1362 Credentialing Jobs - Page 45

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 ...

Experience: 1-4years 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 Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

Position 1: AR Caller / Senior AR Caller Experience: 2 to 5 years Required Skills: Expertise in Hospital Billing (UB04) Strong understanding of UB04 claim forms and related processes Strong in Denial Management Good communication skills Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred Shift: Night shift only Location: Bangalore Email: manijob7@gmail.com Call / Whatsapp 9989051577

Job Title "Senior DevOps Engineer at Certify, Remote Role" Company Details CertifyOS revolutionizes U.S. healthcare by providing API-first, UI-agnostic platforms for seamless provider network management. Automating verification and credentialing with extensive primary source integrations, CertifyOS ensures efficient, real-time data access and supports all provider networking needs. Located in New York City, Series A funded. Job Roles & Responsibilities - Design and implement scalable infrastructure on AWS and GCP to support CertifyOS's API-first platform. - Automate cloud provisioning, monitoring, and scaling using tools like Terraform and Ansible. - Develop CI/CD pipelines using Docker and ...

Key Responsibilities: Oversee and manage end-to-end revenue cycle operations, including charge entry, payment posting, claims submission, denial management, AR follow-up, and patient billing. Supervise RCM teams, ensuring KPIs and SLAs are met consistently. Monitor account receivables and take proactive actions on aging and outstanding claims. Collaborate with the credentialing, eligibility & verification, and audit teams to streamline processes and resolve escalations. Identify process improvement opportunities and drive efficiency in the revenue cycle. Generate and analyze RCM reports to monitor performance, cash flow, and trends. Ensure compliance with US healthcare regulations and payer ...

Credentialing Specialist – Job Description Position Overview: We are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Specialists applying for this role must be extremely comfortable working nightshift and be willing to make extra efforts to communicate/engage with our credentialing team. This position requires complex levels of organizational skills and the ability to complete assigned tasks within the allotted time to do so. Must have: • Minimum of 2-3 years’ experience in provider credentialing and enrollment • Must have expertise in fil...

HIRING Experienced Provider Enrollment of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile: Must have minimum 2 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in preparing privileges or enrollment applications 2 - 4 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (6:30 PM to 3:30 AM). Excellent customer service skills; communicates clearl...

PROFESSIONAL EXPERIENCE/SKILLS REQUIRED 7+ years’ experience in technical program management or product management. PMI Certified. BS/BA Degree in Information Technology or equivalent industry experience. In-depth knowledge of Agile Development or Scrum Project Management methodologies. Multiple years of global Training & Certification implementation experience. Corporate Training & Certification domain expertise is preferred. Proven track record of building or leading the implementation of third-party system deployment lifecycle, from RFP process through Go-Live. Demonstrated leadership with matrix teams. Ability to influence extended teams and command respect. Experience managing geographi...

Responsibilities: * Manage revenue cycle from claims submission to payment posting. * Ensure timely credentialing and denial handling. * Process claims, manage AR, and post payments. * Handle denials through appeals process.

Job Description The Position External Healthcare Professionals (HCPs) & Healthcare Organizations (HCOs) is a vital, global activity that spans across many Organon functions. The lack of a centralized group or process to manage the HCP engagements has each function and region developing their own processes and/or using disparate vendors. There are immediate opportunities for harmonization, optimization & advancement of this capability for HCP Strategy & Identification, Planning & Execution as well as within HCP Operations (FMV, Contracting, Payments and Technology Enablement). The HCP Enablement Resources (HER) Project can enable Organon to benefit from harmonized strategy & execution more ef...

Job Summary We are seeking a dedicated and detail oriented Team Leader Operations with 4 to 5 years of experience in Accounts Receivable The ideal candidate will have a strong understanding of revenue cycle management and be able to effectively manage a team in a hybrid work model This role requires night shift availability and does not require travel Responsibilities Manage and oversee the daily operations of the accounts receivable team Ensure timely and accurate processing of accounts receivable transactions Monitor and analyze accounts receivable data to identify trends and areas for improvement Implement strategies to reduce outstanding receivables and improve cash flow Collaborate with...

