910 Credentialing Jobs - Page 4

We are hiring for Leading ITES Company for AR Caller - Healthcare Profile Location: Hyderabad Salary: Upto 32k in hand Role & responsibilities: Responsibilities: Minimum 1 year experience in AR Calling in medical billing field Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Good Knowledge of RCM and Denial management. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Maintain AR medical billing claims/accounts at an acceptable level. Work in teams that process medical billing transactions and strive to achieve team goal In some cases To make calls to insurance companies or to the client to follow up on unpaid claims. Absorb all business rules provided by the customer and process transactions with a high standard of accuracy and within the stipulated turnaround time Follow up on the claims for collection of payments. To Apply WhatsApp 'Hi' @ 9151555419 and Follow the Steps Below: a) For Position in Hyderabad Search : Hospital Billing (Job Code # 117) b) For Position in Hyderabad Search : Physician Billing (Job Code # 118)

About LEAD at Krea University : LEAD is an action-oriented research centre of IFMR Society (a not-for-profit society registered under the Societies Act), leverages the power of research, innovation and co-creation to solve complex and pressing challenges in development. LEAD specialises in developing in-depth granular understanding of socio-economic contexts and harnessing actionable insights that have a wide range of applications in industry, policy, and academia. LEAD is a collaborative hub that brings experts from diverse disciplines and sectors together to develop innovative solutions by harnessing innovation, technology and analytics. About GxD hub: The GxD (Gender x Digital) hub is an initiative of LEAD at Krea University (IFMR), focused on addressing the critical intersections between gender and digital systems in India. Through rigorous research, strategic partnerships, and ecosystem engagement, the hub works to inform gender-intentional and inclusive digital platform design and implementation. About the Sanmati 2.0 Project: The Sanmati 2.0 Project is building a structured, standardised taxonomy of digital and AI-enabled work that maps job roles, tasks, skills, and complexity levels across sectors. It focuses on recognising the work of rural and semi-urban informal workers — particularly women — and aligning it with national and international skills frameworks. The taxonomy captures: Digital and AI-enabled tasks across industries; Skill bands pegged to the NSQF with clear task complexity levels; Linkages to credentialing and workforce mobility pathways; Sector-specific and cross-sector task mappings for practical adoption in hiring, skilling, and policy. Role Overview: The consultant will review, refine, and validate the Digital Work Taxonomy, ensuring: Alignment with existing national/international frameworks; Technical rigour and internal consistency; Usability by government, industry, and skilling bodies; Applicability for credentialing, labour market analysis, and workforce planning. Key Responsibilities : 1. Technical Review & Refinement Audit the taxonomy structure, definitions, and categorisations for scientific and methodological rigour; Identify overlaps, gaps, and inconsistencies, and propose revisions. 2. Standards Alignment & Interoperability Map taxonomy skill bands and complexity levels to NSQF and relevant national/global frameworks; Recommend metadata and structuring standards to enable integration with digital credentialing systems. 3. Skills Mapping & Credentialing Pathways Refine skill definitions for each task cluster, integrating hard and soft skills; Recommend how these map to job roles, industry demand, and upward mobility pathways. 5. Documentation & Guidelines Prepare a user manual and implementation guidelines for government, industry, and training providers. Required Qualifications & Experience: Master’s degree in economics, public policy, or a related technical field is preferred but not mandatory; 8–12 years’ experience in skills framework design, occupational standards development, or large-scale workforce taxonomy creation; Demonstrated work with national skills bodies or global frameworks; Proven expertise in NSQF mapping and sectoral skill standards; Strong understanding of digital economy roles, AI-enabled work, and labour market trends; Experience in gender-responsive workforce development. Application Instructions: Deadline: Applications will be open till the position is filled. To apply, please collate your resume, a cover letter and writing sample in a single PDF and apply in the form here. Note: Due to the large volume of applications we receive, we are unable to contact each candidate individually regarding the status of their application. Only shortlisted applicants will be contacted for interview purposes.

