patient enrollment specialist

Minerva Research Solutions

<div><h2 class="jobSectionHeader">Job description</h2>
Minerva Research Solutions is a clinical trial management service provider. We aim to transform the landscape of healthcare and research with our quality clinical services. We support the biotech, medical, and pharma industries through all phases of the clinical trial lifecycle.
Our services include Data Operation, Recruitment Services, and Regulatory. Our goal is to speed up the lifecycle of novel therapies through streamlined processes, stringent timelines &amp; real-time solutions. Our clinical trial support services &amp; consultations are tailored to foster your product and requirements. 
 
We aim to deliver high-quality data and solutions to make your clinical trials a success. We follow stringent FDA and GCP regulations throughout all phases of the clinical trial process. 
 
Minerva Research Solution is looking for dynamic individuals in the role of Patient Enrollment Specialist responsible for screening new leads, conducting follow-ups, and documenting participants for assigned active clinical trials. This specialist contributes significantly to clinical trials by building a comprehensive database in the Clinical Trial Management System (CTMS) of willing and qualified study volunteers.
Industry:<ul><li>
Information Technology &amp; Services</li><li>
Hospital &amp; Health Care</li><li>
Clinical-Trials and Research Industry</li></ul>
Key Responsibilities:<ul><li>
Conduct phone interviews and screenings for prospective clinical study participants in US.</li><li>
Maintain an organized database of clinical study participants.</li><li>
Develop outreach strategies to enhance participant recruitment.</li><li>
Interact directly with study participants via phone calls, SMS, etc.</li><li>
Collaborate with Medical Staff (CRCs) to ensure adequate subject recruitment for each study.</li><li>
Enhance and maintain study documentation and volunteer records, including consent forms.</li><li>
Assist in sales, marketing, and outreach efforts as needed.</li><li>
Provide accurate study-related information to participants in US.</li><li>
Cultivate a safe, positive, and fast-paced work environment.</li><li>
Undertake other related duties and participate in special projects as assigned.</li></ul>
Behavioral Competencies:<ul><li>
Conceptual capability, problem-solving, and decision-making ability.</li><li>
Strong commitment to teamwork, work ethics, and etiquette.</li><li>
Effective planning and organizing skills with priority setting.</li><li>
Proactive knowledge and information sharing within the team.</li><li>
Customer-focused with strong communication skills.</li><li>
Active learning attitude with a continuous improvement mindset.</li></ul>
Minimum Qualifications:
Essential:<ul><li>
Bachelor&rsquo;s Degree in BDS, Pharm-D.</li><li>
Good knowledge of Clinical Trials.</li><li>
Computer literate with good knowledge of MS Office.</li><li>
Proficiency in the English language written and spoken both.(MANDATORY)</li><li>
Therapeutic Communication in English with US accent is preferred.</li><li>
6 months to 1 year experience in a relevant field.</li></ul>
Benefits:<ul><li>
Competitive salary and performance-based bonuses.</li><li>
Quarterly Bonus Structure.</li><li>
Medical health insurance coverage for you and your family (Spouse &amp; Children).</li><li>
Employees Old-age benefits coverage.</li><li>
40-hours Week.</li><li>
Exposure to US Market.</li><li>
Professional learning and development support.</li><li>
Generous vacation and paid time off.</li><li>
Employee assistance programs for mental health.</li><li>
Company-sponsored events and team-building activities.</li><li>
Diverse, professional and inclusive work environment.</li><li>
Opportunities for career growth.</li><li>
Cutting-edge technology and tools.</li><li>
Family-friendly policies, including parental leave.</li><li>
Commuter benefits or transportation assistance.</li><li>
Social responsibility and community involvement programs.</li></ul>
Openings:<ul><li>
Equal opportunity employers</li><li>
Full-time</li><li>
On-site job (Night shift)</li></ul> 
Work Schedule Timings:<ul><li>
Monday to Friday</li><li>
7 PM to 3 AM (transport facility provided for female staff only and allowance for male employees, additional night shift allowance)</li></ul>
G0ZQzZPfu6</div>

US Patient Enrollment Coordinator (Evening Shift)

Elligo Health Research

<div>Description:

