1325 Credentialing Jobs - Page 5

As a Provider Credentialing Specialist at Globelance, you will play a crucial role in ensuring the accuracy and compliance of provider credentials. Your responsibilities will include: - Performing end-to-end credentialing and re-credentialing activities for providers during night shifts, including application processing, primary source verification (PSV), and CAQH record maintenance. - Validating licensure, board certifications, malpractice history, work history, and sanctions; documenting findings and escalating discrepancies per SOPs. - Maintaining and updating credentialing databases and software to ensure files are audit-ready and compliant with NCQA/URAC standards. - Coordinating with p...

Vanderbilt University: School of Nursing Location Nashville Open Date Jun 10, 2025 Description The Vanderbilt School of Nursing seeks qualified applicants for a full-time faculty position to serve as the Accredited Provider Program Director (APPD) for Vanderbilt School of Nursing Accreditation Process. Working closely with VUSN Faculty and others, the Nurse Educator for Professional Development will design, plan, implement, and evaluate Nursing Continuing Professional Development (NCPD) activities in compliance with American Nurses Credentialing Center (ANCC) guidelines. Additionally, the Nurse Educator for Professional Development will Educate Faculty on ANCC NCPD Criteria and Standards for...

Location: Thaltej, Ahmedabad Experience: 5–10 years in U.S. Healthcare RCM (with team handling experience) Employment Type: Full-time | Work From Office About the company: Account Prism, founded in 2013, is a women-owned business transformation firm with a team of seasoned professionals who have 15+ years of experience across various domains in the US. Our service line includes Accounting, Tax, RCM and technology services. About the Role We are hiring an experienced RCM Team Lead who can oversee end-to-end revenue cycle management processes, mentor a team, and drive performance to achieve billing and collection targets. The role requires expertise in AR, denials, credentialing, ERA/EFT enrol...

Location: Thaltej, Ahmedabad Experience: 1–4 years in U.S. Healthcare Accounts Receivable (AR) Employment Type: Full-time | Work from office About the company: Account Prism, founded in 2013, is a women-owned business transformation firm with a team of seasoned professionals who have 15+ years of experience across various domains in the US. Our service line includes Accounting, Tax, RCM and technology services. About the Role We are looking for an energetic AR Caller with 1–4 years of experience in U.S. Healthcare RCM. The ideal candidate will be responsible for following up with insurance companies, resolving claim issues, and ensuring timely payments while maintaining a high level of profe...

As a TL-Provider Credentialing with 6 to 8 years of experience in Healthcare Products and Revenue Cycle Management Credentialing, your role will involve various responsibilities to ensure compliance and efficiency in the credentialing process. You will have the opportunity to impact healthcare operations significantly. **Key Responsibilities:** - Oversee the provider credentialing process to ensure compliance with industry standards and regulations. - Coordinate with healthcare providers to gather necessary documentation for credentialing and re-credentialing. - Analyze and verify provider information to maintain accurate and up-to-date records. - Collaborate with internal teams to streamlin...

Role Overview: The role is responsible for ensuring the smooth and efficient functioning of all clinical and medical departments within the hospital. This includes compliance, credentialing, clinical quality, coordination between departments, and supporting medical professionals to deliver patient-centric, safe, and effective care. Key Responsibilities: - Clinical Governance & Administration: - Oversee daily operations of medical departments, consultants, and clinical services. - Ensure availability and efficient functioning of medical manpower across departments. - Drive implementation of hospital protocols, clinical SOPs, and guidelines. - Quality & Compliance: - Support NABH, JCI, or othe...

Location: Thaltej, Ahmedabad Experience: 5–7 years in U.S. Healthcare RCM (with team handling experience) Employment Type: Full-time | Work From Office About the company: Account Prism, founded in 2013, is a women-owned business transformation firm with a team of seasoned professionals who have 15+ years of experience across various domains in the US. Our service line includes Accounting, Tax, RCM and technology services. About the Role We are hiring an experienced RCM Team Lead who can oversee end-to-end revenue cycle management processes, mentor a team, and drive performance to achieve billing and collection targets. The role requires expertise in AR, denials, credentialing, ERA/EFT enroll...

Manager / Senior Manager - RCM Operations US Medical Billing (Practice Excellence) Location: Mohali Company: Nath Outsourcing Solutions Pvt. Ltd. Are you a strategic leader passionate about driving excellence in US Healthcare RCM? Nath Outsourcing is seeking a seasoned Manager/Senior Manager to champion operational excellence and client success within our dynamic Practice Excellence team. Key Responsibilities: Client Partnership & Strategic Management: Act as the primary point of contact for clients, building strong, trusted partnerships with US Physicians and their offices. Proactively understand client needs, provide tailored solutions, and ensure exceptional satisfaction through timely is...