We are united in our mission to make a positive impact on healthcare. Join Us! South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2024 2024 Black Book Awards, ranked #1 EHR in 11 Specialties 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold) 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who We Are We Are Modernizing Medicine (WAMM)! We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our v...

Why Clipboard Health Exists: We exist to lift as many people up the socioeconomic ladder as possible. We dramatically improve lives by letting healthcare professionals turn extra time and ambition into career growth and financial opportunity. We achieve this with our app-based marketplace that connects healthcare facilities and healthcare professionals, allowing professionals to book on-demand shifts and facilities to access on-demand talent. About Clipboard Health: Clipboard Health is a fast-growing Series C marketplace. We are a leader in our Long Term Care vertical and are expanding into several others (Dental Offices, Schools, etc). We are a YC Top Company with a global, remote team of 6...

📋 Job Title: Provider Credentialing Specialist 📍 Location: Remote 🕒 Type: Full-Time 🏢 About RevGroMD RevGroMD helps healthcare practices across the US and Canada grow by providing expert support in Insurance Credentialing , Revenue Cycle Management , and Digital Marketing . Our mission is to eliminate operational roadblocks for healthcare providers so they can focus on delivering excellent care. We are looking for a detail-oriented and process-driven Credentialing Specialist to join our operations team and manage the end-to-end provider enrollment process. 🎯 Role Overview As a Provider Credentialing Specialist , you will be responsible for handling new and re-credentialing applications, ensu...

Job Title: Credentialing Executive – Medical Billing Location: [Hyderabad] Job Type: [Full-time] Reports To: Manager Job Summary: The Credentialing Executive is responsible for overseeing and executing the provider credentialing and enrollment process with insurance payers to ensure that all healthcare professionals are properly credentialed and enrolled for reimbursement. This role is critical in preventing claim rejections, delays in payments, and maintaining overall billing compliance. Key Responsibilities: 1. Handle end-to-end provider credentialing and payer enrollment for new and existing healthcare providers. 2. Prepare and submit credentialing applications to government and commercia...

Job Title: Healthcare Recruiter Location: Onsite/ Rmeote(India-based, working US hours) Employment Type: Full-Time Company: CENTSTONE SERVICES LLC Job Summary: We are seeking a dedicated Healthcare Recruiter to source and recruit qualified professionals for a wide range of healthcare roles, including nurses, therapists, technicians, and allied health staff. The ideal candidate will have prior experience in healthcare recruiting, strong communication skills, and a commitment to delivering high-quality staffing solutions. Key Responsibilities: Source healthcare professionals through job boards, databases, social media, and referrals Conduct initial screenings, license verification, and credent...

About Us: As a pioneer in Healthcare, Manipal Hospitals is among the top healthcare providers in India serving over 5 million patients annually. Today we stand as an integrated network with a pan-India footprint of 37 hospitals across 19 cities with 10,500 beds, and a talented pool of over 5,600 doctors and an employee strength of over 20,000. Job Description Provides clinical and administrative direction for the clinical operation of medical departments and services. Responsible for the co-ordination and oversight of all medical care and support clinical related quality monitoring /accreditation/quality assurance. Roles & Responsibilities Responsible for overall co-ordination and oversight ...

Responsibilities Job Description Order to Cash (OtC) Management OtC Cycle Oversight: Manage the entire Order to Cash cycle, including customer order management, execution, and ensuring timely delivery of products to customers. Alliance Partners and SCM Governance: Collaborate with alliance partners to establish and maintain effective supply chain governance, ensuring compliance and alignment with strategic goals. Order Management: Coordinate order processing for all market customers, ensuring compliance with commercial and quality guidelines/SOPs. Inventory Control: Monitor inventory levels across super distributors (SDs) to prevent obsolescence and ensure product availability aligns with fo...

