Credentialing Specialist
2 days 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
3 days ago
India PangeaEmr LLC Full timeCompany 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...
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Credentialing Specialist
3 days ago
India PangeaEmr LLC Full timeCompany DescriptionPangeaEmr 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...
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Credentialing Specialist
13 hours 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
13 hours 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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Certified Credentialing Specialist
2 weeks ago
Hyderabad, Telangana, India ClinicMind Full time ₹ 5,00,000 - ₹ 15,00,000 per yearClinicMind, the nation's leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time Credentialing Specialist. If you're excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIESHandle credentialing needs for our clients (Group and/or...
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[3 Days Left] Credentialing Specialist
3 weeks ago
Bengaluru, India Founders Full timeJob Description Role - Credentialing Specialist / Analyst will be responsible for meeting the set SLAs, viz, productivity, quality and attendance. Requirements - - Education: Graduates / Diploma holders - Knowledge: US Medical billing, provider credentialing - Experience: 1 to 2 years for Analyst and 3 years 5 years for specialist - Knowledge of provider...
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Credentialing Specialist
1 day ago
India PangeaEmr LLC Full timeCompany 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,
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Team Lead, Credentialing
13 hours ago
Chennai, India Assured Full timeJob Description Overview The Credentialing Team Lead is responsible for managing and overseeing the day-to-day operations of the Credentialing department. This role ensures compliance with U.S. federal and state regulations, as well as organizational policies and procedures while leading a team of Operations Associates (i.e. credentialing specialists)....
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Enrollment Specialist
5 days ago
India AiCrafter Full timeCompany Description AiCrafter is an AI-powered learning platform dedicated to equipping the next generation of tech professionals with hands-on, project-based training. By providing expert mentorship and personalized learning paths, AiCrafter helps individuals develop proficiency in Artificial Intelligence tools and applications. Whether for a career...
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Enrollment Specialist
4 days ago
India AiCrafter Full timeCompany Description AiCrafter is an AI-powered learning platform dedicated to equipping the next generation of tech professionals with hands-on, project-based training. By providing expert mentorship and personalized learning paths, AiCrafter helps individuals develop proficiency in Artificial Intelligence tools and applications. Whether for a career...