SUMMARY:
The Patient Partnership Associate supports the team by promoting awareness of clinical research and assists with the enrollment of patients in clinical research studies (as known as - clinical trials). Candidates must demonstrate the ability to recruit clinical trial patients, as well as attend health fairs, brand the company locally, and meet enrollment goals.
ESSENTIAL DUTIES:<ul><li>
Demonstrate knowledge of the Company&rsquo;s clinical research studies as well as the diagnoses and medical terminology that is involved in each study. Responsible for understanding the protocols and exclusions and a comprehensive understanding of each trial being conducted.</li><li>
Establishing rapport and ensuring courteous and efficient service is provided to callers, site locations and all customers including but not limited to the patients, subjects, potential subjects, doctors, pharmaceutical sponsors, and all levels within the company;</li><li>
Responsible for overall daily recruitment activities on all assigned enrolling protocols, which includes:</li><li>
Conducting outgoing recruitment calls and answers inbound calls; Goal is to complete 80-120 calls per day.</li><li>
Conducting subject screening by identifying the patient&rsquo;s diagnosis and exclusion factors to ensure correct placement in a study;</li><li>
Review patient charts utilizing various EMR platforms, determine patient study eligibility criteria and prescreen all patients prior to appointments</li><li>
Matching potential patients&rsquo; needs to current studies, upcoming studies or log in data base for future studies;</li><li>
Scheduling qualified subjects.</li><li>
Responsible for the maintenance of the database which includes:</li><li>
Tracking clinical trial progress and timeliness;</li><li>
Reviewing screen sheets as they are forwarded to the sites and triaging participants into the appropriate studies;</li><li>
Maintaining the status of all subjects in the database</li><li>
Adhere to an IRB approved protocol.</li><li>
Must be able to maintain confidentiality, prioritize and manage work effectively and provide exceptional customer service.</li></ul>
QUALIFICATIONS:<ul><li>
Strong proficiency in Microsoft Office programs (Outlook, Word) and Web applications;</li><li>
Exceptional organizational skills, attention to detail and demonstrated human relations and effective communication skills required;</li><li>
Excellent verbal and written communication skills;</li><li>
Well-developed interpersonal skills and the ability to work well independently as well as with co-workers, peers, supervisors and external customers; Outgoing personality and ability to engage with people a must</li><li>
Ability to effectively and efficiently handle multiple tasks simultaneously with precision and adapt to changes in responsibilities and workloads;</li><li>
Must be professional, possess a high degree of urgency and self-motivation, and have a strong work ethic;</li><li>
Must possess a high degree of integrity and ability to maintain confidentiality with HIPAA guidelines, patient matters and other sensitive information.</li></ul>
EDUCATION AND EXPERIENCE:<ul><li>
Experience working with EMR&rsquo;s preferred</li><li>
An Associate's degree and a minimum of 1 years of experience in a healthcare setting, or an equivalent combination of education and experience, is required. Clinical research or patient recruiting experience strongly preferred. Data entry experience is preferred.</li></ul>
ENVIRONMENT:<ul><li>
Remote Position</li><li>
Up to 20% of travel may be required to support the position&rsquo;s responsibilities.</li></ul>
PHYSICAL DEMANDS:
While performing the duties of this job, the employee may:<ul><li>
work at a desk using a computer for prolonged periods;</li><li>
regularly communicate via e-mail, telephone, chat, webcam (remote sessions such as MS Teams or Zoom), and exchange accurate and timely information;</li><li>
frequently sit/stand/walk, grasp lightly/fine manipulation of objects</li><li>
occasionally reach/work above shoulders, twist/bend/stoop/squat, grasp forcefully, lift/carry/push/pull objects that weigh up to 20 pounds.</li></ul>
ADDITIONAL:
Elligo Health Research is a dynamic organization in a rapidly changing industry. Accordingly, the responsibilities associated with this job may change from time to time in accordance with business needs. More specifically, the incumbent may be required to perform additional and/or different responsibilities from those set forth above.
The above declarations are not intended to be an all-inclusive list of the duties and responsibilities of the job described, nor are they intended to be such a listing of the skills and abilities required to do the job. Rather, they are designed only to describe the general nature of the job.
The incumbent must be flexible as there may be workweeks that require more than 40 hours to ensure the positions expectations and responsibilities are met.
Elligo Health Research is committed to a policy of equal employment and will not discriminate against an applicant or associate based on his or her age, sex, sexual orientation, gender identity, race, color, creed, religion, national origin or ancestry, citizenship, marital status, familial status, physical or mental disability, handicap, military or veteran status, genetic information, pregnancy or any other category protected under federal, state or local law, regulation or ordinance.
Requirements:

