0 years

0 Lacs

Mumbai, Maharashtra, India

On-site

When you join Accurate Background, you’re an integral part of making every hire the start of a success story. Your contributions will help us fulfill our mission of advancing the background screening experience through visibility and insights, empowering our clients to make smarter, unbiased decisions. Accurate Background is a fast-growing organization, focused on providing employment background screenings and building trustful relationships with our clients. Accurate Background continues to exceed expectations by offering an array of innovative and cutting-edge background check and credentialing products to meet the needs of human resource, loss prevention, and security/legal professionals in employment screening and vendor certification. We offer a fun, fast-paced environment, with lots of room for growth. If this sounds good to you, join our team! Our Client Services team is the “voice” of Accurate Background – they connect with customers to provide information and resolve issues. Responsibilities Develop knowledge and understanding of specific CS functions Learn specific activities and retain information, and know-how Gain an overall understanding of Order Fulfillment Develop knowledge and understanding of products Process assigned work, independently, consistently, and accurately Follow provided instructions, exactly Follow work/break/lunch schedule Develop some understanding of FCRA Communicate with clients and applicants via phone, email and chat queues Provide information about products and services Obtain details on complaints and requests Process requests and then resolve them with accuracy and efficiency Provide training/guidance Analyze and interpret information received from callers using deductive and inductive reasoning skills to determine the best solution and follow through to completion Record details of all calls and tasks, as well as actions taken, into the CRM tool Communicate with supervisors, peers, leaders, and other departments regarding caller requests Provide tutorials and guidance on proprietary system Meet Accurate Background quality standards for services by adhering to client guidelines, regulations, policies, and procedures Contribute to team effort in maintaining service level agreements (SLA) Other related duties, as needed Skills Patience Attentiveness Ability to use positive language Persuasion Time Management Multitasking (i.e., read or type while talking on the phone) Empathy Goal-oriented focus Strong written and verbal comprehension and expression skills Previous experience with Microsoft Office Suite/Office 365 (Outlook, Word, Excel, OneNote, OneDrive) Ability to type 45+ WPM The Accurate Way: We offer a fun, fast-paced environment, with lots of room for growth. We have an unwavering commitment to diversity, ensuring everyone has a complete sense of belonging here. To do this, we follow four guiding principles – Take Ownership, Be Open, Stay Curious, Work as One – core values that dictate what we stand for, and how we behave. Take ownership. Be accountable for your actions, your team, and the company. Accept responsibility willingly, especially when it’s what’s best for our customers. Give others every reason to trust you, believe in you, and count on you. Rise to every occasion with your personal best. Be open. Be open to new ideas. Be inclusive of people and ways of doing things. Make yourself accessible and approachable, and communicate with genuineness, transparency, honesty, and respect. Embrace differences. Stay curious. Stay curious even as you move forward. Tirelessly ask questions and challenge the status quo in your pursuit of new ideas, ways to solve problems, and to continually grow and improve. Work as one. Work together to create the best customer and workplace experience. Put our customers and employees first—before individual or departmental agendas. Make sure they get the help they need to succeed. About Accurate Background: Accurate Background’s vision is to make every hire the start of a success story. As a trusted provider of employment background screening and workforce monitoring services, Accurate Background gives companies of all sizes the confidence to make smarter, unbiased hiring decisions at the speed of demand. Experience a new standard of support with a dedicated team, comprehensive technology and insight, and the most extensive coverage and search options to advance your business while keeping your brand and people safe. Special Notice: Accurate is aware of schemes involving fraudulent job postings/offers and/or individuals or entities claiming to be employees of Accurate. Those involved are offering fabricated employment opportunities to applicants, often asking for sensitive personal and financial information. If you believe you have been contacted by anyone misrepresenting themselves as an employee of Accurate, please contact humanresources@accurate.com . Please be advised that all legitimate correspondence from an Accurate employee will come from "@accurate.com" email accounts. Accurate will not interview candidates via text or email. Our interviews are conducted by recruiters and leaders via the phone, Zoom/Teams or in an in-person format. Accurate will never ask candidates to make any type of personal financial investment related to gaining employment with the Company. Show more Show less

