910 Credentialing Jobs - Page 6

Company Description CrystalVoxx is a healthcare econometrics company providing integrated healthcare solutions, including Medical Billing and Coding Services. Our services cater to various specialties like Chiropractic, Dental, Cardiology, and more, supporting individual and group practices. Based on 14 years of experience, our unique process workflow combined with smarter analytics and technology ensures no revenue is left uncollected. By partnering with us, practices can overcome revenue cycle challenges, control increasing A/R, and improve financial performance. Role Description This is a full-time on-site role for a Sr. AR Caller - RCM at CrystalVoxx Global LLP, located in Ahmedabad. The Sr. AR Caller will be responsible for handling accounts receivable, following up on unpaid claims, rebilling, sending appeals through fax or mail along with claim forms, and reprocessing claims via phone. The role involves managing denial management, payment posting, and bank reconciliation. The selected candidate will ensure all steps are followed to maximize revenue collection. Qualifications Strong skills in AR Recovery and Denial Management, including unpaid claims follow-up and rebilling. Proficient in handling Payment Posting, Bank Reconciliation (EOB & ERA), and Claims Scrubbing. Experience in Provider Insurance Credentialing, Clearing House configuration, and EDI Enrollment. Knowledge of Patients Insurance Benefits Verification (Web & Phone) and Charge Entry. Excellent communication skills and the ability to manage appeals and reprocessing claims through phone or mail. Ability to work independently in a fast-paced environment and effectively manage time. Experience in healthcare revenue cycle management is a plus. Bachelor's degree in healthcare administration, business, or related field is preferred.

Role & responsibilities Preferred candidate profile Hirings for SPE-Credentialing/SME-QA Credentialing/Team Lead- Credentialing. Experience required: 2-8+ years credentialing voice is must Good communication skills Flexible to work with US shifts Mode: WFH Work location: Chennai/Hyderabad/Bangalore Any Graduates Hirings on Team Lead and QA-Credentialing voice

The Division of Occupational and Environmental Medicine is seeking a Nurse Practitioner to manage the day-to-day clinical and operational activities of the PepsiCo St. Louis Plant. The position reports directly to the Central Regional Coordinator for the PBC/JHU partnership. The position also works closely with the Executive Director and Division Administrator of the Division of Occupational and Environmental Medicine. Specific Duties & Responsibilities Provide on-site services forty (40) hours per week at the PepsiCo clinic in St. Louis, Missouri. Triage and treat, as appropriate, minor work-related and non-work-related injuries and illnesses. Dispense over the counter and prescription medications in accordance with pre-established standing orders to employees with minor work-related and non-work-related concerns (back pain, headache, pharyngitis). Provide on-site specimen/lab collection for employees presenting lab orders from their PCP. Perform urine drug screening and breath alcohol testing in accordance with company protocol. Provide onsite assessment for strep pharyngitis, UTI, influenza, hyperglycemia, and hypoglycemia. Provide support and case management for both work-related and non-work-related conditions for the purposes of reducing illness and absenteeism. Coordinate second opinions for employees absent due to workers' compensation or disability, as necessary in adherence with company protocols. Coordinate annual seasonal influenza vaccination program. Coordinate and plan monthly health education seminars and general wellness events. Provide on-site patient education regarding illnesses, medication, treatments, etc. Work collaboratively with patients and their PCP/Specialist to facilitate early diagnosis and management of acute and chronic health problems. Administrative services provided to PepsiCo. Maintain and revise, as needed, standardized procedures, protocols, and standing orders. Maintain adequate clinical supplies. Maintain Letter of Permit Exception with the Missouri Department of Health/CLIA required for lab testing provided on-site. Maintain patient medical records. Work collaboratively with the Benefits and Safety teams Coordinate and plan health and wellness events and initiatives. To manage workers' compensation claims. To expand clinic services and reach. Provide crisis management/intervention, as needed. Provide general medical advice to the PepsiCo Human Resources and Safety/Risk Management departments. Ensure the provision of prompt, appropriate clinical care to all patients in accordance with PepsiCo and Johns Hopkins University protocols, State regulations, and professional standards. Develop relationships with clinical providers in the area to provide backup clinical care. Ensure timely and appropriate problem resolution and follow-up with PepsiCo employees as required. Ensure PepsiCo onsite clinic facilities are neat, clean, and attractive. Conduct yourself in an exemplary fashion to achieve goals. Ensure timely and appropriate problem resolution and follow-up with PepsiCo employees as required. Special Knowledge, Skills, And Abilities Analytical ability necessary to evaluate and determine the health status of a patient and implement proper care. Interpersonal skills necessary to interview, teach, and counsel patients and interact with clients/employers, A comprehensive understanding of outpatient adult medicine, patient care procedures, medical protocols, and testing procedures is necessary. Minimum Qualifications Master's Degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed in the state where practicing. National Board Certification. Related experience (adult medicine). Preferred Qualifications Minimum twelve months of related experience (adult medicine). Experience in Occupational Medicine, Workers' Compensation, and DOT exams. DOT Medical Examiner preferred. Certified Urine Drug Screen Collector preferred. Certified Breath Alcohol Technician preferred. Current American Heart Association or American Red Cross CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date Classified Title: Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: $102,000 - $152,900 Annually ($130,000 targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Monday - Friday / Varying FLSA Status: Exempt Location: Missouri Department name: SOM DOM Occupational Health Personnel area: School of Medicine Total Rewards The referenced base salary range represents the low and high end of Johns Hopkins University's salary range for this position. Not all candidates will be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, education/training and other qualifications. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/. Education and Experience Equivalency Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines: JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job. Applicants Completing Studies Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date. Background Checks The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function. Diversity and Inclusion The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion. Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. EEO is the Law https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf Accommodation Information If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit https://accessibility.jhu.edu/. Vaccine Requirements Johns Hopkins University strongly encourages, but no longer requires, at least one dose of the COVID-19 vaccine. The COVID-19 vaccine does not apply to positions located in the State of Florida. We still require all faculty, staff, and students to receive the seasonal flu vaccine. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. This change does not apply to the School of Medicine (SOM). SOM hires must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of vaccination status. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/. The following additional provisions may apply, depending upon campus. Your recruiter will advise accordingly. The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