JOB DESCRIPTION Job Location: Onsite Experience: Three to five years credentialing Shift: Day or night We are seeking a highly motivated and detail-oriented Provider Credentialing Professional (Application Specialist) to join our team. The ideal candidate will possess a strong background in provider enrollment and a comprehensive understanding of the credentialing process. This role is crucial for ensuring the timely and accurate submission of provider applications, facilitating smooth onboarding, and maintaining compliance with all relevant regulations Key Responsibilities: Provider Enrollment & Application Management: Demonstrated expertise in the end-to-end provider enrollment process. Proficiency in accurately completing a high volume of provider applications across various specialties and payer types. Ensuring timely and efficient submission of all completed applications to relevant entities. Tracking application statuses and proactively following up on outstanding items to expedite approval. Welcome Kit Generation & Contract Loading: Responsible for the creation and dissemination of comprehensive Welcome Kits for new providers, ensuring all necessary documentation and information is included. Accurate and efficient loading of provider contracts into the designated system, ensuring all terms and conditions are correctly captured. Application Portal Expertise: Extensive experience in creating and managing accounts within key healthcare application portals, including: CAQH (Council for Affordable Quality Healthcare): Establishing and maintaining provider profiles for efficient data sharing. Medicaid: Navigating state-specific Medicaid enrollment processes. Medicare (PECOS portal): Submitting and managing Medicare enrollment applications through the Provider Enrollment, Chain and Ownership System. NPI (National Provider Identifier): Assisting providers in obtaining and managing their NPI numbers. Regional Credentialing Advantage: Experience working with providers specifically in Florida will be considered a significant advantage, demonstrating familiarity with state-specific regulations and payer requirements. Communication & Responsiveness: Maintain a high level of professionalism and responsiveness in all email communications, promptly addressing queries and providing clear, concise information to internal and external stakeholders. Compliance & Confidentiality: Strictly adhere to all HIPAA regulations and maintain the utmost confidentiality of sensitive patient and provider information. Ensure all credentialing activities are in full compliance with federal, state, and organizational guidelines. Skill Sets: Excellent Communication and Interpersonal Skills: Demonstrates exceptional ability to convey information clearly, concisely, and effectively, both verbally and in writing. Ability to Work Independently and as Part of a Team: Exhibits a strong sense of initiative and self-motivation, capable of managing tasks and responsibilities autonomously with minimal supervision. Proficiency in Google Sheets and Docs: Highly skilled in utilizing Google Sheets for data organization, analysis, and visualization, including the creation of complex formulas, pivot tables, and charts Excellent Typing Skills: Possesses a high level of accuracy and speed in typing, significantly contributing to efficient data entry, document creation, and overall productivity. Comprehensive Knowledge of Computer Usage and Navigation: Displays a thorough understanding of operating systems, common software applications, and internet browsers. Basic Qualifications Education Bachelor’s Degree (Preferred) in a relevant major such as Healthcare Administration, Health Information Management (HIM), Business Administration, or Public Health. An associate’s degree combined with relevant work experience (e.g., 2-3 years in provider enrollment or credentialing) may suffice for entry-level roles. Experience : Expertise in provider enrollment and credentialing processes, ensuring ethical and accurate completion and submission of applications across various specialties and payers (e.g., Medicaid, Medicare). Proficiency in managing accounts in CAQH, Medicaid, Medicare (PECOS), and NPI portals with a commitment to ethical standards in data handling. Florida experience (preferred): Familiarity with state-specific regulations and payer requirements, maintaining integrity in compliance. Technical Skills : High proficiency in Google Sheets (formulas, pivot tables, charts) and Google Docs, supporting a high-performance culture through efficient workflows. Excellent typing skills (speed and accuracy) for precise data entry, contributing to operational excellence. Strong knowledge of operating systems, software, and browsers to uphold professional performance standards. Compliance & Ethics : Strict adherence to HIPAA and federal/state credentialing guidelines, ensuring ethical conduct in all processes. Maintain confidentiality of sensitive information with unwavering integrity. Key Competencies Communication : Clear, professional, and ethical verbal and written communication; highly responsive in emails to foster trust. Organization : Track application statuses and ensure timely submissions with diligence, supporting a high-performance culture. Independence & Teamwork : Work autonomously with ethical initiative and collaborate effectively to drive team excellence. Attention to Detail : Accurate application and contract management, reflecting commitment to quality and ethical precision. This role demands a detail-oriented professional with a strong ethical foundation, technical proficiency, and a drive for performance excellence in credentialing. Florida experience is a plus.

OnSure Health LLC is a comprehensive provider of healthcare solutions, offering services such as Revenue Cycle Management, Coding, AR & Denials Management, Front Staffing Solutions, Scribe services, IT consulting, and bad debt collections. The company focuses on optimizing operations and ensuring regulatory compliance for healthcare providers, aiming to streamline processes and enhance revenue for clients. As a Credentialing Specialist based in New Delhi, you will be responsible for managing the credentialing process for medical staff. This full-time, on-site role requires maintaining accurate records, ensuring compliance with Medicare and other regulatory standards, and providing exceptional customer service. Your day-to-day tasks will include processing applications, verifying credentials, and communicating effectively with medical staff and healthcare providers to address any issues that may arise. The ideal candidate for this role should possess expertise in Credentialing and Medical Staff Credentialing processes, along with strong communication and customer service skills. Knowledge of Medicare regulations and compliance standards is essential, as well as excellent organizational and record-keeping abilities. The ability to work efficiently in a fast-paced environment is crucial, and previous experience in the healthcare industry would be a plus. A Bachelor's degree or equivalent experience in healthcare, business, or a related field is preferred for this position.,

