Credentials Jobs – Apply to Latest Credentials Job Vacancies

Team Leader AR and Credentials- Noida/ WFO R Systems International

6 - 8 years

7 - 9 Lacs

Noida

Work from Office

Lead and manage the AR team and Credentials team to ensure timely follow-ups and collections. Monitor outstanding claims, resolve denials, and optimize cash flow. Communicate with clients and insurance companies to address escalations. Ensure compliance with HIPAA and payer guidelines. Track team performance, generate reports, and implement process improvements. Train and mentor team members to enhance efficiency and accuracy. Candidate must possess experience as TL on paper for atleast One year. Open for Noida/ WFO

Posted 2 months ago

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Credentialing Manager US Healthcare - 2 Openings R Systems International

10 - 15 years

11 - 18 Lacs

Pune

Work from Office

Supports credentialing team leads with overseeing interviewing, work distribution, orientation, training, staff development, problem resolution, evaluating performance, making recommendations for personnel actions, and motivating employees to achieve peak performance. Oversees day-to-day operations Credentialing functions through maintaining appropriate staffing levels and productivity to meet targeted service levels, turnaround times, and satisfaction/quality levels. Escalates issues to the relevant departments. Directs and manages compliance with assigned corporate processes. Creates and maintains departmental policies and procedures working closely with the credentialing US team on best practices. Ensures overall compliance with facilities policy and procedures, US state and federal regulatory entities and participate/assist with facility audits/surveys . Facilitates meetings and ensures follow up and ongoing proactive communication with key stakeholders. Creating Weekly/ Monthly and Daily Reports. Serves as a resource and subject matter expert to the credentialing staff on performance improvement Proficient using office productivity software tools Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Outlook, etc. Project management experience asses work activities and allocates resources appropriately Experience in credentialing & technical skills extensive credentialing process and primary source verification knowledge Open for WFO/ Pune Location. Please share cv at annu.misra@rsystems.com

Posted 3 months ago

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