About Us: At Amer Technology, we specialize in providing top-tier staffing solutions for the healthcare industry, ensuring our clients receive highly qualified and compassionate healthcare professionals. We are looking for an experienced US Healthcare Recruiter to join our dynamic recruitment team, with a focus on sourcing, recruiting, and placing core medical professionals. Job Summary: The US Healthcare Recruiter will be responsible for recruiting healthcare professionals, primarily in core medical roles such as Registered Nurses (RN), Licensed Practical Nurses (LPN), Certified Nursing Assistants (CNA) , Medical Assistants and other allied healthcare positions. Experience working in the education sector, particularly recruiting for schools , will be considered a significant advantage. Key Responsibilities: Full-Cycle Recruitment: Manage the end-to-end recruitment process for healthcare roles, including job posting, candidate screening, interviewing, and onboarding. Sourcing Candidates: Utilize job boards, social media, professional networks, and healthcare-specific platforms to find top talent for RN, LPN, CNA, and similar positions. Candidate Evaluation: Screen and assess candidates' qualifications, experience, and cultural fit to ensure they meet job requirements and client expectations. Industry Knowledge: Stay updated on industry trends, licensing requirements, and compliance standards to ensure candidates meet all healthcare regulatory requirements. Collaboration: Coordinate with HR teams, hiring managers, and healthcare administrators to meet recruitment goals. Documentation: Ensure all candidates' documentation is complete, accurate, and compliant with state and federal healthcare regulations. Preferred Qualifications: Proven experience as a Healthcare Recruiter specializing in core medical positions like RN, LPN, CNA . Familiarity with healthcare-related certifications, licensing, and credentialing processes. Experience recruiting for educational institutions (schools, universities, or educational programs) is a plus . Strong understanding of the US healthcare landscape and regulations. Excellent communication, negotiation, and interpersonal skills. Ability to manage multiple recruitment campaigns and prioritize effectively. Familiarity with Applicant Tracking Systems (ATS) and recruiting software (e.g., LinkedIn Recruiter, Indeed, etc.). Detail-oriented with strong organizational skills. Job Type: Full-time Pay: ₹18,000.00 - ₹35,000.00 per month Application Question(s): Do you have prior US Recruitment Experience (Night Shift)? what's your current salary? what is your expected salary? Why do you want your current job? Work Location: In person

Refunds Specialist - Cash Applications - Physician Revenue Cycle Management Services Location: All shifts work onsite in our Mysore, India office located at: 1st Floor, 5669, Wekreate Space Doddamane, General Thimmaiah Road, Mysuru, Karnataka, 570017 **We are offering walk-in interviews at our Mysore office on any weekday between 10 am - 4 pm** Hours: Monday - Friday: Shift : 7:30 am - 4:30 pm IST Status: Full-time Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Coding, Medical Billing, AR Follow-up Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business. Refund Specialist - Position Summary At Strivant Health, we take pride in delivering exceptional accuracy and efficiency in physician revenue cycle management. Join our dynamic team as a Refunds Specialist, where your expertise in medical billing and patient refunds will directly impact operational excellence and patient satisfaction. This position is more than just administrative work —it’s about making a meaningful difference by ensuring patients and payers receive accurate refunds. If you have a keen eye for detail, love solving problems, and enjoy working in a fast-paced, high-volume environment, this is the perfect opportunity for you! What You’ll Do – Your Impact Matters Research and resolve credit balances for patients and third-party payers. Process refund requests with precision and ensure all documentation is complete. Communicate professionally with clinics and patients to resolve discrepancies. Maintain and audit refund trackers and systems for accuracy and compliance. Support digital refund processing and contribute to special projects.. Collaborate with a supportive internal team and offshore team to streamline financial processes. Collaborate with leadership and team members to enhance the refunds process. What You Bring to the Table 3+ years of experience in medical claims payment posting, cash research, and refunds processing. Strong understanding of insurance reimbursement (Medicare, Medicaid, commercial). Familiarity with CPT, ICD-9/10, and HCPCS codes and insurance regulations. Excellent communication skills, both written and verbal. Experience working with medical billing systems such as e-Clinical Works (eCW), Centricity (CPS), Epic. Proficiency in Microsoft Office (Excel, Word, Outlook, Teams). Strong analytical skills with the ability to recognize trends and provide data-driven solutions. Experience working with offshore teams is a plus! Why Join Us? Make a Real Impact – Your work directly influences cash flow and financial health for healthcare providers and their patients. A Culture of Excellence – We value accuracy, innovation, and teamwork. A Supportive Team – Work with like-minded professionals who understand the complexities of revenue cycle management. Opportunities to drive change and improve processes for greater efficiency. We are looking forward to reviewing your resume! Find out more about our culture and benefits at : https://strivanthealth.com/careers/

