Credentialing Specialist
1 week ago
Company 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 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 DescriptionThis 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. QualificationsExperience in Doctor Credentialing and Medical Staff CredentialingManage 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 skillsFamiliarity with Medicare and other insurance providersExcellent organizational and time management skillsAbility to work independently and remotelyStrong attention to detail and problem-solving abilities
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Insurance Credentialing Specialist
3 weeks ago
Bangalore, Karnataka, India Total RCM Solutions Full timeCompany Overview Total RCM Solutions is a premier revenue cycle management firm assisting healthcare providers across the USA Established in 2018 our team collectively boasts over 100 years of expertise offering tailored services that optimize practice operations From comprehensive revenue cycle management to individualized solutions we ensure adherence to...
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Director of Credentialing
1 week ago
bangalore, India Plutus Health Inc. Full timeABOUT PLUTUS HEALTHPlutus Health is a Dallas-headquartered healthcare revenue cycle management company serving providers across multiple specialties. With 1,600+ employees in the United States, India, and the Philippines, we deliver end-to-end RCM services including medical billing, credentialing, payer enrollment, and contracting.POSITION OVERVIEWThe...
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Director of Credentialing
1 week ago
bangalore district, India Plutus Health Inc. Full timeABOUT PLUTUS HEALTH Plutus Health is a Dallas-headquartered healthcare revenue cycle management company serving providers across multiple specialties. With 1,600+ employees in the United States, India, and the Philippines, we deliver end-to-end RCM services including medical billing, credentialing, payer enrollment, and contracting. POSITION OVERVIEW The...
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Enrollment Specialist
2 weeks ago
bangalore, India AiCrafter Full timeCompany DescriptionAiCrafter 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
2 weeks ago
bangalore, India AiCrafter Full timeCompany DescriptionAiCrafter 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
2 weeks ago
bangalore, 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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ServiceNow discovery cloud specialist
2 weeks ago
bangalore, India TribolaTech Inc Full timeJob Title: ServiceNow Discovery & Cloud Specialist Location – Remote , 3 PM to 11 PM IST Full Time position with TribolaTech Job description : Role Overview We are seeking a skilled ServiceNow Discovery & Cloud Specialist to design, implement, and optimize Discovery processes that enable a reliable and accurate CMDB across on-premises and cloud...
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ServiceNow discovery cloud specialist
2 weeks ago
bangalore, India TribolaTech Inc Full timeJob Title: ServiceNow Discovery & Cloud SpecialistLocation – Remote , 3 PM to 11 PM ISTFull Time position with TribolaTech Job description : Role OverviewWe are seeking a skilled ServiceNow Discovery & Cloud Specialist to design, implement, and optimize Discovery processes that enable a reliable and accurate CMDB across on-premises and cloud environments....
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Provider Growth Specialist
4 weeks ago
bangalore, India Wellnite Full timeAbout Wellnite: Wellnite is a leading digital mental health platform focused on making quality mental healthcare accessible and affordable worldwide. Our mission is to empower licensed mental health providers with modern tools while expanding access to care for individuals everywhere. Position Overview: We’re looking for a motivated Provider Growth...
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Senior Network Specialist Sd Wan
2 weeks ago
Bangalore, Karnataka, India Epergne Solutions Full timeJob Role -Senior Network Specialist SD WAN Job Location - Bangalore Chennai Experience - 10 Years Job Roles Responsibilities - Design plan and deploy modern enterprise networks WAN SD WAN LAN WLAN with Cisco Versa Aruba technologies Translate architectural roadmaps into actionable project plans guide engineering squads through all project phases Select...