Job description (Medical Biller - Back office) (Location: Ahmedabad, Gujarat): Candidate will be responsible for researching and data entering US based medical doctors claims and post payments. Candidate will be ideally from science background with fluency in Read and spoken English. Candidate with 1 to 3 years' experience preferred. Minimum of 30 wpm typing speed is necessary Role Description This is a full-time on-site role for a Medical Biller (Back Office) at Speed Bird Services in Ahmedabad. The Medical Biller will be responsible for managing billing, collections, E/M management, medical coding, A/R management, and referral/authorization management. The role also involves providing consultative services like credentialing and insurance contract review. Qualifications Medical Terminology and ICD-10 knowledge Experience in Denials management Proficiency in handling Insurance and Medicare claims Strong attention to detail and accuracy in billing processes Excellent communication and interpersonal skills Ability to work effectively in a fast-paced environment Certification in Medical Billing or related field is a plus Education: UG :B.Sc in Any Specialization, Diploma in Any Specialization, B.Pharma in Any Specialization, B.B.A/ B.M.S in Any Specialization, B.Com in Any Specialization. Minimum Experience: 1 - 3 years Package: ₹ 2,00,000 - 4,00,000 P.A.

Conduct research on updated state and federal regulations and policies Release information to requesting agencies and public inquiries when required by law Help develop internal credentialing processes Monitor license and credential expiration dates and advise staff members of required renew by dates Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions Years Of Experience 2 to 3 years Location Mysore (Work from Office) Leave Us a Message Thank you! Your submission has been received! Oops! Something went wrong while submitting the form. Send Us an Email Send your "resume" and simplifying contact with Our Email 372 1, Chamaraja Double Road, Subbarayanakere, Chamrajpura, Mysuru, Karnataka 570004 ACHT is a leading name in healthcare service and technology (HST)

Company Description ExpressRCM, based in Jaipur, is a leading provider of comprehensive Revenue Cycle Management (RCM) services for healthcare facilities. Our expertise includes but not limited to medical coding, audits, billing, AR follow-up, credentialing, system interfaces, automation, and the integration of advanced technologies such as RPA, AI, and ML. We are committed to delivering accurate, efficient, and technology-driven solutions that empower healthcare providers to optimize their revenue cycles. Role Description We are seeking a dedicated Accounts Receivable (AR) Analyst to join our team full-time at our Jaipur office. The AR Analyst will play a vital role in analysing financial data, ensuring timely follow-up on outstanding accounts, and communicating effectively with stakeholders. This role requires attention to detail, problem-solving abilities, and a passion for contributing to the overall efficiency of the revenue cycle management process. Key Responsibilities Manage and oversee end-to-end billing processes, ensuring accuracy and compliance. Analyze accounts receivable data, identify discrepancies, and resolve outstanding issues. Collaborate with internal teams and external partners to address invoicing and payment concerns. Track AR performance metrics, prepare reports, and recommend process improvements. Support credentialing processes, including provider enrollment and payer revalidations, as needed. Maintain updated knowledge of healthcare RCM regulations, payer policies, and industry best practices. Qualifications & Skills Proven experience in billing processes, accounts receivable, and invoicing. Strong analytical skills with a solid foundation in finance and accounting principles. Excellent verbal and written communication skills, with the ability to engage effectively with stakeholders. Exceptional a ttention to detail, accuracy, and organizational abilities. Credentialing experience (provider enrollment, payer contracts, and compliance) is a significant plus. Prior experience in healthcare revenue cycle management (RCM) , including AR follow-up and denial management, is highly desirable. Proficiency in using medical billing software, spreadsheets, and reporting tools. Ability to thrive in a team-oriented environment and manage multiple priorities effectively. Bachelor’s degree in Finance, Accounting, Healthcare Administration, or a related field. What We Offer Competitive compensation – Salary best in the industry, based on skills and experience. Opportunities to work with advanced technologies such as AI and ML in the healthcare RCM domain. 5 days a week working. A collaborative and growth-oriented work environment. Continuous learning, training, and career development opportunities. Exposure to diverse aspects of healthcare revenue cycle management, including credentialing, billing, and automation.