Responsibilities: Lead Client Onboarding: Oversee and manage the entire onboarding process for new clients, ensuring a seamless transition and successful implementation of our healthcare Credentialing services. Relationship Management: Establish and maintain strong client relationships, serving as the primary point of contact during onboarding and beyond, addressing any concerns or inquiries promptly. Requirements Gathering: Work closely with clients to understand their specific needs, workflows, and operational requirements, ensuring accurate configuration and customization of Credentialing solutions. Project Coordination: Collaborate with cross-functional teams, including sales, operations, and IT, to ensure the timely completion of onboarding tasks, milestones, and deliverables. Documentation & Training: Create and maintain comprehensive onboarding documentation, including SOPs and training materials, to facilitate smooth knowledge transfer and user adoption. Compliance Adherence: Ensure that all onboarding activities comply with relevant healthcare regulations, such as HIPAA, and other industry-specific standards. Issue Resolution: Identify and address any issues that arise during the onboarding process, working closely with internal teams and clients to provide timely resolutions and mitigate risks. Continuous Improvement: Identify and implement opportunities for process improvements within the client onboarding function, enhancing overall efficiency and client satisfaction. Performance Tracking: Monitor key performance indicators (KPIs) related to onboarding activities, providing regular reports to management that highlight successes, challenges, and areas for improvement. Industry Knowledge: Stay informed on industry trends, regulatory updates, and best practices in healthcare Credentialing to ensure that our onboarding process remains current and compliant. Team Leadership: Provide leadership, mentoring, and coaching to develop a well-trained, high-performing team that meets or exceeds performance standards. Qualifications: At least 7 years of experience in Credentialing, with a minimum of 4 years in people management and 3 years in client onboarding or credentialing process management. Full-time qualification in Payer Credentialing from a recognized professional body. Strong technical knowledge of client onboarding and Credentialing processes. Proven expertise in project planning and management. Excellent project management, presentation, interpersonal, and leadership skills. Strong customer service and communication abilities. Ability to work under pressure while maintaining a high level of perseverance. A team player with strong conflict-resolution skills. Mandatory Requirements: Has a fast dedicated laptop/PC I5+, 8GB Ram, Windows 10 (licensed and activated), MS Office 2013 + (working copy). (I3 only considered with SSD drive and 8GB ram) Lease option available for initial months till you get laptop/PC. Quiet home office with no distractions Have at least 3 years experience working from home successfully during EST hours Minimum dedicated fast internet 100MBPS (must be fiber or cable into your home) If you're a seasoned professional with a passion for client success and a deep understanding of healthcare Credentialing, we encourage you to apply!

Company Description Prometric is a global leader in credentialing and skills development, with over 30 years of experience. We operate the largest test center network with over 8,000 test centers in 180+ countries and offer exams in 70 different languages. Our mission is to empower the workforce of tomorrow Role Description This is a full-time on-site role for a Business Development Associate located in Ahmedabad. The Business Development Associate will be responsible for conducting market research, generating leads, preparing and delivering presentations, and maintaining communication with prospective clients. The role will involve identifying business opportunities, developing client relationships, and supporting the sales team. Qualifications Strong Presentation Skills and experience in delivering Presentations Experience in Lead Generation and Market Research Excellent Communication skills Ability to work independently and as part of a team Relevant experience in business development or sales is a plus Bachelor’s degree in Business, Marketing, or related field

You are a Process Specialist with 4 to 5 years of experience in HealthCare Products. Your expertise lies in Prov Privileges excluding Hospital Demo Changes Credentialing and Re-credentialing by Calls. In this role, you will work in a hybrid model including night shifts, ensuring the smooth operation of healthcare processes to enhance overall efficiency and effectiveness of services. Your responsibilities will include overseeing the management of healthcare products for compliance with industry standards, maintaining accurate provider information, managing demo changes, handling credentialing and re-credentialing processes, collaborating with departments for process streamlining, conducting audits for compliance, developing and implementing process improvements, providing training and support to team members, monitoring process performance, ensuring accurate documentation of healthcare processes, addressing provider issues, participating in policy development, and staying updated on industry trends. To qualify for this role, you should have a minimum of 4 years of healthcare products management experience, expertise in Prov Privileges excluding Hospital demo changes credentialing and re-credentialing, understanding of healthcare regulations and standards, strong communication and collaboration skills, proficiency in process improvement methodologies, and strong analytical and problem-solving abilities. The certification required for this position is Certified Provider Credentialing Specialist (CPCS) or equivalent certification.,

