Credentialing Specialist
2 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
-
Credentialing Specialist
2 weeks ago
Delhi, 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...
-
Credentialing specialist
1 week ago
Delhi, India PangeaEmr LLC Full timeCompany DescriptionPangea Emr 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...
-
Credentialing specialist
1 day ago
delhi, India PangeaEmr LLC Full timeCompany DescriptionPangea Emr 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...
-
Credentialing Specialist
2 weeks ago
New Delhi, 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...
-
Credentialing Specialist
5 hours ago
Delhi, Delhi, India Bikham Full time ₹ 8,00,000 - ₹ 12,00,000 per yearWe 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...
-
Credentialing Specialist
1 week ago
New Delhi, India WNS Full timeAbout 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 offerings, customer...
-
Medical Credentialing Specialist
5 days ago
Delhi, Delhi, India Naukri Healthcare Jobs Full time ₹ 8,00,000 - ₹ 12,00,000 per yearWe are looking for a highly skilled and experienced Medical Credentialing Specialist to join our team at beBeeMedicals. The ideal candidate will have 2-5 years of experience in medical credentialing, with a strong background in the field.Roles and ResponsibilityManage and process medical credentials for healthcare providers.Ensure compliance with regulatory...
-
Credential Specialist-State of Nevada
1 day ago
New Delhi, India 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...
-
Credential Specialist-State of Nevada
1 day ago
New Delhi, India 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...
-
Credential Specialist-State of Nevada
1 day ago
New Delhi, India 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...
