Credentialing Specialist
4 weeks ago
Company Description PangeaEmr is a USA based comprehensive solution provider for private medical practices, offering a wide range of services through a single dashboard. Our services include credentialing, medical billing, revenue cycle management, payment platforms, SEO-optimized websites, review systems, insurance verification, prior authorization, remote patient monitoring, and electronic health records (EHR). We are unique in the healthcare industry for providing an all-in-one approach to help doctors be more productive. Supported by our visionary investors, we aim to create a more efficient, profitable, and patient-centric healthcare system. Role Description This is a full-time remote role for a Credentialing Specialist. The Credentialing Specialist will be responsible for handling the credentialing process for medical staff, ensuring all necessary documents are collected, verified and maintained. They will work closely with healthcare providers and insurance companies, conduct regular follow-ups, and provide exceptional customer service to address any inquiries or issues related to credentialing. They will also manage medical staff credentialing for Medicare and other insurance providers. This role will involve overseeing the lifecycle of provider credentialing, ensuring compliance with regulatory requirements and internal policies. Candidate will be hired in our Indian subsidiary. Payroll will happen through Indian company. Qualifications Experience in Doctor Credentialing and Medical Staff Credentialing Manage the end-to-end credentialing process for healthcare providers, including initial credentialing, recredentialing, and privileging. Review and assess provider applications for completeness, accuracy, and adherence to regulatory standards. Conduct primary source verifications of provider credentials, including licensure, education, training, certifications, and professional references. Collaborate with providers, and internal stakeholders to obtain necessary information and resolve any credentialing-related issues or discrepancies. Ensure compliance with regulatory requirements, accreditation standards, and credentialing policies and procedures. Maintain comprehensive and up-to-date provider credentialing files, ensuring confidentiality, accuracy, and data integrity. Monitor and track provider expirable, such as licenses, certifications, and malpractice insurance, to ensure timely renewals. Participate in audits and internal quality assurance activities to identify opportunities for process improvement and enhance credentialing practices. Stay abreast of industry trends, changes in credentialing regulations, and best practices, providing recommendations for improvement and adaptation. Assist in the development and implementation of credentialing policies, procedures, and training programs. Provide guidance and support to junior credentialing staff members, fostering a collaborative and high-performing team environment. Strong Communication and Customer Service skills Familiarity with Medicare and other insurance providers Excellent organizational and time management skills Ability to work independently and remotely Strong attention to detail and problem-solving abilities
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Credentialing Specialist
4 weeks ago
Chandigarh, India Altermed RCM Full timeJob Description Company Description Altermed RCM is a full-service medical billing and credentialing company dedicated to assisting healthcare providers, clinics, hospitals, and telemedicine practices in optimizing operations and achieving compliance. Our comprehensive solutions, including credentialing, provider enrollment, medical billing, and revenue...
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Credentialing Specialist
2 weeks ago
india Bikham Full timeWe are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing.About the RoleSpecialists applying for this role must be extremely comfortable working remotely and be willing to make extra efforts to...
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Credentialing Specialist
4 weeks ago
Gurugram, Gurugram, India WNS Full timeJob Description About the Company WNS (Holdings) Limited (NYSE: WNS) is a digital-led business transformation and services company. WNS combines deep domain expertise with talent, technology, and AI to co-create innovative solutions for over 700 clients across various industries. WNS delivers an entire spectrum of solutions including industry-specific...
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Credentialing Specialist
2 weeks ago
Delhi, India, India Bikham Full timeWe are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing.About the RoleSpecialists applying for this role must be extremely comfortable working remotely and be willing to make extra efforts to...
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Credentialing Specialist
2 weeks ago
Gurugram, Haryana, India, IN WNS Full timeAbout the CompanyWNS (Holdings) Limited (NYSE: WNS) is a digital-led business transformation and services company. WNS combines deep domain expertise with talent, technology, and AI to co-create innovative solutions for over 700 clients across various industries. WNS delivers an entire spectrum of solutions including industry-specific offerings, customer...
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Credentialing Specialist
2 weeks ago
Mumbai, Maharashtra, India, Maharashtra CapitalMed Solutions Full timeAbout CapitalMed SolutionsCapitalMed Solutions is a healthcare services company providing Revenue Cycle Management, Medical Billing & Coding, Credentialing, Call Center Support, Insurance Verification, Pre-Authorization, HEDIS, Referral Management, Accounting, and Virtual Assistant services. We support medical practices across the United States with...
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Credential Specialist-State of Nevada
2 weeks ago
Delhi, India Macro Outsourcing Full timeJob Description Company Description Macro Outsourcing is a Business Process Outsourcing company that provides transcription, billing, and document management services to medical clinics and physicians in the United States. Our mission is to enhance the efficiency and manageability of back-office operations like medical transcription and billing, maintaining...
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Credential Specialist-State of Nevada
2 weeks ago
New Delhi, Delhi, India, Delhi Macro Outsourcing Full timeCompany DescriptionMacro Outsourcing is a Business Process Outsourcing company that provides transcription, billing, and document management services to medical clinics and physicians in the United States. Our mission is to enhance the efficiency and manageability of back-office operations like medical transcription and billing, maintaining high quality and...
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Senior Associate
1 week ago
Ahmedabad, India Afiablee Healthcare Solution Full timeJob Description Afiablee Healthcare and IT Solutions LLP Iconic Shyamal, 905, 9th Floor, Shyamal Cross Road, Ahmedabad, Gujarat 380015 (Onsite) At Afiablee Healthcare and IT Solutions LLP, we deliver high-impact Revenue Cycle Management and IT solutions exclusively for the US healthcare ecosystem. We partner with leading providers, payers, and healthcare...
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Credentialing Specialist
1 week ago
India SRZ Healthcare and Consulting Services Full timeJob Summary: SRZ Healthcare and Consulting Services is seeking an experienced Credentialing Analyst to manage provider enrollment, CAQH/PECOS updates, revalidations, and payer applications for U.S. healthcare clients. This is a remote position, and candidates must be flexible to work in rotational shift timings. Responsibilities: • Complete provider...