Job Description Summary In this role you will be focused on obtaining and maintaining global third-party supplier documentation for Imaging Accessories& Supplies (A&S) products. Under the instruction from A&S Product RA ensuring documentation requirements are obtained in accordance with the supplier contract for initial global market access, maintenance of global registrations, and continuous upkeep as business needs arise. Job Description Roles and Responsibilities Collaborates across the regulatory organization and cross-functionally with product managers to support global submission documentation requirements in identified markets. Requests and maintains supplier documentation in designated document databases specific to global product registration approvals. Builds and maintain working relationships with third party suppliers to ensure qualifying supplier documentation is obtained and maintained such as credentialing documents, international certificates, product labels, letters of authorization, and other requirements for global submissions that support supplier country scope of distribution. Under the instruction of A&S Product RA, maintain regulatory strategies for medical device products, focused on continuity of supplier operations and under minimal supervision. Gather and update global regulatory requirements to facilitate and maintain market access in global markets. Assesses changes in existing products to determine the need for new / revised global licenses or registrations. Ensure regulatory requirements from existing third-party suppliers performs, updates and provides country license information in accordance with business timelines. Required Qualifications Bachelor's degree in a Scientific, Engineering, Computer Science, core Life Science discipline, or a combination of training and experience demonstrating the equivalent. A minimum of 8+ years combined work experience in heavily regulated fields such as medical devices, pharmaceuticals or biologics. A minimum of 6+ year’s experience in international Regulatory Affairs or supplier quality operations supporting global compliance. Excellent verbal and written communication and presentation skills with the ability to speak and write clearly and convincingly in English, tailoring communication methods to customer’s requirements. Adept at utilizing research tools and capable of synthesizing complex information to support submissions and decision-making processes. Strong project management, communication, and interpersonal skills. Demonstrated experience and proficiency with MS Office word processing, spreadsheet, presentation, Adobe Acrobat, project management and collaboration applications. Desired Characteristics Experience with supporting manufacturing operations, supply quality engineering, maintaining continuity of such operations, and strategic experience in optimizing how products are registered globally. Experience with high risk, life supporting, and life-sustaining products preferred. Advanced degree in scientific, technology or regulatory affairs disciplines. Regulatory Affairs Certification (RAC) issued by the Regulatory Affairs Professionals Society (RAPS). Learning oriented and eager to obtain new skills and knowledge. Demonstrates flexibility in understanding new and evolving regulations. Humility in understanding, but assertive when needed. Inclusion and Diversity GE HealthCare is an Equal Opportunity Employer where inclusion matters. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. We expect all employees to live and breathe our behaviors: to act with humility and build trust; lead with transparency; deliver with focus, and drive ownership – always with unyielding integrity. Our total rewards are designed to unlock your ambition by giving you the boost and flexibility you need to turn your ideas into world-changing realities. Our salary and benefits are everything you’d expect from an organization with global strength and scale, and you’ll be surrounded by career opportunities in a culture that fosters care, collaboration and support Additional Information Relocation Assistance Provided: No

The role involves retrieving medical records, coordinating with external entities, verifying accuracy, maintaining an organized database, collaborating with internal teams, and conducting quality checks. Required Candidate profile Salary : up to 35 ctc + Other Benefits. Shift :6:30 pm to 3:30 am ( Night Shift ). Experience : 0.6 Month to 5 Year.

🚀 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 be responsible for managing the end-to-end provider enrollment process, ensuring accurate and timely completion of credentialing applications, and maintaining credentialing files. They will also collaborate with internal teams and insurance companies to resolve any credentialing issues and ensure compliance with Medicare and other regulatory requirements. 🔍 Key Responsibilities ✔ Review and authenticate credentials, qualifications, licenses, certifications, and other relevant documents submitted by individuals or organizations. ✔Take care of the provider's CAQH account, PECOS (Medicare Account), & application enrollment with Medicare & Medicaid. ✔ Complete and submit applications to insurance payers (Medicare, Medicaid, commercial payers). ✔ Track application progress and follow up regularly with insurance companies regarding provider enrollment status until completion. ✔ Maintain and update credentialing files and databases. ✔ Ensure compliance with HIPAA and industry regulations and standards. ✔ Collaborate with internal teams to resolve credentialing-related issues. 📌 Qualifications & Skills ✔ 1-5 years of hands-on experience in provider credentialing or payer enrollment ✔ Familiarity with CAQH, NPPES, PECOS, and payer portals ✔ Knowledge of end-to-end provider enrollment process ✔ Knowledge of Medicare, Medicaid, and commercial insurance enrollment processes ✔ Excellent written and verbal communication skills ✔ Strong organizational skills and attention to detail ✔ Proficiency with Google Workspace, credentialing software/tools, and project management tools 🤷Why Join RevGroMD ✅Be part of a mission-driven team simplifying healthcare operations ✅Growth opportunities and skill development ✅Flexible work environment with ownership of your work ✅Make a direct impact on revenue cycle performance and provider satisfaction

📋 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 the end-to-end provider credentialing and enrollment, including new and re-credentialing applications, ensuring compliance with payer requirements, and facilitating smooth provider onboarding. You’ll play a crucial role in accelerating our clients’ revenue cycles by securing timely approvals from commercial and government payers. 🔍 Key Responsibilities ✅ Prepare and submit credentialing and re-credentialing applications to commercial and government insurance payers (e.g., Medicare, Medicaid, BCBS, Aetna, Cigna, etc.). ✅ Maintain accurate provider records in systems like CAQH , PECOS , NPPES , and internal databases. ✅ Follow up proactively with payers to track application status and resolve delays. ✅ Communicate with clients/providers to obtain missing documents, signatures, or clarifications. ✅ Track and manage re-credentialing deadlines to ensure continued network participation. ✅ Update internal tracking systems and maintain detailed logs for every case. ✅ Collaborate with cross-functional teams to support seamless provider setup. ✅ Ensure 100% compliance with payer, state, and federal regulations. 📌 Qualifications & Skills ✔ 1+ years of experience in provider credentialing or healthcare operations (preferred). ✔ Strong knowledge of payer portals, credentialing processes, and enrollment guidelines. ✔ Familiarity with CAQH, PECOS, NPPES, and payer-specific platforms. ✔ Excellent written and verbal communication skills. ✔ Ability to manage multiple priorities, stay organized, and meet deadlines. ✔ Proficiency in Google Workspace or MS Office (Excel, Word). ✔ Strong attention to detail and problem-solving skills. 🌟 What We Offer ✨ Opportunity to work with a fast-growing startup ✨ Collaborative, supportive, and process-driven work environment ✨ Exposure to cross-functional projects in RCM, marketing & automation ✨ Skill development in a high-demand healthcare operations niche