Vanderbilt University: School of Nursing Location Nashville Open Date Jun 10, 2025 Description The Vanderbilt School of Nursing seeks qualified applicants for a full-time faculty position to serve as the Accredited Provider Program Director (APPD) for Vanderbilt School of Nursing Accreditation Process. Working closely with VUSN Faculty and others, the Nurse Educator for Professional Development will design, plan, implement, and evaluate Nursing Continuing Professional Development (NCPD) activities in compliance with American Nurses Credentialing Center (ANCC) guidelines. Additionally, the Nurse Educator for Professional Development will Educate Faculty on ANCC NCPD Criteria and Standards for...

Line of Service Advisory Industry/Sector Not Applicable Specialism Operations Management Level Associate 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 commu...

Job Title: Manager / Sr. Manager - US Medical Billing (Practice Excellence) Company: Nath Outsourcing Solutions Pvt. Ltd. Location: Mohali (Punjab) Job Type: Full-time About the Role: We are seeking an experienced and dynamic Manager/Senior Manager to lead our Practice Excellence department. Key Responsibilities: Client Relationship Management: Serve as the primary point of contact for clients, collaborating to understand their needs, provide tailored solutions, and ensure high levels of satisfaction through proactive communication and issue resolution. Strategic Onboarding & Transitions: Lead the seamless transition and onboarding of new clients, ensuring a smooth handover of processes and ...

Industry & Sector: A technology-enabled healthcare provider services and healthcare BPO organisation operating across payer and provider networks. We support provider enrollment, network management, and regulatory compliance for healthcare customers across India. This on-site role is based in India and focuses on operational excellence in credentialing processes. Standardized Title: Provider Credentialing Specialist (Credentialing Process Expert) Role & Responsibilities Manage end-to-end provider credentialing lifecycle—collect, validate, and maintain credentialing packets and provider documentation to ensure timely enrollment and network participation. Perform primary source verification (P...

💼 We’re Hiring: Lead IT Recruiter (US Staffing), Chennai (OnSite) 4 to 7 Yrs Exp 🚩 Company: Avacend Solutions Private Limited 📍 Location: TICEL Bio Park, Taramani, Chennai 🏢 Work Mode: In-Office Only 🕖 Shift Timing: US / Night Shift (7:00 PM – 4:00 AM IST) 👥 Open Positions: 10 🔗 Learn more about us: www.avacendsolutions.com 🌟 What We’re Looking For ✅ 4-7 years of experience in US IT Recruitment ✅ Any Graduate Degree ✅ Strong exposure to US IT Staffing lifecycle ✅ Excellent communication & negotiation skills ✅ Familiarity with US compliance, credentialing, and documentation ✅ Ability to work in a fast-paced, performance-driven environment 🎯 What You’ll Do 🔹 Source candidates through job porta...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - Credentialing ( Voice Process -Night Shift) Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 5 pm to 8 Pm ) Everyday contact person Kavitha HR ( 9043004655 ) Interview time (5 pm to 8 Pm) Bring 2 updated resumes Refer( HR Name Kavitha M) Mail Id : hr@novigoservices.com Call / Whatsapp ( 9043004655 ) Refer HR Kavitha M Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Kavitha M Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125,...

" HealthRecon Connect LLC provides technology-enabled Revenue Cycle Management (RCM) solutions to US healthcare providers. We leverage over 30 years of deep domain expertise, cutting-edge analytics as well as machine learning, Artificial Intelligence and Automated workflows to help improve cashflow, patient outcomes and enable peace of mind for our clients. We are currently looking for an individual with strong business acumen in US healthcare (Revenue Cycle Management) to fill the role of Manager Credentialing. The role holder will work closely with the Operational leadership team to solidify Credentialing as a service offering within our overall portfolio. The role will focus on collaborat...

Line of Service Advisory Industry/Sector Not Applicable Specialism Operations Management Level Associate 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 commu...

International Nurse Mobility Program in Germany Join a government-supported international mobility program for qualified nurses from Odisha to work in top hospitals and elderly care facilities in Germany. This opportunity includes structured German language training (A1–B2), visa/document support, and a clear pathway to a long-term, high-respect nursing career in Europe. Key Responsibilities Provide safe, evidence-based nursing care in wards, ICU, ER, OT, and elderly care settings Administer medicines and IVs, monitor vitals, and maintain accurate nursing documentation Assist in diagnostic and therapeutic procedures, and support rehabilitation goals Collaborate with a multi-disciplinary team...

