1357 Credentialing Jobs - Page 36

Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions. Configures the core system for the technological processes of the customer based on performance requirements. Job Description Formal studies and/or certification in the field of Information Technology 3-8 years of experience in a Network Operations Center (NOC) environment Strong troubleshooting skills across a variety of...

About Certify : At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our platform is the ultimate source of truth for provider data, offering unparalleled ease and trust while making data easily accessible and actionable for the entire healthcare ecosystem. What sets us apart? Our cutting-edge, API-first, UI-agnostic, end-to-end provider network management platform automates licensing, enrollment, credentialing, and network monitoring like never before. With direct integrations into hundreds of primary sources, we have an unbeatable advantage in enhancing visibility into the en...

Responsibilities Job Description Coordinate and capture user feedback through testing, surveys, voice of the customer, etc. for applicable system (Workday) Configure, design, and solution system requests to address business requirements Participate and help drive the Digital HR product roadmap in part by building relationships with stakeholders to understand business needs and translate these into system and reporting requirements Recommend system features and solutions considering priorities and tradeoffs, and driving alignment among stakeholders Drive an employee-centric focus to provide the best experience, partner with technology, service delivery teams, global experience owners and corp...

About Certify: At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our platform is the ultimate source of truth for provider data, offering unparalleled ease and trust while making data easily accessible and actionable for the entire healthcare ecosystem. What sets us apart? Our cutting-edge, API-first, UI-agnostic, end-to-end provider network management platform automates licensing, enrollment, credentialing, and network monitoring like never before. With direct integrations into hundreds of primary sources, we have an unbeatable advantage in enhancing visibility into the ent...

About Certify: At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our platform is the ultimate source of truth for provider data, offering unparalleled ease and trust while making data easily accessible and actionable for the entire healthcare ecosystem. What sets us apart? Our cutting-edge, API-first, UI-agnostic, end-to-end provider network management platform automates licensing, enrollment, credentialing, and network monitoring like never before. With direct integrations into hundreds of primary sources, we have an unbeatable advantage in enhancing visibility into the ent...

An Amazing Career Opportunity for Senior Architect – Mobile Solutions Location: Chennai, India (Hybrid) Job ID: 39721 Profile Summary: A rewarding career at HID Global beckons you! We are seeking a highly qualified Mobile Solution Architect with extensive experience in developing secure, scalable, and user-centric mobile applications for the Access Control and Physical Security sectors . The successful candidate will be responsible for defining the mobile technology roadmap and architecture for smart access, identity verification, and credentialing solutions across native and cross-platform environments The role involves designing applications that interface with BLE/NFC hardware, digital cr...

Designation: AR Caller / Senior AR Caller Experience: Minimum 2 years in Hospital billing preferred. Strong understanding of UB04 claim forms and related processes Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

Designation : AR Callers / Senior AR Callers Exp: 1 Y to 5 y Required Skills: Expertise in Physician Billing (CMS-1500) Strong understanding of CMS-1500 claim forms and related processes Strong in Denial Management Good communication skills Required Candidate profile Notice Period: Immediate joiners or candidates with a max 7 day notice period are highly preferred Shift : Day Shift Job Location: Bangalore Email:manijob7@gmail.com Call / Whatsapp 9989051577

Overview Come work with a great team! Signet Health manages the Behavioral Health Services for Medstar Washington Hospital Center and has a fu ll-time opening for an Advanced Practice Provider. Competitive and generous compensation package which has Potential for Sign on & or Retention Bonuses. Essential Functions Of This Position Are Perform H&P’s on newly admitted patients on behavioral health inpatient units and will follow through on other medical illnesses. Participate in interdisciplinary treatment planning, as needed. Participate in agency-wide training programs and in-services. Provide quality and timely clinical documentation, per Joint Commission and other regulatory agencies’ requ...

About the Company We are seeking a technical Credentialing Analyst for a U.S.-wide, transformative healthcare practice specializing in radiology. Exhibiting a stellar culture of teamwork & innovation, this practice strives to continuously improve radiology as a whole, while ensuring to remain true to high standards of excellence. Employees are not only enabled, but supported and compelled to uncover, create, and implement meaningful solutions which undeniably impact patient healthcare overall. About the Role The focus of this Credentialing Analyst will be the administration and support of the current credentialing platform, Echo OneApp. This Credentialing Analyst will also play a key role in...

Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of whats possible. As we ...

Experience: 1-4 years in AR calling (US healthcare) Exp in denial management and handling AR calls Exp with healthcare billing software Ensure accurate & timely follow up where required. Required Candidate profile Immediate Joiners are preferred Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Noida & Bangalore Email: manijob7@gmail.com Call or Whatsapp 9989051577

Designation: AR Caller / Senior AR Caller Experience: Minimum 2 years in Hospital billing preferred. Strong understanding of UB04 claim forms and related processes Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

• Should have excellent communication skills • Take appropriate action on claims to guarantee resolution. • Ensure accurate & timely follow up where required. . Must be willing to Work from Office • Abilities to absorb client business rules. Required Candidate profile Education: Any Graduate Note: Work from office only Working Time: 5.30PM to 2:30AM Working Days: Monday to Friday Transport : Free Cab 2ways Email: manijob7@gmail.com Call / Whatsapp 9989051577

Line of Service Internal Firm Services Industry/Sector Not Applicable Specialism Operations Management Level Associate Job Description & Summary A career in Finance, within Internal Firm Services, will provide you with the opportunity to help PwC in all aspects of our Finance internal function including financial planning and reporting, data analysis, and assisting leadership with overall strategy. You’ll focus on recording and analysing financial transactions, paying and receiving invoices, maintaining financial statement ledger accounts, and preparing analysis and reconciliations of bills to detect fraud. Our Accounting team helps internal leaders with fixed assets accounting and asset man...