Experience: 1-5 years in AR calling (US healthcare) Exp in denial management and handling AR calls Exp with healthcare billing software Ensure accurate & timely follow up where required. Required Candidate profile Immediate Joiners are preferred Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Noida, Bangalore Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

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 - Write clean, efficient Java and Core Java code for healthtech B2B applications. - Develop robust, scalable full-stack solutions using Core Java. - Ensure seamless integration with primary source systems. - Optimize application performance and ensure low-latency execution. - Collaborate with product teams to define requirements within HealthTech industry. - Troubleshoot and debug software issues to maintain system functionality. - Implement secure code practices for client data protection. - Contribute to team knowledge and skills in immediate environments. - Keep technical documentation up-to-date for future reference. - Conduct code reviews to ensure industry-standard coding practices. Ideal candidate profile - Embrace collaboration in a B2B HealthTech environment. - Innovate with Core Java in our product company. - Be adaptable for immediate or short notice integration. - Engage actively in the intersection of technology and healthcare. Hiring Process Profile Shortlisting Client Shortlisting HR prep call-Flexiple Tech Interview Prep call-Flexiple Culture fit

We are seeking an Associate Director – Media and Design to help drive and scale our media and visual content strategy of educational materials within the EdTech landscape. In this leadership role, you will play a critical part in visualising and executing high-impact media solutions, mentoring creative teams, and advancing innovation through emerging tools and technologies. You will collaborate closely with senior stakeholders and guide mid-level talent to deliver next-generation learning experiences that are visually compelling, globally relevant, andpowered by intelligent media workflows. Key Responsibilities �� Design and Media Leadership ● Lead the conceptualization and development of digital learning assets including microlearning modules,blended and self-paced courses, motion design, and immersive media (AR/VR/XR). ● Ensure all design and media outputs meet instructional integrity, brand alignment, accessibility, and project-specific quality standards. ● Collaborate with instructional design and engineering teams to ensure seamless integration of visual and media elements within digital learning environments. �� AI & Automation Integration ● Lead the exploration, testing, and adoption of AI-powered tools (e.g., ChatGPT, Synthesia, Pictory, Descript, Canva Magic) for accelerated design, localization, personalization, and media creation. ● Embed automation and generative AI into media production pipelines to drive scale, reduce turnaround time, and maintain creative quality. �� Customer-Focused Innovation ● Understand and translate client and market expectations into innovative, scalable, and high-impact design and media solutions. ● Represent the design and media function in pre-sales, solutioning, pilot reviews, and stakeholder presentations. �� Team Mentorship & Capability Building ● Inspire, coach, and upskill a cross-functional team of designers, video editors, animators, and media producers. ● Organize knowledge-sharing sessions, tool-based workshops, and sprint reviews to promote continuous team development. �� Innovation & Industry Alignment ● Maintain a strong pulse on global trends in design, media, AI, learner engagement, and content automation. ● Lead initiatives to evaluate and integrate emerging technologies and creative methodologies that enhance content quality and learner impact. Education: B.Des or M. Des is a must. Preferred Experience A minimum of 12 years of experience in media and design, including at least 5 years in a leadership or project management role, preferably within the Media, Design, or EdTech domains. 1. Experience in Global Learning Deployments /Enterprise Tech Clients/Educational Institutions. ● Proven ability to work on content/media projects for global audiences, adhering to regional guidelines, localization needs, and cultural sensitivities. ● Comfortable adapting design/media approaches for large-scale deployments across geographies or learning environments. 2. Familiarity with K-12, Workforce Development, Certifications, or Technical Skill-Based Learning ● Experience designing or producing content for online courses, apps, games, certification programs, vocational training, or professional upskilling. ● Understanding of pedagogy, adult learning principles, digital credentialing, and skills-first design approaches. 3. Leadership with implementing GenAI in Learning/Training Environments. ● Hands-on development with Generative AI tools (e.g., ChatGPT, Midjourney, Synthesia, RunwayML) applied to content creation, localization, or media automation. ● Ability to evaluate and integrate AI-driven solutions in design and media workflows to improve efficiency and creativity. ● Keeps abreast of ethical considerations and accuracy validation in AI-assisted content development. 4. Strong Storytelling, Visualization, and Data Interpretation Skills ● Expert at designing narrative-driven, visually engaging learning experiences that improve comprehension and retention. ● Ability to convert complex educational or technical data into clear visual media (infographics, dashboards, explainer videos). 5. Demonstrated Ability to Manage Cross-Functional Teams and Support Stakeholder Communication. ● Collaborates effectively with Instructional Designers, SMEs, Tech Leads, and PMs to ensure cohesive delivery. ● Confident in presenting media strategies or prototypes to internal and external stakeholders, incorporating feedback into final products. LearningMate is an equal opportunity employer. We commit to celebrate diversity, equity and inclusion in the workplace.