Experience working with EMR&rsquo;s preferred
An Associate's degree and a minimum of 1 years of experience in a healthcare setting, or an equivalent combination of education and experience, is required. Clinical research or patient recruiting experience strongly preferred. Data entry experience is preferred.</div>

Patient Engagement Associate

XiFin

<div><div>Are you looking to jump start your career?
At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.
We&rsquo;re on a mission to simplify the business side of healthcare&mdash;and we know that mission takes people from all backgrounds and experiences. Whether you&rsquo;re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.
About the Role<div>
EDI Enrollment Specialist with demonstrated experience in healthcare technology and revenue cycle operations, particularly in electronic data interchange (EDI) processes. This individual will take ownership of complex enrollment workflows, serve as a key point of contact for both internal teams and external stakeholders, and contribute to process improvement initiatives that enhance EDI connectivity and efficiency. The ideal candidate will have experience in healthcare billing or EDI enrollment, with in-depth knowledge of payor requirements, claims submission processes, and clearinghouse interactions. They should be proactive, highly organized, and capable of independently managing a full caseload of enrollment activities, while also contributing to cross-functional projects and mentoring junior staff when needed.</div><div>
This role requires a detail-oriented problem solver with a strong sense of urgency and accountability, excellent communication skills, and the ability to adapt in a dynamic and evolving work environment.</div><div></div><div> 
This is an onsite position at our office in Charleston, SC and Dallas, TX.</div><div></div><div> 
You may be hired as an Enrollment Specialist, EDI, or Sr. Enrollment Specialist, EDI based on your depth of skill and breadth of experience.</div> 
How you will make an impact:
In this role, you&rsquo;ll:<ul><li>
Analyze XIFIN payor lists to determine enrollment requirements for claims, ERA, EFT, and eligibility.</li><li>
Prepare, submit, and follow up on enrollment documentation with various payors and clearinghouses, ensuring compliance with current requirements and timelines.</li><li>
Manage and prioritize a full caseload of enrollment cases via XIFIN&rsquo;s CRM system, maintaining high accuracy and responsiveness.</li><li>
Serve as a liaison between customers, clearinghouses, and payors to resolve issues and troubleshoot delays in the enrollment process.</li><li>
Partner with the implementation team to ensure timely and successful EDI setup for new client accounts.</li><li>
Coordinate with EDI Operations, Customer Service, and other internal teams to ensure payor approvals and manage denials efficiently.</li><li>
Analyze submission and remittance data to optimize EDI utilization and identify opportunities for connectivity improvements.</li><li>
Contribute to process improvement initiatives, standard operating procedure updates, and workflow enhancements.</li><li>
Provide support and guidance to Associate Enrollment Specialists and assist with onboarding/training as needed.</li></ul>
What you will bring to the team: This section is about behaviors and intangible qualities
We&rsquo;re looking for someone with a growth mindset and a passion for learning. You might be a great fit if you:<ul><li>
Strong analytical and problem-solving capabilities with keen attention to detail.</li><li>
Ability to manage projects independently and meet deadlines in a fast-paced environment.</li><li>
High proficiency in Microsoft Excel and other data analysis/reporting tools.</li></ul>
Skills and experience you have:
You don&rsquo;t need to check every box. We will consider a combination of education and experience, including:</div><div><ul><li>
High School Diploma required, advanced coursework in Finance, Business or Healthcare a plus</li><li>
Associate Degree in a relevant field (Healthcare Administration, Health Information Technology, Business Administration, Information Systems) a plus.</li><li>
2 &ndash; 4 years minimum experience in a healthcare environment, specifically in:<ul><li>
EDI enrollment processes (claims, ERA, EFT, eligibility)</li><li>
Working with clearinghouses and payors</li><li>
Medical billing or claims submission workflows</li></ul></li><li>
Proven experience managing full enrollment caseloads and interacting with both external stakeholders (e.g., clearinghouses, payors) and internal teams (e.g., implementation, customer service).</li><li>
Experience in Credentialing, healthcare billing and medical terminology required</li><li>
Intermediate level of proficiency with Microsoft Office with the ability to create, edit, copy, send and save documents and spreadsheets in Microsoft Word and Microsoft Excel.</li></ul>
Preferred:<ul><li>
Experience using EDI platforms and CRMs (e.g., XIFIN, Availity, Change Healthcare, Salesforce).</li><li>
Familiarity with 837/835 file formats, ERA/EFT enrollments, and payer-specific documentation workflows.</li><li>
Exposure to process improvement, cross-functional collaboration, or mentoring of junior staff.</li></ul></div> 
Why XiFin?
We&rsquo;re more than just a healthcare technology company&mdash;we&rsquo;re a team that cares about people. 
 Here&rsquo;s a glimpse at what we offer:<ul><li>
Comprehensive health benefits including medical, dental, vision, and telehealth</li><li>
401(k) with company match and personalized financial coaching to support your financial future</li><li>
Health Savings Account (HSA) with company contributions</li><li>
Wellness incentives that reward your preventative healthcare activities</li><li>
Tuition assistance to support your education and growth</li><li>
Flexible time off and company-paid holidays</li><li>
Social and fun events to build community at our locations!</li></ul>
Pay Transparency
At XiFin, we believe in pay transparency and fairness. The expected annual salary range for this role is $17.00 to $25.00, based on your experience, skills, and geographic location.
Final compensation will be determined during the selection process and may vary accordingly.
Accessibility &amp; Accommodations
We&rsquo;re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2901.
Equal Opportunity Employer
XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.
Ready to apply? 
We&rsquo;d love to hear from you&mdash;even if you&rsquo;re not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.</div>