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0 years

0 Lacs

Gurugram, Haryana, India

On-site

Line of Service Advisory Industry/Sector Not Applicable Specialism Operations Management Level Administrative Job Description & Summary At PwC, our people in business services and support focus on providing efficient and effective administrative support to enable smooth operations within the organisation. This includes managing schedules, coordinating meetings, and handling confidential information. Those working as assistants and office support at PwC will provide high-level administrative support to senior executives, including managing their schedules, coordinating meetings, and handling confidential information. You will play a crucial role in maintaining smooth operations and effective communication within the organisation. Why PWC At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purpose-led and values-driven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us. At PwC, we believe in providing equal employment opportunities, without any discrimination on the grounds of gender, ethnic background, age, disability, marital status, sexual orientation, pregnancy, gender identity or expression, religion or other beliefs, perceived differences and status protected by law. We strive to create an environment where each one of our people can bring their true selves and contribute to their personal growth and the firm’s growth. To enable this, we have zero tolerance for any discrimination and harassment based on the above considerations. " Responsibilities Act as the point of contact among executives, employees, clients and other external partners Manage information flow in a timely and accurate manner Manage executives’ calendars and set up meetings Make travel and accommodation arrangements Rack daily expenses and prepare weekly, monthly or quarterly reports Oversee the performance of other clerical staff Act as an office manager by keeping up with office supply inventory Format information for internal and external communication – memos, emails, presentations, reports Take minutes during meetings Screen and direct phone calls and distribute correspondence Organize and maintain the office filing system Mandatory Skill Sets Work experience as an Executive Assistant, Personal Assistant or similar role Excellent MS Office knowledge. Outstanding organizational and time management skills Familiarity with office gadgets and applications (e.g. e-calendars and copy machines) Excellent verbal and written communications skills Discretion and confidentiality Preferred Skill Sets Work experience as an Executive Assistant, Personal Assistant or similar role Excellent MS Office knowledge. Outstanding organizational and time management skills Familiarity with office gadgets and applications (e.g. e-calendars and copy machines) Excellent verbal and written communications skills Discretion and confidentiality Years Of Experience Required 4 – 10 Yrs Education Qualification B.Sc, MSc, MBA, B.Com Education (if blank, degree and/or field of study not specified) Degrees/Field of Study required: Master of Science, Bachelor of Science, Master of Business Administration, Bachelor of Commerce Degrees/Field Of Study Preferred Certifications (if blank, certifications not specified) Required Skills Executive Assistance Optional Skills Accepting Feedback, Accepting Feedback, Active Listening, Administrative Support, Agile Database Administration, Business Process Improvement, Calendar Management, Change Management, Clerical Support, Collaborative Forecasting, Communication, Communications Management, Concur Travel, Conducting Research, Confidential Information Handling, Corporate Records Management, Correspondence Management, Credentialing Database, Customer Relationship Management, Customer Service Excellence, Customer Service Management, Data Entry, Deployment Coordination, Digital Development, Document Scanning {+ 45 more} Desired Languages (If blank, desired languages not specified) Travel Requirements Not Specified Available for Work Visa Sponsorship? No Government Clearance Required? No Job Posting End Date Show more Show less

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1 - 5 years

2 - 5 Lacs

Chennai, Bengaluru

Work from Office

J D - Quality Analyst Min 5 year of exp in AR & 1 year exp in QA On paper Quality Analyst Must worked in physician billing -CMC1500 Should have knowledge in Denials Immediate - 15 days preferable US Shift Transportation available (Within 20 km) Required Candidate profile Immediate Joiners are preferred 2-Way Cab Facility Willing to work in US healthcare domain. Health insurance Job Location : Bangalore @ Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

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2 - 4 years

0 Lacs

Chennai

Work from Office

Credentialing Specialist with 2+ years experience needed to verify healthcare provider credentials, maintain records, ensure compliance, coordinate re-credentialing, and support audits. Immediate Joining preffered.