Refunds Specialist - Cash Applications - Physician Revenue Cycle Management Services Location: All shifts work onsite in our Mysore, India office located at: 1st Floor, 5669, Wekreate Space Doddamane, General Thimmaiah Road, Mysuru, Karnataka, 570017 **We are offering walk-in interviews at our Mysore office on any weekday between 10 am - 4 pm** Hours: Monday - Friday: Shift : 7:30 am - 4:30 pm IST Status: Full-time Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Coding, Medical Billing, AR Follow-up Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business. Refund Specialist - Position Summary At Strivant Health, we take pride in delivering exceptional accuracy and efficiency in physician revenue cycle management. Join our dynamic team as a Refunds Specialist, where your expertise in medical billing and patient refunds will directly impact operational excellence and patient satisfaction. This position is more than just administrative work —it’s about making a meaningful difference by ensuring patients and payers receive accurate refunds. If you have a keen eye for detail, love solving problems, and enjoy working in a fast-paced, high-volume environment, this is the perfect opportunity for you! What You’ll Do – Your Impact Matters Research and resolve credit balances for patients and third-party payers. Process refund requests with precision and ensure all documentation is complete. Communicate professionally with clinics and patients to resolve discrepancies. Maintain and audit refund trackers and systems for accuracy and compliance. Support digital refund processing and contribute to special projects.. Collaborate with a supportive internal team and offshore team to streamline financial processes. Collaborate with leadership and team members to enhance the refunds process. What You Bring to the Table 3+ years of experience in medical claims payment posting, cash research, and refunds processing. Strong understanding of insurance reimbursement (Medicare, Medicaid, commercial). Familiarity with CPT, ICD-9/10, and HCPCS codes and insurance regulations. Excellent communication skills, both written and verbal. Experience working with medical billing systems such as e-Clinical Works (eCW), Centricity (CPS), Epic. Proficiency in Microsoft Office (Excel, Word, Outlook, Teams). Strong analytical skills with the ability to recognize trends and provide data-driven solutions. Experience working with offshore teams is a plus! Why Join Us? Make a Real Impact – Your work directly influences cash flow and financial health for healthcare providers and their patients. A Culture of Excellence – We value accuracy, innovation, and teamwork. A Supportive Team – Work with like-minded professionals who understand the complexities of revenue cycle management. Opportunities to drive change and improve processes for greater efficiency. We are looking forward to reviewing your resume! Find out more about our culture and benefits at : https://strivanthealth.com/careers/

All Care Therapies is a rapidly growing IT and Medical back office Management Company providing superior consulting and management services for the healthcare industry. Our innovative approach to back office healthcare management sets us apart in the industry. As our US Talent Acquisition team expands, we are seeking a dedicated RN Credentialing / Compliance Officer with essential US health care (Nursing) staffing and credentialing/compliance experience for US Healthcare clients. This position is crucial in ensuring the smooth onboarding and compliance of our nursing staff. Location: Noida, UP Shift: PST Zone Salary: Commensurate with experience and skills Key Responsibilities: - Provide administrative support to the assigned Recruiter - Manage the entire hiring process from application to interview to offer - Conduct reference checks, drug screens, and evaluate incoming applications - Assist in managing candidate files, ensuring compliance with Company and Client requirements - Utilize internal systems for accurate record-keeping of candidate information - Prepare candidate submission packages and manage onboarding paperwork - Conduct VMS submissions and related activities - Assist with credentialing, housing, and time sheet processes as needed - Ensure a seamless communication experience for Travel RNs through various channels - Uphold a culture of professionalism, operational excellence, and results-driven approach - Prioritize tasks, multitask effectively, and meet deadlines in a dynamic environment - Take on additional responsibilities as assigned Qualifications: - Minimum of 5 years of administrative and office experience - US Nurse staffing compliance/credentialing experience is mandatory - Proficiency in Microsoft products, internet job boards, and online recruiting platforms - Ability to thrive in a fast-paced environment - Strong attention to detail and documentation - Self-motivated with excellent interpersonal, organizational, and follow-through skills Benefits: - Group Health Insurance - Leave Encashment on Gross - Yearly Bonus - 12 Paid Indian & US Holidays - Monthly performance incentives If you are ready to join a dynamic team and contribute to the success of our healthcare management services, we encourage you to apply for this exciting opportunity at All Care Therapies.,

Min 4+ yr exp in credentialing package upto 7L grad/ug 24*7 shift 1 side cab Strong communication skills (verbal & written Both) Familiarity with CAQH, PECOS & insurance enrollment portals. DM- yashika.imaginator@gmail.com / 7289094130 Required Candidate profile * Strong understanding of the US healthcare credentialing process & payer requirements. * Ability to manage multiple tasks & meet deadlines in a fast-paced environment. * Proficient in MS Office