Enrollment Specialist, EDI

Nicklaus Children's Health System

<div><h2 class="jobSectionHeader"><div>Description</div></h2>
Job Summary

Under direction of a Research Clinical Trial Operations leader, the Lead Clinical Research Coordinator CTO will independently coordinate and will be accountable for the overall administration and outcome of multiple clinical studies within the Clinical Trials Office, requiring advanced-level knowledge and skills, involving human subjects that are being conducted within the Nicklaus Children's Research Institute. Ensures processes are in place and roles are defined in order for studies to be conducted smoothly and compliantly, avoiding delays or errors with patient registration/enrollment and/or documentation and in accordance with protocol requirements. Responsible for subject recruitment (screening, consenting support and enrollment), follow-up, data management (entry and reporting), detailed record keeping, regulatory compliance, report writing, and correspondence with investigators, IRBs, sponsors, CRO's and regulatory authorities. Provides guidance, training, and mentorship to Clinical Research Coordinators, Research Assistants and/or other support personnel.

Job Specific Duties
<ul>
<li>Serves as a subject-matter expert and resource for the research team on the compliant conduct of assigned studies. 
</li>
<li>Facilitates communication between investigators and Clinical Research Coordinators on subject-matter or technical matters. 
</li>
<li>Oversees study conduct including all support data collection for study start-up activities. 
</li>
<li>Oversees collection, maintenance, and reporting of accurate patient data for submissions to sponsors, maintaining patient records, and coordinating the collection and shipments of specimens as required by protocol. 
</li>
<li>Reviews and confirms subject study eligibility with PI/Sub-I of assigned studies. 
</li>
<li>Oversees study registration, patient screening/enrollment, and overall study requirements. 
</li>
<li>Registers and enrolls research participants. 
</li>
<li>Aggregates, tracks, trends, and reports research study and patient screening/enrollment data as required. 
</li>
<li>Interacts with patients and families to recruit (screen, consent, and enroll) study subjects and ensures compliance with the protocol. 
</li>
<li>Complies with the Research Finance Compliance policies and procedures including time and effort reporting for grants. 
</li>
<li>Submits protocol amendments and other documents requiring IRB submission to the Research Regulatory Affairs team and notifies CTMS support staff for protocol digitization. 
</li>
<li>Enters Research Patient information into CTMS within 72 hours of enrollment, patient visit, or patient-related event. 
</li>
<li>Pre-screens potential research participants and enters information into CTMS within real time (if possible) or within 24 hours. 
</li>
<li>Compiles accurate CTMS metrics data for updating SAC CTO slides and runs weekly enrollment reports for management review. 
</li>
<li>Updates study statuses in CTMS and ensures study enrollment changes are communicated to Research Regulatory Affairs team and CTO Management. 
</li>
<li>Attends meetings with Research management, research team, and/or PI/Sub-Is and is prepared to discuss research portfolio and/or patient status.</li>
</ul><h2 class="jobSectionHeader"><div>Qualifications</div></h2>
Minimum Job Requirements
<ul>
<li>Bachelor's degree or higher and 5 years of research experience (OR) 9 years of research experience</li>
<li>Clinical research certification through SOCRA or ACRP (CCRC, CCRP, CRA) required within 1 year in position</li> 
</ul>
Knowledge, Skills, and Abilities
<ul>
<li>Knowledge of rules and regulations governing the designated research. 
</li>
<li>Ability to use logical and scientific thinking to interpret technical data and solve a broad range of problems. 
</li>
<li>Bilingual in English/Spanish. 
</li>