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1 - 4 years

3 - 5 Lacs

Noida

Work from Office

Creating credentialing application Submitting applications with payor Gathering Payor guidelines for credentialing Follow up with payor for provider and payor for credentialing status Creating recredentialing applications EDI enrollments

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1 - 5 years

2 - 5 Lacs

Bengaluru

Work from Office

We are pleased to inform you that we are organizing a Mega Walk-In Drive at our Bangalore office on 14th May 2025 (Saturday), starting from 5 PM onwards for Exp AR Callers. Min 1 to 5+ yrs of experience Work from Office Required Candidate profile Immediate Joiners are preferred 2-Way Cab Facility Food provided Health insurance Job Location : Bangalore @ Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

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2 - 6 years

2 - 5 Lacs

Coimbatore

Work from Office

Role & responsibilities Should have experience in Credentialing process in Medical Billing - Min of 1 year to Max 6 years. Credentialing in medical billing is the process that all healthcare service providers perform to become enlisted with insurance companies . Only trusted, vetted, and verified insurance companies include healthcare providers to serve their customers. Candidate who has good / trainable communication. Preferred candidate profile Should be flexible to work in US shift & Work from office Flexible to extend support on weekend based on requirement Should have experience in Credentialing Fluent verbal communication abilities / call center expertise (Semi Voice process) Immediate Joiners Perks and benefits Salary will be as per company standards and lucrative for the role offered. Interested candidates may share your updated resume Keziya.Prasadbabu@omegahms.com Contact number -8712312855 Thanks & Regards, Keziya Agraharam

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1 - 5 years

2 - 5 Lacs

Mysuru, Chennai, Bengaluru

Work from Office

AR callers with Sound knowledge of Healthcare concepts, Physician billings, and end-to-end RCM knowledge (US Healthcare ) Min 1 to 5+ yrs of experience Work from Office Required Candidate profile Immediate Joiners are preferred 2-Way Cab Facility Food provided Health insurance Job Location : Hyderabad, Bangalore @ Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

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3 - 7 years

2 - 3 Lacs

Chennai

Work from Office

Greetings from ACP Billing Services! We are hiring for the following roles - Work from Office Charge Posting Payment Posting Experience & Requirements: Minimum 3+ years of experience in US Medical Billing. Strong verbal and written communication skills. Charge/Payment Posting candidates with good typing skills will have an added advantage. Competitive remuneration as per industry standards. Spot offers for selected candidates. Immediate joiners are preferred. Responsibilities: Process medical billing transactions with a 99% or higher accuracy rate. Understand and apply customer-provided business rules while ensuring compliance with turnaround time requirements. Work collaboratively in teams to achieve set targets. Utilize medical billing expertise to monitor and report customer KPIs. Actively participate in learning programs and compliance initiatives. Competencies & Skills: Strong interpersonal and analytical skills. Proficiency in MS Office (Word, Excel, PowerPoint). Adaptability, flexibility, and a proactive approach to tasks. Commitment to meeting productivity, quality, and attendance SLAs. Team-oriented mindset with a willingness to take initiative. Work Location : ACP Billing Services Pvt Ltd - NO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark : Next to ICICI Bank Madhavaram Branch. Share your CV to hr@acpbillingservices.com / WhatsApp 9841820311

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3 - 5 years

2 - 5 Lacs

Pune

Work from Office

Role & Responsibilities :- Claims Management : Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner. Denial Management : Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing. Communication : Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies. Account Follow-up : Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up. Oversee credentialing processes, ensuring compliance with industry and regulatory standards. Collect, review, and verify documentation such as licenses, certifications, and work history. Maintain and update credentialing databases with accurate and current provider information. Track credentialing status, expirations, and re-credentialing timelines using software tools. Act as the primary contact for healthcare providers, guiding them through the credentialing process. Perks and benefits Work from Office (Pune) PF Deductions Gratuity Health Insurance Kindly share your resume on guddan@rsystems.com or ping me at 7011037919 for more details. Note: Looking for the immediate Joiner

