6 Credentialing Processes Jobs

Role Overview: As a Credentialing Associate at R Systems, you will be responsible for processing credentialing applications for US healthcare professionals. Your role will involve ensuring regulatory compliance, managing multiple tasks, and maintaining provider records to industry standards. Your attention to detail and expertise in background checks, license verification, and collaboration with internal teams will be crucial for the efficient operation of credentialing procedures. Additionally, you will contribute to refining policies and procedures to enhance operational efficiency and ensure only qualified professionals are credentialed, thus impacting the quality of healthcare services p...

Role Overview: As a Credentialing Associate, your primary responsibility will be to oversee credentialing processes to ensure compliance with regulatory standards. You will be required to collect, review, and verify documentation such as licenses, certifications, and work history. Additionally, you will maintain and update credentialing databases with accurate provider information, track credentialing status, expirations, and re-credentialing timelines using software tools, and act as the main point of contact for healthcare providers throughout the credentialing process. Moreover, you will collaborate with HR and Legal teams, conduct audits for improvement areas and compliance, prepare deta...

As a Credentialing Associate at R Systems, you will play a pivotal role in ensuring the accurate and timely processing of credentialing applications for US healthcare professionals. Your expertise in regulatory compliance, attention to detail, and ability to manage multiple tasks will be critical in maintaining provider records and ensuring adherence to industry standards. You will conduct thorough background checks, verify licenses and certifications, and collaborate with internal teams to address credentialing issues. Additionally, you will stay informed about changes in healthcare regulations and help refine credentialing policies and procedures to enhance operational efficiency. Your con...

Company Description AIG Business Solutions Pvt. Ltd. is a cross-border consulting and services firm with expertise in revenue cycle management (RCM), HR consulting, US staffing, IT services, project management, and hospital management. We have operations in both the United States and India, partnering with businesses to design scalable systems and build high-performance teams. Our mission is to drive people-centric transformation through tailored solutions that align talent, technology, and strategy. We aim to help businesses overcome workforce and operational challenges by leveraging data-driven decision-making and deep industry knowledge. Role Description This is a full-time on-site role f...

As a Specialist in Provider Credentialing, you will play a crucial role in maintaining the integrity of the provider network by overseeing credentialing processes and ensuring compliance with industry standards and regulations. Your expertise in healthcare products and credentialing processes will be utilized to streamline workflows, analyze data for accuracy, and implement corrective actions when needed. You will also collaborate with cross-functional teams, provide guidance to providers, and monitor credentialing metrics to identify areas for improvement. Key Responsibilities: - Oversee credentialing and re-credentialing processes for healthcare providers - Collaborate with teams to stream...

The SME-Quality Management HC Ops role is crucial for upholding the highest standards of healthcare product quality and credentialing procedures. As a candidate, you will play a key role in optimizing operations, improving service delivery, and contributing to the company's mission of enhancing healthcare outcomes. This position involves working in a hybrid model and night shifts. Your responsibilities will include overseeing quality management processes for healthcare products to ensure compliance with industry standards and regulations. You will be responsible for implementing and monitoring credentialing and re-credentialing procedures to maintain the integrity and reliability of healthca...