credentialing coordinator

Speak Viral

We are looking for a Credentialing Coordinator to join our team and oversee administrative tasks dealing with our health facility&rsquo;s credentialing.Credentialing Coordinator responsibilities include maintaining and verifying files and tracking the expiration of certifications throughout the organization.Ultimately, you will work with different departments across our organization to ensure staff members have the necessary accreditations needed throughout the year.Responsibilities<ul><li>Identify discrepancies in information and conduct follow-ups</li><li>Present applications to the facility&rsquo;s Credentialing Committee</li><li>Assist customers with credentialing inquiries</li><li>Respond to health plan provider inquiries</li><li>Capture primary source documentation in computer databases</li><li>Ensure data is backed up</li><li>Follow compliance laws, regulations, procedures, and policies</li></ul>Requirements and skills<ul><li>Proven work experience as a Credentialing Coordinator or similar role</li><li>Excellent verbal and written communication skills</li><li>Expertise with Microsoft Office Word and Excel</li><li>Proficient touch-typing skills</li><li>Ability to focus for extended periods</li><li>Relevant training and/or certifications as a Credentialing Coordinator</li></ul>Job Type: Full-timePay: Rs70,000.00 - Rs110,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Credentialing Manager

We are looking for a Credentialing Specialist to join our team and oversee administrative tasks dealing with our health facility&rsquo;s credentialing.Credentialing Coordinator responsibilities include maintaining and verifying files and tracking the expiration of certifications throughout the organization.Ultimately, you will work with different departments across our organization to ensure staff members have the necessary accreditations needed throughout the year.Responsibilities<ul><li>Identify discrepancies in information and conduct follow-ups</li><li>Present applications to the facility&rsquo;s Credentialing Committee</li><li>Assist customers with credentialing inquiries</li><li>Respond to health plan provider inquiries</li><li>Capture primary source documentation in computer databases</li><li>Ensure data is backed up</li><li>Follow compliance laws, regulations, procedures, and policies</li></ul>Requirements and skills<ul><li>Proven work experience as a Credentialing Coordinator or similar role</li><li>Excellent verbal and written communication skills</li><li>Expertise with Microsoft Office Word and Excel</li><li>Proficient touch-typing skills</li><li>Ability to focus for extended periods</li><li>Relevant training and/or certifications as a Credentialing Coordinator</li></ul>Benefits: Increment after Probation Annual Increment Free Meal/Tea Career GrowthJob Type: Full-timePay: Rs50,000.00 - Rs100,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Credentialing Specialist