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3 - 7 years

4 - 7 Lacs

Pune

Work from Office

Job description AR ( Credentialing ) Job Description As a Credentialing Associate at R Systems, you will play a pivotal role in ensuring the accurate and timely processing of credentialing applications for US healthcare professionals. Your expertise in regulatory compliance, attention to detail, and ability to manage multiple tasks will be critical in maintaining provider records and ensuring adherence to industry standards. You will conduct thorough background checks, verify licenses and certifications, and collaborate with internal teams to address credentialing issues. Additionally, you will stay informed about changes in healthcare regulations and help refine credentialing policies and procedures to enhance operational efficiency. Your contribution will directly impact the quality of healthcare services by ensuring that only qualified professionals are credentialed. Preferred Skills- Follow up, Denial Management, Credentialing, Enrollment, US Healthcare Roles & Responsibilities Oversee credentialing processes, ensuring compliance with industry and regulatory standards. Collect, review, and verify documentation such as licenses, certifications, and work history. Maintain and update credentialing databases with accurate and current provider information. Track credentialing status, expirations, and re-credentialing timelines using software tools. Act as the primary contact for healthcare providers, guiding them through the credentialing process. Collaborate with internal teams, including HR and legal, to ensure credentialing requirements are met. Conduct audits to identify areas for improvement and ensure compliance with policies. Prepare detailed reports on credentialing activities and outcomes for leadership review. Stay current with state and federal regulations to ensure compliance. Assist in developing and implementing credentialing policies aligned with best practices and organizational standards. Drop your CV at guddan@rsystems.com & Whatsapp - 7011037919

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1 - 5 years

2 - 5 Lacs

Mysuru, Chennai, Bengaluru

Work from Office

Experience: 1-2 years in AR calling (US healthcare) Exp in denial management and handling AR calls Exp with healthcare billing software Ensure accurate & timely follow up where required. Required Candidate profile Immediate Joiners are preferred Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Mysore, Bangalore Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

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5 - 10 years

4 - 8 Lacs

Chennai

Work from Office

Position/ Title - Team Lead (Credentialing) Experience - 5 to 10 years Location - Chennai Shift - Night Notice period - 30days Job description: Responsible for managing a team of 20+ team members Create an inspiring team environment with an open communication culture Set clear team goals Delegate tasks and set deadlines Oversee day-to-day operation Monitor team performance and report on metrics Motivate team members Discover training needs and provide coaching Listen to team members feedback and resolve any issues or conflicts Encourage creativity and risk-taking Suggest and organize team building activities Work closely with quality & training teams Job specifications: Minimum 5 years' experience in US healthcare (Credentialing) Strong knowledge in concepts of RCM Good People Management Skills Good Interpersonal Skills Good Analytical Skills Good Leadership skills Interested candidate kindly share your resume to Manoj.Muralibabu@omegahms.com

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2 - 7 years

4 - 5 Lacs

Navi Mumbai

Work from Office

About the Role: The Onboarding Specialist will serve as a liaison between the business and provisioning teams. you will be providing support and ensuring all agents are equipped with tool access and proper credentials to guarantee a smooth transition into their role in the call centers. About the Client: Our client is a Fortune 500, nationwide, telecommunications and media organization made up of multiple brands. They are the largest broadband communications and video services providers in the United States, serving nearly 5 million residential and business customers. They are spread across 21 states with an advanced portfolio of connectivity services, focused on bringing their customers and communities together. With us, you can build a career that creates impact both personally and professionally. Responsibilities: Initiates the onboarding process for all Contact Center staff Responsible for ensuring that new employees are integrated into the company smoothly and efficiently. Distributes all credentials for onboarding staff, across a wide array of departments and functions. Provide onboarding support to new employees, ensuring first successful access to required applications and tools. Maintains a strong understanding of and complies with all client onboarding processes and policies. Identifies and provides alerts to leadership of potential onboarding issues or concerns. Leads weekly onboarding calls with partners to review upcoming onboarding needs and provide updates on existing submissions. Ensure proper credentials are provided, or updated, for any role change across the Contact Centers Updates and maintains company-wide trackers for all new hire credentialing. Onboarding administrator for internal systems - create new users, manage campaign lists, monitoring error logs, system security, routine and disaster recovery procedures, IT relations along with other tasks to ensure system efficiency. Other assigned tasks as required. Qualifications: High school diploma or equivalent work experience and technical training is required. Proficient PC Skills including knowledge of the Microsoft Office Suite of applications. Ability to communicate clearly, concisely, and professionally in written responses. Strong analytical and problem-solving skills with ability to resolve technical problems. Excellent organizational, time-management, and communication skills. Ability to multitask and manage multiple priorities in a fast-paced, dynamic environment. Previous Call Center Experience is a plus Non-technical requirements: You have experience working on client-facing roles. You are available to work from our Mumbai office from Day 1 in a night shift .