Skills: Talent Acquisition, Interviewing, Employer Branding, Healthcare Recruitment, campus hiring, leadership hiring, Job Title: Senior Manager Talent Acquisition Location: Mumbai Position Summary: The Senior Manager Talent Acquisition will be responsible for leading the end-to-end recruitment strategy and execution for the hospital group, covering clinical, non-clinical, leadership, and campus hiring across all locations. This role will focus on self-sourcing, employer branding, digital hiring innovation, and talent pipeline creation, ensuring that the organization attracts and retains high-quality talent to support its mission of clinical excellence and patient-centric care. Key Responsib...

Provider Credentialing (US healthcare medical billing) 1. Collect all the data and documents required for filing credentialing applications from the physicians 2. Store the documents centrally on our secure document management systems 3. Understand the top payers to which the practice sends claim and initiate contact with the payers 4. Apply the payer-specific formats after a due audit 5. Timely follow-up with the Payer to track application status 6. Obtain the enrolment number from the Payer and communicate the state of the application to the physician 7. Periodic updates of the document library for credentialing purposes. Required Candidate profile Desired Candidate Profile: 1. Should have...

Role & responsibilities Getting providers/physicians enrolled and contracted with payers. Maintenance and recredentialing requirements of the providers. Tracking and updating credentialing related information. Sharing updates with clients & management for all credentialing updates Preferred candidate profile Minimum 2- years experience is required in Medical Billing and/or Account Receivables for US Healthcare mandatory. Should have worked as a credentialing analyst for at least 1 year of medical billing service providers. Should have end to end provider US healthcare credentialing. Should have experience in CMS 855I, 855R. Tracks expiration dates and maintains current state licenses, DEA ce...

Infor Managed Services (IMS) team is seeking a Senior Infor Workforce Management (WFM) Consultant to lead the design, implementation, and optimization of Infor WFM solutions. This role requires strong expertise in Infor WFM modules, including Multi-Viewer Scheduler (MVS), Time & Attendance, and Labor Forecasting. Responsibilities: As a Senior WFM Consultant for IMS, the candidate will be required to perform the following: * Work as an integral part of the IMS WFM Team - coordinating activities with the customers, stakeholders, and Infor team members of all levels. * Develop strong techno-functional consulting skills surrounding Infor WFM application (and related third party) technologies and...

🚀 Job Title: Provider Credentialing Specialist 📍 Location: Mohali (Remote/Hybrid) 📄 Job Type: Full-time 🧑‍💻Experience: 1-5 Years 🏢 Company Description RevGroMD enables growth in healthcare practice by providing expert revenue solutions. We navigate the complexities of provider enrollment, revenue cycle, and market dynamics so that you can focus on providing exceptional care. Our trio of essential services includes Insurance Credentialing, Revenue Cycle Management, and targeted Marketing Services to fortify your healthcare practice or facility. 🎯 Role Description This is a full-time remote role for a Provider Credentialing Specialist based in Mohali. The Provider Credentialing Specialist will...

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. Job Description: General Manager VARIAN Oncology solutions. Key Responsibilities Relationship Management Maintain working and business relationship with all key stakeholders in assigned territory (Hospital Top management, Procurement team, Biomedical, Doctors, Physicists), who will influence the complete sales cycle. Enga...

Company: 360Medicare Industry: Healthcare Recruitment Experience Required: Minimum 1 year in US Healthcare Recruitment Employment Type: Full-time About Us 360Medicare is a fast-growing international healthcare recruitment firm specializing in connecting skilled nurses and allied health professionals with leading hospitals across the United States. With a strong focus on training, compliance, and global career development, we help healthcare professionals unlock international opportunities. Job Summary We are hiring a US Healthcare Recruiter to join our growing team. The ideal candidate will have hands-on experience in sourcing and coordinating international nurses and allied healthcare profe...