General information Country India State Telangana City Hyderabad Job ID 46376 Department Infor Consulting Services Description & Requirements 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 a...

Front desk / Reception/ Patient Coordinator at SRV Hospital Rotational shift - Morning, Afternoon, Night Walk In - (Weekdays : Mon to Sat) Interview timing - 2:30 to 4:00 pm Carry you documents along with you (Experience letter, Salary slip ,Education certificates , Registration Certificates) Interview location - SRV Chembur 320 Shell Colony Tilak Nagar Chembur Mumbai Maharashtra 400089 India · Perform assessment on inpatient referred to the critical care service, perform outreach rounds, assess acutely unwell patients in the hospital and complete administrative tasks such as updating patient notes, discharge summaries and prescribing medications relevant to treatment · Perform Clinical Care...

Senior Recruiter – Healthcare Industry Location A8&9 3rd Floor, Sunflower Commercial Premises CHS Limited, Baner – Mahlangu Road Baner, Pune, Maharashtra - 411045. Key Responsibilities Manage full recruitment lifecycle for healthcare positions: Doctors, nurses, therapists, technicians, allied health staff, administrative & support roles. Collaborate with department heads / clinical leadership to define job requirements, competencies, and hiring plans. Develop and execute sourcing strategies (including passive candidate identification, referrals, job boards, social media, networking). Screen resumes, conduct interviews, evaluate candidates based on skills, experience, cultural fit. Maintain c...

Job Title: US Healthcare / Medical Billing (Freshers – RCM Operations) Company: Neolytix Healthcare India Pvt. Ltd. Location: Gurugram, Sector 18 (Onsite | 5-day work week) Experience: 0–1 Year (Freshers encouraged to apply) Employment Type: Full-Time, Permanent About Neolytix: Neolytix is a fast-growing, Great Place to Work™-certified healthcare services company helping clinics and providers across the US achieve operational excellence. We combine technology, talent, and innovation to simplify healthcare operations and deliver measurable results. About the Role: We are looking for energetic and ambitious fresh graduates to join our US Healthcare Operations team as Trainees in Medical Billin...

You will be responsible for coordinating and managing daily administrative operations related to NEMT services. This includes managing and submitting medical transportation claims for Medicaid/Medicare and private insurers, handling billing, coding, and documentation to ensure accurate and timely reimbursements, and supporting credentialing, contract management, and affiliation processes with NEMT brokers such as ModivCare and MTM. Additionally, you will track and resolve denied claims, maintain driver and patient records with high confidentiality and HIPAA compliance, assist with audits, reports, and compliance documentation, and effectively communicate with fleet operators, drivers, health...

💼 We’re Hiring: Senior IT Recruiter (US Staffing) - (3 - 6 Yrs Exp.) - Chennai 🌙 🚩 Company: Avacend Solutions Private Limited 📍 Location: TICEL Bio Park, Taramani, Chennai 🏢 Work Mode: In-Office Only 🕖 Shift Timing: US / Night Shift (7:00 PM – 4:00 AM IST) 👥 Open Positions: 10 🔗 Learn more about us: www.avacendsolutions.com 🌟 What We’re Looking For ✅ 3-6 years of experience in US IT Recruitment ✅ Any Graduate Degree ✅ Strong exposure to US IT Staffing lifecycle ✅ Excellent communication & negotiation skills ✅ Familiarity with US compliance, credentialing, and documentation ✅ Ability to work in a fast-paced, performance-driven environment 🎯 What You’ll Do 🔹 Source candidates through job porta...

Requisition Id : 1637258 Manager, Coorporate security. Role Summary: Corporate Security Manager oversees security operations, ensuring the protection of personnel, assets, and infrastructure. This role manages threat intelligence, incident investigations, access control and regulatory compliance, while developing security policies and risk mitigation strategies. The incumbent coordinates with law enforcement, manages security personnel and integrates cybersecurity with physical security to safeguard the organization. Responsibilities: Oversee corporate security operations, ensuring compliance with state and local laws also coordinate with law enforcement agencies, regulatory bodies, and inte...

Role: AR Caller / Senior AR Caller Experience: 1 to 5 years Locations: Bangalore & Chennai Shift Timing: Night Shift (Mandatory) Notice Period: Immediate joiners or candidates with a maximum notice period of 15 days are highly preferred Required Candidate profile Expertise in Hospital Billing (UB04) Strong understanding of UB04 claim forms Proficiency in Denial Management Excellent comm skills Email: manijob7@gmail.com Call or Whatsapp 9989051577