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2 - 1 years

0 - 0 Lacs

Vasai, Maharashtra

Work from Office

The Chief Medical Officer (CMO) is a key member of the executive leadership team responsible for overseeing the clinical operations and medical staff within the organization. The CMO ensures high-quality patient care, compliance with healthcare regulations, strategic planning for medical services, and alignment of clinical goals with the overall mission of the organization. Key Responsibilities: Provide leadership and direction for all clinical departments and healthcare practitioners. Develop and implement clinical policies, procedures, and best practices to improve patient outcomes and safety. Collaborate with other executives to shape and execute strategic initiatives and long-term plans. Oversee clinical quality improvement programs and monitor performance metrics. Foster a culture of excellence, accountability, and continuous improvement in patient care. Lead initiatives related to medical education, research, and innovation. Act as a liaison between the medical staff and administration. Manage recruitment, credentialing, and performance evaluations of physicians and clinical leaders. Represent the organization in professional associations and community activities. Qualifications: Medical degree (MBBS) from an accredited institution. Board certification in a recognized medical specialty. Active medical license in Maharashtra. Minimum 2 years of clinical experience with at least 1 years in a leadership role. Proven track record of healthcare administration and strategic planning. Strong knowledge of healthcare regulations, quality standards, and clinical best practices. Excellent leadership, communication, and interpersonal skills. Job Types: Full-time, Permanent Pay: ₹45,000.00 - ₹50,000.00 per month Benefits: Paid sick time Paid time off Schedule: Rotational shift Weekend availability Supplemental Pay: Shift allowance Work Location: In person

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2 - 7 years

3 - 7 Lacs

Bengaluru

Work from Office

we're looking for a Payor Operations Specialist with direct experience interacting with U.S. health insurers (eg, Optum, Aetna, Cigna, BCBS) to support provider contracting and credentialing. you'll play a key role in helping us establish and maintain in-network contracts and keep our provider data up-to-date with insurers. Key Responsibilities Manage and submit contracting and credentialing requests with U.S. insurers including Optum, Aetna, Cigna, and Blue Cross Blue Shield plans Communicate with payors to track contract and credentialing status updates , and resolve delays or issues Own and maintain provider information in CAQH and Availity portals - including submissions, re-attestations, and updates Ensure timely enrollment and re-enrollment of providers with accurate documentation Collaborate cross-functionally with provider onboarding, legal, and RCM teams Monitor key deadlines, maintain detailed status logs, and proactively follow up with insurers Required Qualifications 2+ years of hands-on experience in U.S. healthcare payor operations Direct communication experience with major insurers like Optum, Aetna, Cigna, or BCBS Strong understanding of credentialing, contracting, and provider enrollment workflows Proficiency in using CAQH and Availity for provider submissions and tracking Strong written and verbal communication skills for insurer follow-ups Detail-oriented with excellent organizational and documentation habits

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3 - 7 years

4 - 7 Lacs

Pune

Work from Office

Job description AR ( Credentialing ) Job Description As a Credentialing Associate at R Systems, you will play a pivotal role in ensuring the accurate and timely processing of credentialing applications for US healthcare professionals. Your expertise in regulatory compliance, attention to detail, and ability to manage multiple tasks will be critical in maintaining provider records and ensuring adherence to industry standards. You will conduct thorough background checks, verify licenses and certifications, and collaborate with internal teams to address credentialing issues. Additionally, you will stay informed about changes in healthcare regulations and help refine credentialing policies and procedures to enhance operational efficiency. Your contribution will directly impact the quality of healthcare services by ensuring that only qualified professionals are credentialed. Preferred Skills- Follow up, Denial Management, Credentialing, Enrollment, US Healthcare Roles & Responsibilities Oversee credentialing processes, ensuring compliance with industry and regulatory standards. Collect, review, and verify documentation such as licenses, certifications, and work history. Maintain and update credentialing databases with accurate and current provider information. Track credentialing status, expirations, and re-credentialing timelines using software tools. Act as the primary contact for healthcare providers, guiding them through the credentialing process. Collaborate with internal teams, including HR and legal, to ensure credentialing requirements are met. Conduct audits to identify areas for improvement and ensure compliance with policies. Prepare detailed reports on credentialing activities and outcomes for leadership review. Stay current with state and federal regulations to ensure compliance. Assist in developing and implementing credentialing policies aligned with best practices and organizational standards. Drop your CV at Simran.Gulati@rsystems.com