Description Director, Biometrics Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Every day we perform better because of how we work together, as one team, each the best at what we do. We bring a wide range of talented experts together across a wide range of business-critical services that support our business. Every role within Corporate is vital to furthering our vision of Shortening the Distance from Lab to Life®. Discover what our 29,000 employees, across 110 countries already know. WORK HERE MATTERS EVERYWHERE Why Syneos Health We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program. We are committed to our Total Self culture – where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people. We are continuously building the company we all want to work for and our customers want to work with. Why? Because when we bring together diversity of thoughts, backgrounds, cultures, and perspectives – we’re able to create a place where everyone feels like they belong. Job Responsibilities Job Summary The Director, Biometrics – India Head of Biometrics provides strategic and operational leadership for the Biometrics function across India. This role oversees departmental leadership and long-range strategic planning, ensures alignment with global biometrics objectives, and serves as the senior-most biometrics leader within the region. Responsibilities Provides leadership and guidance across Biometrics initiatives within the India region, facilitates strategic discussions, and contributes to global planning to enable optimal end-to-end delivery of clinical biometrics services. Oversees and supports the India Biometrics team, ensuring their performance aligns with global functional expectations, quality standards, and strategic direction. Works in close collaboration with global heads of Biostatistics, Programming, and Data Science to translate strategic global initiatives into regional operational execution, with a strong focus on delivery quality, process harmonization, and compliance. Leads the development, review, and continuous refinement of Standard Operating Procedures (SOPs), Work Instructions (WIs), and associated forms/templates that align with global standards and regulatory expectations within clinical research. Provides strategic leadership for the development, implementation, and continuous enhancement of robust training programs across the India Biometrics team—including credentialing, onboarding, and upskilling initiatives. Oversees and ensures compliance with training certification processes via the company’s Learning Management System (LMS), including guidance to the Certification Management Committee and functional councils. Leads root cause analysis and improvement efforts in response to Quality Issues (QIs), audit findings, and cross-functional compliance concerns, ensuring timely updates to processes and procedures based on feedback and trends. Engages and influences both internal and external stakeholders to drive strategy and foster a culture of operational excellence and cross-functional alignment, contributing to continuous improvement initiatives globally and regionally. Directs the identification, scoping, and execution of process improvements across Biometrics using proven methodologies such as Lean Six Sigma to enhance value delivery and efficiency. Drives regional communication and execution of Biometrics Optimization plans related to procedural documentation, training development, and quality improvement. Champions a culture of innovation by encouraging and supporting the India Biometrics team in generating new ideas and solutions to improve performance and client satisfaction. Supports and contributes to the achievement of Biometrics BU financial targets through strategic resourcing, team efficiency, and operational excellence. Maintains up-to-date knowledge of clinical research industry standards and trends to ensure continuous alignment with global best practices. Mentors and supports regional Biometrics personnel in executing process improvement initiatives, providing hands-on coaching and support to foster professional development. Holds full line management responsibilities for the regional Biometrics leadership team, including performance management, succession planning, and professional development. Ensures regular team meetings, one-on-one check-ins, and a culture of continuous feedback and engagement. Leads workforce planning and recruitment strategies for India Biometrics operations, ensuring appropriate resourcing and talent development in alignment with both regional and global business goals. Qualification Requirements Education & Experience: Advanced degree (Master’s or Ph.D.) in Biostatistics, Statistics, Data Science, Computer Science, Life Sciences, or a related discipline required. Minimum of 12–15 years of progressive experience in clinical research and biometrics functions (Biostatistics, Programming, and/or Data Science), with at least 5 years in a senior leadership or regional/global management role. Experience working in a global CRO, pharmaceutical, or biotech environment with exposure to multinational team leadership and cross-cultural collaboration. Technical Expertise: Knowledge of clinical trial processes, statistical methodologies, CDISC standards (SDTM, ADaM), and regulatory submission requirements (e.g., FDA, EMA). Demonstrated expertise in implementing and overseeing data management, statistical programming, and biostatistical analysis strategies. Familiarity with statistical software tools such as SAS, R, or Python, and enterprise-level clinical systems and platforms (e.g., Medidata, Oracle Clinical, Veeva, etc.). Leadership & Collaboration: Proven ability to lead, inspire, and manage large, cross-functional biometrics teams, preferably across multiple geographies. Strong interpersonal and communication skills with the ability to influence global stakeholders and collaborate effectively with functional heads. Experience translating global strategy into regional operational excellence and driving process improvements at scale. Other Competencies: Strong business acumen with experience managing departmental budgets, headcount planning, and contributing to P&L goals. Demonstrated commitment to quality, compliance, and continuous improvement. Excellent organizational, problem-solving, and decision-making skills in a dynamic, matrixed environment. Get to know Syneos Health Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients. No matter what your role is, you’ll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health. http://www.syneoshealth.com Additional Information Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job. Summary The Director, Biometrics – India Head of Biometrics provides strategic and operational leadership for the Biometrics function across India. This role oversees departmental leadership and long-range strategic planning, ensures alignment with global biometrics objectives, and serves as the senior-most biometrics leader within the region.