Jawa Health Care

Here&rsquo;s Credentialing Job TitleCredentialing Specialist &mdash; Medical Billing / Provider EnrollmentPosition SummaryThe Credentialing Specialist is responsible for managing the full lifecycle of provider credentialing and enrollment with payers (commercial, Medicare, Medicaid, third&#8209;party networks) to ensure that providers are properly authorized to bill and receive reimbursement. This role liaises between providers, payers, billing teams, and internal departments to maintain compliance, minimize credentialing delays, and support revenue integrity.Key Responsibilities / Duties<ul><li>Provider Credentialing &amp; Enrollment</li><li>Prepare, compile, and submit initial credentialing applications to payers, Medicare/Medicaid, IPAs, health networks.</li><li>Manage re&#8209;credentialing and renewals of existing provider credentials.</li><li>Maintain and update provider profiles (e.g. CAQH, NPPES, PECOS, payer portals).</li><li>Obtain and track provider identifiers (Provider IDs, NPI, Tax IDs, etc.).</li><li>Coordinate with providers (physicians, DME, therapists, clinics) to gather required documentation (licenses, board certifications, CVs, malpractice insurance, etc.).</li><li>Follow up on application status, resolve discrepancies, and expedite submissions.</li><li>Verification &amp; Compliance</li><li>Perform primary source verification (PSV) of credentials (licensure boards, education, certifications).</li><li>Audit credentialing files to ensure completeness, accuracy, and consistency.</li><li>Monitor credential expiration dates (licenses, DEA, certifications) and trigger renewals proactively.</li><li>Ensure compliance with payer, state, and regulatory credentialing requirements, including policy changes and updates.</li><li>Data &amp; Documentation Management</li><li>Maintain credentialing databases, logs, tracking systems, and reports on status metrics (turnaround time, backlog, approval rates).</li><li>Document interactions with payers and providers, maintain records of submissions, denials, and appeals.</li><li>Generate periodic credentialing status reports for management and internal stakeholders.</li><li>Stakeholder Communication &amp; Issue Resolution</li><li>Communicate with payers and insurance networks to resolve credentialing issues, contract queries, missing documentation, and provider disputes.</li><li>Liaise with billing, contracting, HR, compliance, legal, and provider offices for credentialing&#8209;related matters.</li><li>Support billing teams in credential&#8209;related denials or rejections (for example, provider not enrolled).</li><li>Process Improvement &amp; Quality Assurance</li><li>Identify credentialing process bottlenecks and suggest workflow improvements.</li><li>Participate in audits, quality checks, and compliance reviews.</li><li>Stay current on industry trends, payer credentialing rules, regulatory changes, and best practices in provider enrollment.</li></ul>Qualifications &amp; Requirements<ul><li>Education: Bachelor&rsquo;s degree preferred (Healthcare Administration, Business, Health Information Management, or related field). Some organizations accept equivalent experience.</li><li>Experience: 2+ years of experience in provider credentialing, enrollment, or similar role (in a medical billing, RCM, or healthcare setting).</li><li>Knowledge / Technical Skills:</li><li>Familiarity with CAQH, NPPES, PECOS, payer portals, credentialing software/platforms.</li><li>Understanding of commercial &amp; government payers (Medicare, Medicaid) credentialing rules.</li><li>Strong knowledge of medical licensure, board certification, education verification, regulatory compliance.</li><li>Proficiency in MS Office (Excel, Word, Outlook).</li><li>Skills / Competencies:</li><li>Strong attention to detail, organizational skills, and ability to manage multiple credentialing tracks simultaneously.</li><li>Excellent written and verbal communication skills.</li><li>Analytical and problem-solving mindset.</li><li>Ability to work independently and interface with multiple stakeholders.</li><li>Discretion and confidentiality in handling provider data.</li><li>Desired / Optional:</li><li>Certification such as CPCS (Certified Provider Credentialing Specialist) or CPMSM.</li><li>Experience with multi&#8209;state credentialing or large group practices.</li><li>Experience with medical billing, claims, or revenue cycle functions.</li><li>Knowledge of HIPAA or healthcare compliance standards.</li></ul>Working Conditions / Schedule<ul><li>This role is generally in office or hybrid/remote (depending on the organization).</li><li>May require working non&#8209;standard shifts (e.g. night shift) if supporting international clients or off&#8209;hours payer windows.</li><li>Keyboard / computer work, calls, email communications.</li><li>Occasional high volume / urgency periods requiring extra effort to meet credentialing deadlines.</li></ul>Key Performance Indicators (KPIs)<ul><li>Turnaround time for credentialing submissions / approvals</li><li>Percentage of credentialing applications approved without rework</li><li>Number of credentialing backlog / pending items</li><li>Accuracy rate (errors in credentialing files)</li><li>Provider uptime (minimizing provider downtime due to credentialing issues)</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthWork Location: In person

Experienced Credentialing Specialist in medical billing

MeshSquare

Job description:Position: Senior Credentialing SpecialistCompany: Meds NexusLocation: Office # 1st, 5th Floor, Gold Mark Plaza, Asghar Mall Rd, Asghar Mall Scheme, Rawalpindi, Punjab 46000Job Timing: 05:30 PM To 02:30 AM (EVENING SHIFT)Job Type: Night ShiftExperience Required: 2-3 yearsPosition Available: 2Special Note: This job is not for fresh candidates.About Us:Meds Nexus is a leading medical billing company based in Rawalpindi, dedicated to streamlining healthcare financial processes. We are actively seeking a detail-oriented and motivated individual to join our Credentialing team as a Senior Credentialing Specialist.Key Responsibilities:- Accurately complete credentialing and reappointment applications for Outpatient and ABA providers.- Track progress of applications and report to Client Managers/Team Leaders.- Monitor and update provider portals for accurate information.- Maintain current provider records electronically and in hard copy folders.- Assist in obtaining required documentation from providers.- Prepare professional communication to providers, payers, and facilities.- Understand the impact of credentialing on billing, contracts, and EDI.- Investigate and determine solutions to problems.- Communicate clearly and professionally with team members, payers, and credentialing representatives.- Process ERA &amp; EFT applications.- Have brief knowledge of Government, MCOs, and commercial insurance enrollments.Salary Package:- Basic: up to Rs.100,000 per monthJob Rewards and Benefits:- Paid Leaves- HR Bonus- Loan Policy- Advance Salary- Yearly Loyalty Rewards- Leave Encashment- Inflation Bonus- Promotion- Increments- Medical (TBD)- Employee Equity Funds Program (EEFP)- Saturday and Sunday Off- Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)How to Apply:If you are ready to contribute to a dynamic team and take the next step in your finance career, please submit your resume and a cover letter outlining your relevant experience to hr@medsnexus.com. Please include &quot;Account Assistant Application&quot; in the subject line.Application Deadline: On an urgent basisMeds Nexus is an equal-opportunity employer. We encourage applications from candidates of all backgrounds and experiences.Contact Information:- Email: hr@medsnexus.com- Phone: 051 889-2889 WhatsApp: 03708892889Job Type: Full-timePay: Rs100,000.00 - Rs150,000.00 per monthWork Location: In person