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3 - 7 years

4 - 7 Lacs

Pune

Work from Office

Job description AR ( Credentialing ) Job Description As a Credentialing Associate at R Systems, you will play a pivotal role in ensuring the accurate and timely processing of credentialing applications for US healthcare professionals. Your expertise in regulatory compliance, attention to detail, and ability to manage multiple tasks will be critical in maintaining provider records and ensuring adherence to industry standards. You will conduct thorough background checks, verify licenses and certifications, and collaborate with internal teams to address credentialing issues. Additionally, you will stay informed about changes in healthcare regulations and help refine credentialing policies and procedures to enhance operational efficiency. Your contribution will directly impact the quality of healthcare services by ensuring that only qualified professionals are credentialed. Preferred Skills- Follow up, Denial Management, Credentialing, Enrollment, US Healthcare Roles & Responsibilities Oversee credentialing processes, ensuring compliance with industry and regulatory standards. Collect, review, and verify documentation such as licenses, certifications, and work history. Maintain and update credentialing databases with accurate and current provider information. Track credentialing status, expirations, and re-credentialing timelines using software tools. Act as the primary contact for healthcare providers, guiding them through the credentialing process. Collaborate with internal teams, including HR and legal, to ensure credentialing requirements are met. Conduct audits to identify areas for improvement and ensure compliance with policies. Prepare detailed reports on credentialing activities and outcomes for leadership review. Stay current with state and federal regulations to ensure compliance. Assist in developing and implementing credentialing policies aligned with best practices and organizational standards. Drop your CV at Shankar.rawat@rsystems.com

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1 years

0 Lacs

Gurugram, Haryana, India

On-site

Job Title: Compliance Intern Company: JOBIZO Location: Gurgaon, Haryana, Onsite Type: Internship (Full-Time) Experience: Fresher or up to 1 year of relevant coursework or internshipAbout the CompanyAbout JOBIZO Jobizo is a fast-growing Healthcare HR Tech company that provides an innovative job hiring platform. With its comprehensive candidate matching system, Jobizo ensures that employers can connect with verified and qualified professionals in the healthcare sector. Founded in 2021, Jobizo recently announced its transformation into a global healthcare powerhouse following the successful transfer of business from 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 OverviewAs 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 ResponsibilitiesAssist 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.RequirementsCurrently 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 environmentWhat We Commit to YouMentorship 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)..

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2 years

0 Lacs

Mumbai, Maharashtra, India

On-site

Looking for a CA or Inter with 2+ years of experience, excited to go beyond traditional finance. You'll lead financial control across our India–US structure (think US C-Corp + Indian compliance), support fundraising, and pitch in across ops and strategy in a fast-moving, tech-forward team.You’ll also work closely with the founder on special projects, investor communications, and key operational decisions. TL;DR: Seeking an experienced Executive Assistant + Finance Controller to own end-to-end financial operations, compliance, and fundraising support for a cross-border startup operating between India and the US. You'll be the right hand to the founder(s), managing everything from US C-Corp and Indian entity compliance to vendor payments, investor reporting, and fundraising logistics. If you’ve worked with global startups before and know your way around everything from Delaware filings to Indian GST to building investor data rooms—this is for you.Proof-of-Skill is a blockchain-based protocol for skill verification and credentialing. We’re building a trustless way to prove talent to the world. You’ll be helping us ensure our financial engine, compliance structure, and internal operations are as credible and bulletproof as the credentials we issue.Qualifications and Skills:2+ years of experience in executive operations, finance, or startup administrationHands-on experience with both Indian Pvt Ltd and US C-Corp compliance and accountingFamiliarity with Delaware franchise tax, IRS filings, 409A, transfer pricing, GST, TDS, and Indian startup regulatory landscapeProven track record of working with early-stage founders and handling confidential financial and legal documentsExperience managing due diligence processes and supporting fundraising (SAFE/convertible notes, equity rounds, etc.)Strong communication and documentation skills, especially in coordinating with lawyers, accountants, and investors across time zonesProficient with tools like QuickBooks, Tally, Excel/Google Sheets, Notion, and virtual data roomsBonus: exposure to crypto/blockchain financial flows and treasury management toolsResponsibilities:Act as a trusted Executive Assistant to the founder(s), helping manage schedules, key communications, and strategic tasksHandle end-to-end compliance for both India and US entities, coordinating with local CA/CPA firmsMaintain accurate records of financials, board resolutions, cap tables, and investor communicationsPrepare monthly reports, investor updates, and burn rate dashboardsSupport fundraising activities including pitch deck logistics, setting up and managing the data room, and coordinating legal paperworkOwn vendor and contractor payments, including international wire transfers and crypto payments (if applicable)Assist with financial modeling, budget forecasting, and operational planningEnsure audits, taxes, and regulatory filings are submitted on time in both jurisdictionsLiaise with banks, payment partners, and treasury tools to manage cash flows across bordersIdeal Candidate Traits:Obsessed with getting things done right, on time, and with precisionComfortable operating in ambiguity and wearing many hatsDiscreet, trustworthy, and able to handle confidential information with careExcellent at navigating between strategic and tactical workComfortable working async and across time zonesKnowledge and understanding of Crypto is a big plus.Hustler’s mindset with a high degree of ownership

