Quality - Credentialing | US Healthcare
2 days ago
Job Title:Quality - CredentialingDepartment:Credentialing / US Healthcare Operations Location:PuneJob Summary: As aQuality - Credentialing, you will be responsible for ensuring the accuracy, completeness, and compliance of credentialing processes for US healthcare professionals. Your role will focus on auditing credentialing files, validating documentation, and ensuring adherence to regulatory standards. You will work closely with credentialing associates to identify gaps, provide feedback, and support continuous improvement in credentialing quality and compliance.Key Responsibilities: Audit credentialing files and documentation to ensure accuracy and completeness. Validate provider credentials including licenses, certifications, and work history. Monitor compliance with federal and state regulations, payer requirements, and internal policies. Identify discrepancies and provide actionable feedback to credentialing associates. Maintain quality tracking logs and generate reports on audit findings and trends. Collaborate with the Credentialing and Quality teams to develop and refine SOPs. Assist in training and mentoring credentialing staff on quality standards and best practices. Participate in internal and external audits and support remediation efforts. Stay updated on changes in credentialing regulations and industry standards. Contribute to process improvement initiatives to enhance credentialing efficiency and accuracy.Mandatory Skills: Strong understanding ofCredentialing,Enrollment, andUS Healthcare regulations. Experience inquality assurance,compliance auditing, orcredentialing operations. Proficiency in credentialing software and databases. Excellent attention to detail and analytical skills. Strong communication and documentation abilities.Skills to be Evaluated On: Knowledge of credentialing and enrollment processes. Ability to identify and resolve compliance issues. Accuracy in documentation and data validation. Familiarity with US healthcare standards and payer requirements. Collaboration and feedback delivery skills. Reporting and audit documentation capabilities.
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Credentialing | U.S Healthcare
3 weeks ago
New Delhi, India R Systems Full timeJob Title-Executive - AR ( Credentialing )Job Description 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...
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Credentialing | U.S Healthcare
4 weeks ago
New Delhi, India R Systems Full timeJob Title- Executive - AR ( Credentialing )Job DescriptionAs 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...
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Credentialing SME
2 days ago
New Delhi, India Nath Outsourcing Solutions Pvt. Ltd. Full timeCredentialing SMEAbout the Company:Established in 2003,Nath Outsourcing Solutions Pvt. Ltd. (NOS)specializes in end-to-end solutions for theUS Healthcare Industry . Our expertise spans managed care, payer rules, coding, and compliance, all supported by advanced technology and a deep understanding ofRevenue Cycle Management (RCM)concepts. With a team of...
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Credentialing Associate
2 weeks ago
New Delhi, India InteliX Systems Full timeExciting Opportunity – Credentialing Associate at InteliX Systems We are looking for a proactive Credentialing Associate to manage all aspects of healthcare credentialing and support the smooth onboarding of healthcare professionals. This role is vital to ensuring efficient service delivery through accurate documentation and administrative coordination....
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Credentialing Associate
3 weeks ago
New Delhi, India InteliX Systems Full timeExciting Opportunity – Credentialing Associate at InteliX SystemsWe are looking for a proactive Credentialing Associate to manage all aspects of healthcare credentialing and support the smooth onboarding of healthcare professionals. This role is vital to ensuring efficient service delivery through accurate documentation and administrative coordination. The...
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US Healthcare Recruiter
3 weeks ago
New Delhi, India Hirring.com Full timePosition SummaryUS Healthcare Recruiteroverseeing end-to-end recruitment in the US healthcare space with a commission-based payment structure. This is a Part-Time position, work remotely at any time and from anywhere.Core Competencies Required ·Experience with full recruitment cycles across the healthcare continuum, positions including but not limited to...
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US Healthcare Recruiter
3 weeks ago
New Delhi, India InfiReex Full timeInfireex is looking for Healthcare recruiters wherein you’ll recruit across diverse verticals including Travel Nursing, Allied Health, Physician Recruitment, Local Contracts, and Full-Time (Direct Hire) Placements. From filling a Med-Surg RN contract, to sourcing a local speech therapist, or hiring a full-time hospitalist—you’ll manage the process...
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US Healthcare Recruiter
3 weeks ago
New Delhi, India Nuvantis Full time**** Vizag & Hyderabad candidates only and with experience in Healthcare recruiting*****Responsibilities Post jobs and source candidates through job boards, referrals, and social media. Screen resumes and credentialing the candidates. Coordinate interviews with hiring managers. Check credentials, licenses, and background requirements. Maintain a pipeline of...
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Senior Content Writer
4 days ago
Delhi, India Credex Healthcare Full timeMedical Senior Content Writer (Credentialing & RCM) (Night Shift - Remote) - Work from HomeOur client is looking for a senior medical content writer for their US Medical Credentialing & RCM business Domain working 100% Remote in US hours, 9am EST - 6pm EST. This is a full time role working 40 hours/week starting ASAP.We’re looking for someone who can:-...
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Senior Content Writer
3 days ago
Delhi, India Credex Healthcare Full timeMedical Senior Content Writer (Credentialing & RCM) (Night Shift - Remote) - Work from HomeOur client is looking for a senior medical content writer for their US Medical Credentialing & RCM business Domain working 100% Remote in US hours, 9am EST - 6pm EST. This is a full time role working 40 hours/week starting ASAP.We’re looking for someone who can:-...