Results-driven Senior Delivery Manager with over a 12+ of experience in healthcare staffing and operations leadership , specializing in large-scale workforce delivery across hospitals, clinics, schools, and long-term care settings nationwide. Proven ability to lead both the recruitment delivery lifecycle and branch/floor operations , ensuring streamlined execution, compliance, and high-quality service delivery. Skilled in managing cross-functional teams, coordinating with account managers, and driving daily operational efficiency across branch offices. Expert in aligning staffing strategies with client expectations, optimizing recruiter performance, and enforcing accountability through data-...

Job Title: Senior Healthcare Recruiter Location: Remote (USA-based) | Full-Time | Healthcare Staffing Job Summary: We are seeking a results-driven and experienced Senior Healthcare Recruiter to join our growing team. In this role, you will lead full-cycle recruitment for a variety of clinical and allied healthcare positions, including nurses, therapists, and medical professionals. This position requires a deep understanding of the healthcare industry, VMS/MSP platforms, and proven success in delivering quality talent in high-demand environments. Key Responsibilities: Manage full-cycle recruiting for clinical and non-clinical healthcare positions (RNs, LPNs, CNAs, NPs, PT/OT, SLPs, etc.) Deve...

We're Hiring: Senior Healthcare Recruiter (2 5 Years Exp) Are you a driven healthcare recruiter with a passion for connecting top talent with life-changing roles? We're looking for a Senior Healthcare Recruiter to join our team and help us grow faster and smarter. Job Title: Senior Healthcare Recruiter Location: Begumpet, Hyderabad (Day1 onsite) Job Type: Full-Time Experience Level: 2 5 Years About the Role: We are seeking a dynamic and motivated Senior Healthcare Recruiter to join our growing team. In this role, you will be responsible for full cycle recruiting of healthcare professionals including nurses, allied health, and administrative staff. You'll collaborate closely with hiring manag...

Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of what's possible. As we...

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering s...

Urgent Hiring for freshers!! Night Shift Company Description At Dentistry Billing & Consulting (DBC), we are committed to providing clear and precise insurance billing and verification, benefits verification, and credentialing services. We help manage and mitigate a wide range of risks including denials and unexpected backlogs in account receivables. Our specialized services are tailored to meet the unique needs of our clients, ensuring efficient operations and maximum reimbursement. Role Description This is a full-time on-site role (Night Shift) for a Process Associate/voice process located in Noida. The Process Associate will be responsible for handling insurance billing inquiries, verifyi...

Job Title: Product Manager – Project-Based Learning (Higher Education) Job Summary: We are seeking a Product Manager to lead the end-to-end design and development of project-based learning (PBL) courses for higher education students across domains like computer science, finance, biotech, management etc. The ideal candidate will combine strong instructional design capabilities with a practical understanding of industry needs and the academic KSA (Knowledge, Skills, Attitudes) framework. Advanced proficiency in AI-based tools like ChatGPT for rapid prototyping and content creation is essential. This is a pivotal role that blends educational vision, curriculum design expertise, and technology-d...

Job Description The Position We are looking for an experienced and proactive Senior Workday Developer to drive the design, development, and evolution of our Workday platform and its integrations. This role combines strong technical expertise, a solid understanding of HR business processes, and the ability to lead cross-functional initiatives. The ideal candidate will have end-to-end Workday integration experience, Workday security expertise, and a passion for leveraging emerging technologies—including AI and Robotic Process Automation (RPA) —to improve efficiency and user experience. Responsibilities Serve as the Sr Workday Developer, responsible for end-to-end ownership of Workday architect...

Job Summary The Provider Credentialing Specialist is responsible for end-to-end management of credentialing and re-credentialing of healthcare professionals and facilities. This includes verifying education, training, licensure, board certification, work history, malpractice history, and other professional qualifications in alignment with NCQA, URAC, and CMS standards. Key Responsibilities Collect, verify, and update provider data from various sources (CAQH, state boards, DEA, NPDB, OIG, etc.). Initiate credentialing and re-credentialing processes according to regulatory and client timelines. Evaluate credentialing applications for accuracy, completeness, and compliance with credentialing cr...

Position: Medical Summarization/Abstraction/Records Reviewer Immediate Joiners Preferred Roles and responsibilities: Review medical records to ensure they are complete, accurate, and in compliance with all guidelines and regulations. This includes verifying the identity of the patient, the dates of service, the diagnoses, the treatments, and the outcomes. Identify any potential areas of improvement in the documentation. This may involve recommending changes to the format of the records, the use of medical terminology, or the level of detail provided. Summarize medical records for various purposes, such as law enforcement investigations, insurance claims, or research studies. This requires th...