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0 years

0 Lacs

Kolkata, West Bengal

Remote

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

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1 - 3 years

2 - 3 Lacs

Hyderabad

Work from Office

Job Description The Provider Enrollment is responsible for the timely and accurate enrollment of healthcare providers with government and commercial insurance payers. This role ensures that providers are enrolled correctly and efficiently so that they can bill and receive reimbursement for services renders. The Specialist works closely with the Hospital system and payer organizations to facilitate smooth onboarding and maintain compliance with payer requirements. Role & responsibilities Prepare, submit, and track provider applications for enrollment and credentialing with Medicare, Medicaid, and commercial payers. Assist with creating and maintenance of CAQH profiles. Monitor and follow up on application statuses to ensure timely processing. Communicate with insurance companies and internal stakeholders to resolve issues related to enrollment. Maintain confidentiality and professionalism while performing work tasks. Track and Maintain work production daily. Preferred candidate profile 1-3 years of experience in provider enrollment, credentialing, or medical billing strongly preferred. Knowledge of CMS, Medicaid, and commercial payer enrollment processes. Familiarity with CAQH, NPPES, PECOS, and payer portals. Strong organizational skills and attention to detail Excellent written and verbal communication skills. Ability to manage multiple tasks and meet deadlines. Proficiency in Microsoft Office (Excel, Word, Outlook, Sharepoint) and experience navigating web-based applications Ability to work positively and productively in a fast-paced environment. Accurate typing of 40 WPM is required. Perks and Benefits: Night Shift Allowance Fixed week Offs (Sat-Sun) 2way cab facility (within 25 KM Radius) Incentives plan Walkin Details: Date: 2-May-2025- 25-May-2025 Timings: 11AM to 4PM Contact Person: HR Aishwarya/ 9032212019 Please share your resumes on the below mentioned Mail id: Pyaram.Aishwarya@sutherlandglobal.com Mention HR Aishwarya on your resume Venue: 7th Floor, Divyasree building, Lanco hills, Khajaguda, Manikonda.

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1 - 6 years

1 - 6 Lacs

Pune, Chennai, Bengaluru

Work from Office

Hiring AR Caller - SR AR Caller Location - Chennai, Pune, Bangalore Exp- 1yr to 6yrs Salary - Decent Hike As Per Market Denial Voice Exp Mandatory Feel Free to Call Or Whatsapp UR Resume Anushya 8122771407

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1 - 5 years

2 - 5 Lacs

Chennai, Coimbatore, Bengaluru

Work from Office

1. Location : Chennai & Bangalore 2. Exp : 1 - 4 Years exp in AR process and Denial management 3. Salary : Upto 47k take home 4. Interview mode : Virtual (online) 5. PF Account is mandatory 6. Shift t: Night Shift Required Candidate profile Knowledge of denials management and AR fundamentals is preferred. Experience in end-to-end RCM is preferred. Email: manijob7@gmail.com Call or Whatsapp 9989051577

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