Senior Credentialing Specialist (Medical Billing)

CGH Earth

Key Responsibilities1. Talent Acquisition and Onboarding<ul><li>Recruitment: Develop and execute recruitment strategies to attract qualified clinical staff and non-clinical personnel.</li><li>Credentialing: Manage the verification and credentialing process for all medical practitioners in line with NABH standards and state medical council requirements.</li><li>Onboarding: Conduct comprehensive onboarding and orientation programs that include training on hospital policies, quality standards, NABH requirements, and the hospital's Ayurvedic ethos and culture.</li></ul>2. Compliance and Quality Management<ul><li>NABH Compliance: Ensure all HR policies, procedures, and documentation (e.g., job descriptions, training records, personnel files) strictly adhere to the latest NABH standards (especially related to HRM and Quality Indicators).</li><li>Legal Compliance: Maintain compliance with all relevant labor laws (e.g., Shops and Establishments Act, ESI, PF, Minimum Wages Act) and regulatory bodies.</li><li>Policy Development: Draft, update, and implement HR policies and employee handbooks specific to a hospital environment.</li></ul>3. Training and Development<ul><li>Needs Assessment: Identify training needs across all departments, particularly for clinical skill enhancement and NABH-mandated training (e.g., infection control, fire safety, ethics, patient rights).</li><li>Program Management: Coordinate and track mandatory training sessions for all staff, maintaining meticulous records as required by NABH.</li><li>Performance Management: Implement and oversee a robust performance appraisal system linked to job descriptions and competency assessments.</li></ul>4. Employee Relations and Administration<ul><li>Employee Welfare: Act as a key liaison for employee grievances, maintaining a positive and supportive work environment that reflects the principles of holistic health.</li><li>Discipline &amp; Grievance: Manage disciplinary procedures, ensuring fairness, consistency, and adherence to policy.</li><li>Compensation &amp; Benefits: Oversee payroll input, manage benefits administration, and conduct periodic salary and benefits surveys.</li></ul>5. HR Record Management<ul><li>Maintain accurate and confidential personnel records, including licenses, certifications, health checks, and training logs, ensuring ready availability for NABH audits/surveys.</li><li>Prepare and submit all necessary statutory reports.</li></ul>Qualifications and SkillsRequired:<ul><li>Education: Master's degree in Human Resources Management, Business Administration (HR specialization), or a related field.</li><li>Experience: Minimum of 5-7 years of progressive HR experience, with at least 3 years in a hospital or healthcare setting.</li><li>NABH Knowledge: Essential working knowledge of NABH standards and accreditation processes, particularly the HRM chapter.</li><li>Skills: Strong knowledge of Indian labor laws, excellent communication (written and verbal), conflict resolution, and leadership skills.</li></ul>Preferred:<ul><li>Experience managing HR in an Ayurvedic, holistic, or wellness center.</li><li>Certification in NABH Internal Assessor/Coordinator.</li><li>Proficiency with HRIS/HRMS software.</li></ul>Competencies<ul><li>Ethical Practice: Upholds the highest level of professionalism and confidentiality.</li><li>Cultural Sensitivity: Understanding and appreciation for the unique culture of an Ayurvedic institution.</li><li>Results-Driven: Focus on achieving HR metrics and quality standards.</li><li>Teamwork and Collaboration: Ability to work effectively with clinical heads and senior management.</li></ul>Job Type: Full-timePay: &#8377;30,000.00 - &#8377;50,000.00 per monthBenefits:<ul><li>Provident Fund</li></ul>Work Location: In person