About Us: We are a leading healthcare staffing firm based in the United States, providing top-tier healthcare professionals to hospitals, clinics, and long-term care facilities across the country. Our team is growing, and we’re seeking a highly motivated and experienced Corporate Hiring Specialist based in India to support and scale our internal recruitment efforts. Job Summary: The Corporate Hiring Specialist will be responsible for identifying, sourcing, and onboarding internal talent — primarily healthcare recruiters and support staff — for our U.S.-based operations. This role requires someone with a solid understanding of the healthcare staffing landscape and experience in hiring for recruitment and corporate roles. Key Responsibilities: Lead full-cycle recruitment for internal roles, with a focus on healthcare recruiters and other corporate positions. Partner with hiring managers to define job requirements, candidate profiles, and hiring strategies. Source candidates using multiple channels: job boards, social media, referrals, and passive outreach. Conduct initial screening interviews and coordinate interviews with hiring managers. Manage the offer and onboarding process for selected candidates. Maintain candidate pipelines and track recruitment metrics using an ATS (Applicant Tracking System). Stay current on industry trends and best practices in healthcare staffing and corporate recruiting. Build and maintain a talent pool for future hiring needs. Requirements: 2–4 years of experience in recruitment, with at least 1 year focused on hiring healthcare recruiters or staff in the healthcare staffing domain. Proven experience hiring for U.S.-based healthcare staffing companies is strongly preferred. Familiarity with recruitment tools such as LinkedIn Recruiter, JobDiva, CEIPAL, Bullhorn, or similar ATS platforms. Excellent communication skills in English, both verbal and written. Ability to work independently and manage multiple open roles simultaneously. Comfortable working during U.S. business hours (EST or PST overlap required). Nice to Have: Experience in hiring credentialing, compliance, or onboarding staff in healthcare staffing. Exposure to U.S. employment practices and staffing agency structures. Experience working with remote teams across time zones. What We Offer: Competitive compensation based on experience. Opportunity to work remotely from anywhere in India. Collaborative and inclusive team environment. Growth opportunities in a fast-scaling healthcare staffing company. Paid time off, performance incentives, and annual bonuses.

Line of Service Internal Firm Services Industry/Sector Not Applicable Specialism Operations Management Level Administrative Job Description & Summary At PwC, our people in business services and support focus on providing efficient and effective administrative support to enable smooth operations within the organisation. This includes managing schedules, coordinating meetings, and handling confidential information. Those working as assistants and office support at PwC will provide high-level administrative support to senior executives, including managing their schedules, coordinating meetings, and handling confidential information. You will play a crucial role in maintaining smooth operations and effective communication within the organisation. *Why PWC At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purpose-led and values-driven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us . At PwC, we believe in providing equal employment opportunities, without any discrimination on the grounds of gender, ethnic background, age, disability, marital status, sexual orientation, pregnancy, gender identity or expression, religion or other beliefs, perceived differences and status protected by law. We strive to create an environment where each one of our people can bring their true selves and contribute to their personal growth and the firm’s growth. To enable this, we have zero tolerance for any discrimination and harassment based on the above considerations. " Job Description & Summary: At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purpose-led and values-driven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us . At PwC, we believe in providing equal employment opportunities, without any discrimination on the grounds of gender, ethnic background, age, disability, marital status, sexual orientation, pregnancy, gender identity or expression, religion or other beliefs, perceived differences and status protected by law. We strive to create an environment where each one of our people can bring their true selves and contribute to their personal growth and the firm’s growth. To enable this, we have zero tolerance for any discrimination and harassment based on the above considerations. " Responsibilities: Act as the point of contact among executives, employees, clients and other external partners Manage information flow in a timely and accurate manner Manage executives’ calendars and set up meetings Make travel and accommodation arrangements Rack daily expenses and prepare weekly, monthly or quarterly reports Oversee the performance of other clerical staff Act as an office manager by keeping up with office supply inventory Format information for internal and external communication – memos, emails, presentations, reports Take minutes during meetings Screen and direct phone calls and distribute correspondence Organize and maintain the office filing system Mandatory skill sets: Work experience as an Executive Assistant, Personal Assistant or similar role · Excellent MS Office knowledge. · Outstanding organizational and time management skills · Familiarity with office gadgets and applications (e.g. e-calendars and copy machines) · Excellent verbal and written communications skills · Discretion and confidentiality Preferred skill sets: Work experience as an Executive Assistant, Personal Assistant or similar role · Excellent MS Office knowledge. · Outstanding organizational and time management skills · Familiarity with office gadgets and applications (e.g. e-calendars and copy machines) · Excellent verbal and written communications skills · Discretion and confidentiality Years of experience required: Experience: 4 – 10 years Education qualification: B.Sc, MSc, MBA, B.Com Education (if blank, degree and/or field of study not specified) Degrees/Field of Study required: Bachelor of Commerce, Master of Business Administration Degrees/Field of Study preferred: Certifications (if blank, certifications not specified) Required Skills Administrative Support Services Optional Skills Accepting Feedback, Accepting Feedback, Active Listening, Administrative Support, Agile Database Administration, Business Process Improvement, Calendar Management, Clerical Support, Collaborative Forecasting, Communication, Communications Management, Concur Travel, Conducting Research, Confidential Information Handling, Corporate Records Management, Correspondence Management, Credentialing Database, Customer Relationship Management, Customer Service Excellence, Customer Service Management, Data Entry, Deployment Coordination, Electronic Billing, Electronic Filing, Electronic Records Management {+ 31 more} Desired Languages (If blank, desired languages not specified) Travel Requirements Available for Work Visa Sponsorship? Government Clearance Required? Job Posting End Date