Job Title: Nurse Recruiter Location: 100% Remote (India) Experience Required: Minimum 5 Years Employment Type: Full-Time About the Role:We are seeking a highly motivated and experienced Nurse Recruiter to join our recruitment team. The ideal candidate will have proven expertise in sourcing, screening, and hiring nursing professionals for healthcare facilities in the U.S. You will be responsible for building a strong talent pipeline, managing the end-to-end recruitment process, and ensuring an excellent candidate experience—all while working fully remotely from India. Key Responsibilities:· Source, screen, and recruit qualified nursing professionals across multiple specialties.· Manage the full recruitment life cycle, from job posting to offer acceptance.· Build and maintain a pipeline of active and passive nursing candidates.· Collaborate with hiring managers and clients to understand staffing needs.· Utilize job boards, social media platforms, referrals, and networking to attract top nursing talent.· Conduct initial candidate interviews and assessments to evaluate skills and cultural fit.· Coordinate background checks, credentialing, and compliance processes.· Maintain accurate records in the Applicant Tracking System (ATS).· Ensure a smooth and professional candidate experience throughout the recruitment process. Requirements:· Bachelor’s degree in Human Resources, Healthcare Administration, or a related field (preferred).· Minimum 5 years of experience in nurse recruitment or healthcare staffing.· Strong understanding of nursing roles, credentials, and healthcare compliance requirements.· Proven track record of meeting or exceeding recruitment targets.· Excellent communication and relationship-building skills.· Proficiency with ATS platforms and sourcing tools (LinkedIn, Naukri, Indeed, etc.).· Ability to work independently and manage multiple requisitions in a remote environment.· Strong organizational and time-management skills.· Flexibility to work across U.S. time zones (EST, CST, MST, and PST) as required.Why Join Us?· 100% remote work flexibility.· Opportunity to partner with leading U.S. healthcare organizations.· Collaborative and supportive work environment.· Competitive compensation and growth opportunities. Job Types: Full-time, Permanent Pay: ₹10,775.57 - ₹31,948.90 per month Benefits: Health insurance Provident Fund Work Location: In person

Limpid Global Solutions is Hiring! Fresher About Us We are a US Healthcare RCM company supporting providers, hospitals, and labs with billing, credentialing, insurance verification, and denial management. Job Details Work on insurance verification and medical billing processes (training provided). Update and maintain patient/insurance data. Communicate with insurance reps and internal teams. Ensure accuracy, compliance, and timely follow-ups. Requirements Graduate in any stream (Freshers welcome). Good English communication (verbal & written). Basic computer knowledge; MS Excel is a plus. Willingness to work Mid Shift or Night Shift (Work from Office – Ahmedabad) . Salary: Open (based on skills & performance) Multiple positions available Apply at career@limpidgs.com | +91 87809 01003 (Only shortlisted candidates will be contacted.) Apply: https://forms.gle/XYT2LJTiGp6g5b8x5 Job Type: Full-time Ability to commute/relocate: Ahmadabad, Gujarat: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor's (Required) Work Location: In person

Limpid Global Solutions is Hiring! Fresher About Us We are a US Healthcare RCM company supporting providers, hospitals, and labs with billing, credentialing, insurance verification, and denial management. Job Details Work on insurance verification and medical billing processes (training provided). Update and maintain patient/insurance data. Communicate with insurance reps and internal teams. Ensure accuracy, compliance, and timely follow-ups. Requirements Graduate in any stream (Freshers welcome). Good English communication (verbal & written). Basic computer knowledge; MS Excel is a plus. Willingness to work Mid Shift or Night Shift (Work from Office – Ahmedabad) . Salary: Open (based on skills & performance) Multiple positions available Apply at career@limpidgs.com | +91 87809 01003 (Only shortlisted candidates will be contacted.) Apply: https://forms.gle/XYT2LJTiGp6g5b8x5 Job Type: Full-time Ability to commute/relocate: Ahmadabad, Gujarat: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor's (Required) Work Location: In person