Human Resources Manager

Swissport

<div>Overview:<div></div><div> 
Are you ready to take flight in a dynamic and fast-paced aviation industry? As a global leader in aviation services, Swissport provides Ground Handling, Cargo Handling, and Passenger Services to over 300 million passengers annually. Our mission is simple &ndash; &ldquo;To provide the aviation industry with consistent and tailor-made solutions around the globe, for a better customer experience.&rdquo;</div><div></div><div> 
We believe that our people are what differentiates us from our competition. At Swissport, we are driven by our core values of Show You Care, Do the Right Things and Win as a Team, and we are currently seeking dedicated individuals, who align with these values, to join our team at various locations across the globe.</div><div> 
Job Summary</div><div>
The HR Specialist/Coordinator - Badging is responsible for processing and managing airport identification credentials, including badges and access seals, in compliance with TSA and airport security regulations. This role ensures accurate tracking of employee statuses, supports audits, and helps maintain current headcount data from training through active employment. The ideal candidate is detail-oriented, thrives in a high-volume, fast-paced environment, and excels in coordination and record management.</div><div></div><div> 
The expected pay rate is $27.00/hr. Full-time employees are offered a range of health and wellness benefits as well as 401(k) with company match paid vacation time, sick time, and company paid holidays.</div><div></div><div> 
Your activities</div><div><ul><li><div><ul><li>
Work closely with Training and Operations teams to confirm onboarding completion and eligibility for credentialing.</li><li>
Facilitate submission of paperwork for background checks and fingerprinting to process badges and seals for new hires, ensuring all regulatory requirements are met (ie. Valid IDs, supporting documents)</li><li>
Manage and track badge and seal issuance then updating status to reflect in system records accurately.</li><li>
Coordinate and manage badge and seal renewals by tracking expiration dates and proactively communicating with departments to ensure timely compliance.</li><li>
Maintain complete and up-to-date records of badge statuses (e.g., active, expired, terminated, pending).</li><li>
Support internal and external audits by ensuring data accuracy and documentation completeness.</li><li>
Provide regular reporting on active headcount vs badge/seal status, and compliance metrics.</li><li>
Maintain precise and accurate data entry in all systems and ensure adherence to data retention policies.</li><li>
Communicate badge/seal processes and deadlines clearly to employees and team leads.</li><li>
Perform various other HR tasks to support team such like, but not limited to front desk, filing, employee assistance, etc..</li></ul></div></li></ul></div><div>
Your profile</div><div><ul><li><div><ul><li>
Proven ability to work in a fast-paced, high-volume setting with shifting priorities.</li><li>
1&ndash;2 years of experience in a similar or regulated environment (e.g., airport, government, corporate security, HR admin).</li><li>
Strong attention to detail and accuracy in data entry and documentation.</li><li>
Proficient in Microsoft Excel (data tracking, filtering, reporting, and formulas).</li><li>
Experience managing or supporting audits and regulatory compliance.</li><li>
Demonstrated ability to track and manage employee statuses, including onboarding and credentialing timelines.</li><li>
Excellent organizational, time-management, and communication skills.</li><li>
Ability to manage sensitive information confidentially and responsibly.</li><li>
High school diploma or equivalent required; associate degree or higher preferred.</li><li>
Must be able to pass a criminal background check and obtain required airport security clearances.</li><li>
Able to collaborate on projects, maintain effective relationships</li><li>
Proficiency in spoken and written English</li></ul></div></li></ul><div>
Preferred Qualifications:</div><ul><li><div><ul><li>
Familiarity with TSA regulations, airport security protocols, and badging systems.</li><li>
Experience with employee onboarding or credentialing software.</li><li>
Strong customer service background in compliance-driven environments.</li></ul></div></li></ul></div><div>
What we offer</div><ul><li><div><ul><li>
401(k)</li><li>
Dental insurance</li><li>
Health insurance</li><li>
Life insurance</li><li>
Paid time off</li><li>
Retirement plan</li><li>
Tuition reimbursement</li><li>
Vision insurance</li></ul></div></li></ul><div>
At Swissport, we believe in diversity, equal opportunity, and the power of our values to drive our success. We are committed to providing a workplace that fosters inclusion and where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status</div><div>
Visit our website at www.careers.swissport.com to learn more about Life at Swissport.</div><div>
Join Swissport today and be part of a team that connects the world of aviation!</div></div><div></div>

SEA HR Specialist/Badging Coordinator

Aya Locums

Now Hiring a Dentist in New Orleans Great Opportunity! See below for details!<ul><li>1099 locum contract</li><li>Maternity leave coverage</li><li>15-week assignment</li><li>Great Pay </li></ul>Additional Details:<ul><li>Outpatient Dental Clinic</li><li>Location New Orleans, LA</li><li>Start Date: 4/9/25</li><li>Schedule: Weds-Friday weekly, 8 hour days</li><li>Full Support Staff</li><li>EMR: Dentrix</li><li>Credentialing Timeframe: Quick Credentialing</li></ul>Requirements: <ul><li>Must have active LA license</li><li>Bread & Butter Dentistry</li><li>Must have at least 1 year of experience</li><li>Must have applicable certifications</li></ul>Benefits of working with Aya as a locum! <ul><li>Trusted Locums agency with Provider First Mindset!</li><li>Assignments Nationwide!</li><li>24/7 Service & Support</li><li>Weekly direct deposit </li><li>In-house, straight forward credentialing</li></ul><img src="https://www.jobg8.com/Tracking.aspx?sNdCIPJwz2q9AMjbwrZxKwwjZN0cU1Dst" width="0" height="0" />

Locums Dentist coverage needed in New Orleans! This will not last long!

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