Location: Los Angeles, USA (Remote) Everest Peak Home Health For over three decades, I have steered organizations through the evolving landscape of healthcare. Now, I am embarking on a transformative national initiative to build an integrated network of mobile and clinic-based healthcare practices. This venture requires true architects—leaders who can not only imagine the future but also lay its foundation. I am seeking two strategic Vice Presidents of Medical Group Operations & Development to act as my principal executives in this ambitious undertaking. These are foundational, C-suite level roles designed for professionals who wield deep, operational mastery and a documented history of building excellence from the ground up. The Mission: You will bear ultimate responsibility for the complete lifecycle of our practice locations: from initial market analysis and conceptual design to full operational launch and optimization. This is a prime opportunity to shape the future of healthcare delivery. Your judgment will be the critical factor in our expansion, guaranteeing that each practice is established with meticulous care, adheres to all complex regulatory frameworks, and is built for sustainable growth and impact. Required Expertise & Leadership Profile: Demonstrated Executive Leadership: A clear history of successfully developing, launching, and leading multi-site medical groups or significant healthcare service lines to profitability and operational maturity. Regulatory Command: An expert, practical understanding of the regulatory environment, including Medicare compliance, state-specific healthcare laws, payer credentialing, and accreditation processes. You must move through these requirements with confidence. Operational Architect: Proven ability to design and deploy all essential operational infrastructures: clinical protocols, revenue cycle systems, EHR implementation, staffing models, and facility logistics. Strategic & Financial Proficiency: Expertise in financial modeling, budgeting, P&L oversight, long-range strategic planning, and competitive market analysis. The Right Leader: A Pillar of Our Foundation I build my enterprises on a culture of accountability and results. As a core member of my leadership team, you will be a strategic thinker, a unifying force, and an unwavering executor. We will align on vision and objectives. You will then own the outcome, driving progress with significant autonomy and empowerment. You are a forward-thinking operator who identifies hurdles before they emerge and delivers sophisticated solutions independently. You are a leader who motivates excellence, possesses formidable business intelligence, and is entrusted to protect and grow our assets and our reputation. To Apply: If you have the expertise to command this initiative and the passion to create a lasting imprint on American healthcare, I request you forward your resume and a cover letter. In your letter, please elaborate on your most consequential achievement in building a healthcare operation from inception to success. Let us create a legacy together. Job Types: Full-time, Permanent Education: Doctorate (Required) Experience: Medical administration: 10 years (Required) Language: Spanish (Preferred) English (Required)

We are hiring for "CREDENTIALING SPECIALIST ROLE" for an MNC for CHENNAI Location. Salary : Upto 6 LPA (In Hand) Shift : Any 5 Days working WORK FROM OFFICE Need Good/Excellent English Comm. skills Must have good knowledge of RCM Required Candidate profile Candidates must have at least 2 to 3 Yr of exp. in same profile. Types of NPI numbers in the credentials process. Application submitted for individual medicare enrolment. Call : 9335-906-101

About the Role We are seeking a Healthcare Credentialing Specialist with strong experience in managing provider enrollment, credentialing, and compliance with regulatory guidelines. The ideal candidate will have a keen eye for detail, excellent communication skills, and the ability to work collaboratively with providers, payers, and internal teams. Key Responsibilities Manage the full-cycle credentialing and re-credentialing process for healthcare providers. Verify and maintain provider documentation, licenses, certifications, and affiliations. Coordinate with insurance companies, hospitals, and healthcare organizations for provider enrollment. Ensure compliance with NCQA, CMS, and other regulatory requirements. Maintain accurate and up-to-date records in credentialing databases. Communicate effectively with providers regarding application status, missing information, or required updates. Support audits, reporting, and quality improvement initiatives. Qualifications Minimum 1 year of hands-on experience in healthcare credentialing or provider Familiarity with credentialing software/systems (CAQH, NPPES, PECOS, etc.). Excellent organizational and documentation skills.

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

You have demonstrated high performance and competence in all clinical aspects of dentistry, showcasing sound clinical reasoning, advanced problem-solving skills, and extensive experience in managing complex patient presentations. Your ability to provide a wide range of efficient dental services, often without the need for support from senior clinicians, sets you apart. In this role, you will be expected to offer guidance to junior dental practitioners, interns, and the team. Managing patient complaints, establishing clinical guidelines and policies, and leading quality and safety initiatives are crucial responsibilities. You will also need to ensure that clinical staff stay updated on credentialing requirements and periodically audit and report on the clinician scope of practice. Your leadership will be essential in developing processes to enhance care quality, minimize risks, and maintain high standards of care for patients. Upholding safety and mandatory reporting requirements, particularly concerning child safety, protection matters, and vulnerable populations, is paramount. Additionally, you will play a key role in resolving clinical complaints and managing patient records following the Clinical Record process and policy. Your role involves providing direction for the daily clinical management of the dental service, necessitating strong written and verbal communication, supervisory, and mentoring skills. Acting as a role model within the dental team, you will co-chair team meetings and actively participate in various discussions. Ideal candidates will have previous senior dental clinical leadership experience, a commitment to public dentistry principles, and a value-based model of care. Strong interpersonal, communication, and engagement skills are essential for effective collaboration within a multidisciplinary team. Experience in implementing systems supporting clinical governance and conducting quality improvement activities, such as clinical reviews, incident management, and audits, is highly valued. This is a full-time, permanent position with the possibility of volunteering. The benefits include health insurance, paid time off, performance bonuses, and yearly bonuses. The schedule may involve day, evening, morning, night, and rotational shifts. Candidates must be willing to commute/relocate to SECTOR-21B, Chandigarh, Chandigarh. A minimum of 2 years of work experience is preferred for this role.,