Clinical Excel Computech is hiring for the role of AR Executive (Insurance/Billing/Credentialing) Location: Ahmedabad Shift Timings: Night Shifts; Fixed off on Saturday and Sunday Key Responsibilities: Handle Accounts Receivable activities related to insurance claims, billing, and credentialing processes for dental practices. Review and analyze claims for accuracy and compliance with insurance requirements. Follow up on unpaid claims and ensure timely resolution. Work with dental RCM software such as Dentrix, Open Dental, Curve Hero, and Denticon. Ensure compliance with HIPAA regulations and maintain patient confidentiality. Communicate effectively with internal teams and external stakeholders to resolve issues promptly. Maintain accurate and up-to-date documentation of all transactions and communications. Qualifications: 6 months to 1 year of hands-on experience as an AR Executive specifically in Insurance, Billing, and Credentialing within the Dental RCM domain Working knowledge of Dentrix, Open Dental, Curve Hero, and Denticon is mandatory. Familiarity with HIPAA regulations and standard healthcare documentation practices. Strong communication and interpersonal skills; excellent attention to detail and analytical ability. Benefits: Comprehensive training and mentorship program. Opportunities for career advancement and professional development. Health Insurance Dinner Meal facility If you are interested and have relevant experience, please share your resumes at hr@cecomputech.com or WhatsApp at +91-8622065918 / +91-9924119905‬

Job Description Provides scientific and product/applications-focused continuity to the sales process and customer experience by providing both pre-sale and post-sale support. Pre-sale activities include qualification of the scientific application; providing technical input to the sales representatives for bid proposals, projects and technical documents; and delivering scientific and methodical insights about Agilent’s products and services through technical presentations and product demonstrations. Post-sale activities typically take place in the customer lab and consist of product installation, delivery of both onboarding and ongoing training, and consultation on the utilization of Agilent’s product(s) to complete/enhance the customer’s processes, applications and research goals. Develops and applies scientific methods, theories, assays and research techniques to provide customers with technical solutions. May work with vendors, sales team and/or other internal partners to ensure that optimum systems solutions are provided to continually meet the needs of new and existing customers. Deepens the Agilent/customer relationship by working with interested customers in generating scientific manuscripts or Agilent-branded application notes on new or emerging applications. May ensure that the product application/solution is functioning according to specifications and assists in the support strategy for current and prospective clients. May provide follow-up support to Agilent sales, customer service and/or support staff by disseminating technical information on specific applications/systems and shares customer feedback with the management, R&D, Marketing, and/or Sales teams. Delivers applications and product training to internal sales or support teams. May represent Agilent at local/regional vendor shows, present at webinars/seminars and/or contribute to scientific blogs and posters. May attend conferences to maintain scientific expertise, to remain aware of emerging applications technologies and research fields, and act as the voice of the customer to influence future product/application design. Must consent to participate and meet Agilent approved customer/vendor credentialing requirements necessary to gain access to customer sites. Requirements may include, but are not limited to, proof of identification, proof of certification to perform the work required, customer health and safety requirements, etc. Qualifications Bachelor's or Master's Degree or equivalent. A doctorate in Cell / Molecular Biology would be preferable. Post-graduate, certification and/or license may be required. Typically, at least 5+ years relevant experience for entry into this level. Additional Details This job has a full time weekly schedule. It includes the option to work remotely. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: https://careers.agilent.com/locations Agilent Technologies Inc. is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other protected categories under all applicable laws. Travel Required: 50% of the Time Shift: Day Duration: No End Date Job Function: Sales

Company Description Ace Fidential Health, guided by industry experts in Revenue Cycle Management (RCM) and seasoned IT healthcare professionals, harmonizes technology and healthcare proficiency to revolutionize the industry. Our pioneering solutions streamline operations, enhance patient care, and promote efficiency. With over 20 years of experience in medical billing and credentialing services, our seasoned team offers advanced technical expertise and customized solutions. We are a dependable partner, addressing the shared concerns of medical providers. Role Description This is a full-time on-site role for an AR Executive, located in West Delhi. The AR Executive will be responsible for managing accounts receivable processes, ensuring timely and accurate billing, following up on unpaid claims, and resolving payment discrepancies. Daily tasks include reconciling accounts, preparing financial reports, and collaborating with internal teams to streamline revenue cycle operations. The AR Executive will also maintain communication with insurance companies and patients to address billing inquiries and discrepancies. Qualifications Experience in Accounts Receivable management, billing, and payment follow-up Strong analytical and problem-solving skills Proficiency in financial reconciliation and report preparation Excellent communication skills for interacting with insurance companies and patients Ability to work independently and as part of a team Relevant experience in the healthcare industry is a plus. Candidates from West Delhi will be preferred. If Interested, please drop your resume at hr@acefidentialhealth.com or contact us at 9810632993 .

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 2 years of experience as a Credentialing in US RCM industry. Should have knowledge in CAQH modules, provider enrollment. Overall, should be expertise with CAQH. Candidate should be a graduate. Basic knowledge about Internet Concepts, Windows, Micorsoft ,Adobe products. Should possess strong documentation and presentation skills. Should be flexible to work in shifts, based on business need. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. We create the future of e-health. Become part of a significant mission.

Senior Credentialing Specialist (Permanent Work-From-Home) About the Role: We are seeking experienced Credentialing & Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position. Key Responsibilities: Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications for all states. Engage with payers via calls and emails to ensure the successful processing of both individual and group applications. Demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans. Maintain regular communication with clients, providing updates and ensuring the active status of providers with payers. Handle end-to-end processes for creating and maintaining provider details on platforms such as CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals. Manage the application and renewal process for all provider licenses, including Professional, DEA, and Controlled Substance licenses. Ensure continuous updating and maintenance of client and application data, readily available for client requests. Requirements: A minimum of 5 years of experience in provider credentialing and enrollment. Strong organizational skills and the ability to work independently in a remote setting. Proficiency in using credentialing portals and managing the associated documentation. Exceptional communication skills to effectively engage with both clients and payers. Mandatory Requirements: Has a fast dedicated laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy). Quiet home office with no distractions Have at least 1 year of experience working from home successfully during EST hours Minimum dedicated fast internet 50MB+ (must be fiber or cable into your home) 9am-6pm EST Mon-Fri shift. Compensation: Monthly Salary

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

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.

Job Description Provides scientific and product/applications-focused continuity to the sales process and customer experience by providing both pre-sale and post-sale support. Pre-sale activities include qualification of the scientific application; providing technical input to the sales representatives for bid proposals, projects and technical documents; and delivering scientific and methodical insights about Agilent’s products and services through technical presentations and product demonstrations. Post-sale activities typically take place in the customer lab and consist of product installation, delivery of both onboarding and ongoing training, and consultation on the utilization of Agilent’s product(s) to complete/enhance the customer’s processes, applications and research goals. Develops and applies scientific methods, theories, assays and research techniques to provide customers with technical solutions. May work with vendors, sales team and/or other internal partners to ensure that optimum systems solutions are provided to continually meet the needs of new and existing customers. Deepens the Agilent/customer relationship by working with interested customers in generating scientific manuscripts or Agilent-branded application notes on new or emerging applications. May ensure that the product application/solution is functioning according to specifications and assists in the support strategy for current and prospective clients. May provide follow-up support to Agilent sales, customer service and/or support staff by disseminating technical information on specific applications/systems and shares customer feedback with the management, R&D, Marketing, and/or Sales teams. Delivers applications and product training to internal sales or support teams. May represent Agilent at local/regional vendor shows, present at webinars/seminars and/or contribute to scientific blogs and posters. May attend conferences to maintain scientific expertise, to remain aware of emerging applications technologies and research fields, and act as the voice of the customer to influence future product/application design. Must consent to participate and meet Agilent approved customer/vendor credentialing requirements necessary to gain access to customer sites. Requirements may include, but are not limited to, proof of identification, proof of certification to perform the work required, customer health and safety requirements, etc. Qualifications Bachelor's or Master's Degree or equivalent. A doctorate in Cell / Molecular Biology would be preferable. Post-graduate, certification and/or license may be required. Typically, at least 5+ years relevant experience for entry into this level. Additional Details This job has a full time weekly schedule. It includes the option to work remotely. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: https://careers.agilent.com/locations Agilent Technologies Inc. is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other protected categories under all applicable laws. Travel Required: 50% of the Time Shift: Day Duration: No End Date Job Function: Sales

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 2 years of experience as a Credentialing in US RCM industry. Should have knowledge in CAQH modules, provider enrollment. Overall, should be expertise with CAQH. Candidate should be a graduate. Basic knowledge about Internet Concepts, Windows, Micorsoft ,Adobe products. Should possess strong documentation and presentation skills. Should be flexible to work in shifts, based on business need. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. We create the future of e-health. Become part of a significant mission.

Role Overview We are seeking a highly experienced US Medical Billing professional to set up, lead, and manage a new RCM team in India. This role requires end-to-end knowledge of the US healthcare revenue cycle, including Medical Billing, Medical Coding, Prior Authorization, Denial Management, and US Healthcare Insurance Verification . The right candidate will be confident in establishing processes, training staff, and ensuring compliant and high-quality delivery for US clients. Key Responsibilities Team Setup & Leadership Recruit, train, and manage a team of 4+ experienced billers and coders. Establish SOPs, workflows, and performance metrics from the ground up. RCM Operations Management Medical Billing & Coding Prior Authorizations Payer Credentialing US Healthcare Insurance Verification Charge Entry & Payment Posting Denials Management Accounts Receivable (AR) Follow-ups Ensure HIPAA compliance and process efficiency. Performance & Quality Control Monitor KPIs (AR days, First Pass Resolution Rate, and Denial %). Identify and resolve bottlenecks to improve revenue cycle efficiency. Client & Stakeholder Communication Liaise directly with US stakeholders for process updates and escalations. Provide regular reports and actionable management insights. Requirements 10+ years of proven experience in US RCM , with 3+ years in a billing manager/supervisor role. Strong expertise in medical billing, medical coding, prior authorization, denial management, and insurance verification. Familiarity with ICD-10, CPT/HCPCS, and major PM/EHR systems (Athena, eCW, AdvancedMD, Kareo, Practice Fusion and NextGen). Proven ability to build and lead high-performing teams . Excellent written and verbal communication skills. Strong leadership presence and decision-making skills.

Designation: AR Caller / Senior AR Caller Experience: Minimum 1 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, Chennai & Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

Designation: AR Caller / Senior AR Caller Experience: Minimum 1 years 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 Email: manijob7@gmail.com Call or Whatsapp 9989051577

Role: Voice Program Specialist - Benefit Verification US Healthcare Shift: 6PM-3AMCabs: 2 Ways Provided Location: Bengaluru 56001 Work Model: Work From Home for initial 1 Month, then 5 Days Work From Office as per Requirement Graduation is Mandatory Total 1.5 Years Experience into Customer Service & 1 year relevant in International Voice Process and 1yr relevant into US Healthcare. Minimum 1 Year Relevant Experience is Mandatory into US or International Healthcare Process. HIPAA Compliance Knowledge Preferred If Only Suitable then share your Resume to cakhila@astoncarter.com or contact- 7057126560 Walk-in Location: Allegis Group4th Floor, Commerce @Mantri, 12/1 & 12/2, Bannerghatta Rd, NS Palya, BTM 2nd Stage, BTM Layout, Bengaluru, Karnataka 560076 Role: Program Specialist (Voice Process) Minimum Requirement: Experience: The Program Specialist ideally should have two or more years of prior customer service, volunteering, or other customer-facing experience. Prior experience in the US healthcare industry is a must , and the Program Specialist must be a proven problem solver with the ability, drive, and initiative to learn the required healthcare, reimbursement, and customer service skills necessary to support the assigned program(s). Experience in handling sensitive data in US healthcare with high degree of proficiency. Must be familiar with HIPAA guidelines. Candidates should be flexible in working from home or in an office setting per business needs. About the Role: The Program Specialist is responsible for serving as the customers primary point of contact providing operational and reimbursement support to complex programs within Company , including but not limited to, marketing support, reimbursement hotlines, patient assistance programs, Hubs, foundations, safety surveillance programs, case management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, being on the phones and working with the appropriate parties to eliminate these obstructions for the customer. The Program Specialist is proficient and knowledgeable about all the services provided on an assigned program and may support multiple client products or programs. Key Responsibilities: Quickly and efficiently respond to incoming calls and faxes, identify how best to assist. Conduct outbound calls of insurance verifications to understand if patients prescribed therapy is eligible for coverage. Document results in appropriate tracking system. Document calls in appropriate tracking systems, and handle/escalate calls per established procedures. Process patient applications and follow the program's specifications to determine their eligibility. Document results in appropriate tracking system and manage follow-ups as appropriate. Place follow-up calls and respond to enquiries from patients and/or healthcare providers as necessary. Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language. Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate. Be familiar with the market place and the insurance options available for patients. Educate patients on the available options as appropriate. Strict adherence to follow the process SOPs.

Job Title: Credentialing Specialist Location: Baner Road, Pune Experience Required: 1-5 years in Provider Credentialing Employment Type: Full-time Key Responsibilities Manage end-to-end credentialing and provider KYC processes. Work with applications/databases such as GSI, GMI, Activity Manager, Cred Viewer, CPF, CAQH, ETQS, NPPES, USPS, PECOS, and CMS. Track and maintain expiration dates for state DEA licenses, board certifications, malpractice insurance, and other provider credentials. Conduct outreach via email and phone to provider offices and insurance companies for gathering and verifying information. Handle provider enrollment processes across different payors and networks. Maintain and update provider rosters and individual files to ensure compliance. Required Skills & Qualifications 1-5 years of experience in provider credentialing and enrollment (healthcare domain). Strong knowledge of credentialing platforms and databases (CAQH, NPPES, PECOS, CMS, etc.). Familiarity with regulatory requirements and compliance standards. Excellent communication skills (verbal & written). High attention to detail with the ability to manage multiple tasks effectively. Why Join Us? Opportunity to manage end-to-end credentialing and enrollment processes. Hands-on exposure to multiple healthcare systems and compliance platforms. Collaborative work environment with ample growth opportunities. Next Steps If you are interested, please share your updated CV at: aditysingh@northcorp.tech