<li>Excellent communication skills in working with both children and adults. 
</li>
<li>Software applications experience including word processing, scheduling and contact database, email, web browsing, hospital records, other database software and office equipment. 
</li>
<li>Experience with relevant hospital equipment for each clinical trial project. 
</li>
<li>Experience working on clinical trials, interventional studies all phases.
</li><li>Advanced knowledge of investigational protocols (data management, query resolution, protocol design and protocol implementation). 
</li>
<li>Demonstrated experience performing clinical research duties in a clinical research environment such as CRO, academic research institution, and/or a research hospital. 
</li>
<li>Ability to train, guide, and mentor peers. 
</li>
<li>Excellent ability to organize/prioritize workload effectively to meet deadlines in an environment with multiple interruptions and changing priorities. Meticulous attention to detail. 
</li>
<li>Ability to respond calmly under stressful conditions. 
</li>
<li>Ability to maintain confidentiality of sensitive information. 
</li>
<li>Ability to effectively work in a team. 
</li>
<li>Excellent interpersonal skills. 
</li>
<li>Excellent time management skills.</li></ul> 
 
 
<h2 class="jobSectionHeader"><div>Job:</div></h2>
Research 
<h2 class="jobSectionHeader"><div>
Department:</div></h2>
RI - ADMINISTRATION-2100-380950 
<h2 class="jobSectionHeader"><div>
Job Status:</div></h2>
Full Time</div>

Lead Clinical Research Coordinator - Onsite

Ulliman Schutte

<div>Ulliman Schutte Construction is Building a Better Environment! 
 
Ulliman Schutte is more than a construction company, we are committed to protecting one of the world&rsquo;s most valuable resources: water. From advanced water and wastewater treatment facilities to essential environmental infrastructure, our projects make communities healthier, stronger, and more sustainable. 


Our success comes directly from the expertise, dedication, and ingenuity of our people. That&rsquo;s why we offer long-term stability, a comprehensive compensation plan, and a generous benefits package; along with a culture where collaboration, growth, and camaraderie are part of the job. 


Ulliman Schutte is seeking a Benefits Specialist to join our motivated Human Resources team in supporting the company&rsquo;s operations and growth. The highly interactive, team-based nature of this position 
requires presence in our Miamisburg, Ohio headquarters office. 


Benefits Specialist Daily Life 

<ul>
<li>Administer employee benefits programs, including medical, dental, vision, life insurance, and other offerings.</li>
<li>Ensure compliance with federal and state regulations related to employee benefits as well as with company policies.</li>
<li>Guide employees through benefit enrollment at the time of hire, for life events, and during open enrollment periods.</li>
<li>Serve as the primary point of contact for employee benefit inquiries, providing clear and helpful information.</li>
<li>Manage COBRA administration and other benefit compliance activities.</li>
<li>Perform audits to ensure benefit enrollment data is accurate and up to date.</li>
<li>Assist with benefit communications, both in English and Spanish if applicable.</li>
<li>Champion company wellness initiatives for employees.</li>
<li>Collaborate with benefit providers and other third-party administrators.</li>
<li>Work closely with HR and Payroll team to ensure accurate employee deductions and records.</li></ul> 


Qualifications 
<ul>
<li>
Strong communication skills, with the ability to explain benefits in a way that is easy for employees to understand.</li>
<li>Excellent customer service mindset&mdash;patient, helpful, and responsive.</li>
<li>Strong critical thinking and problem-solving skills.</li>
<li>High attention to detail and organization.</li>
<li>Commitment to maintaining employee trust and confidentiality.</li>
<li>Comfortable working with employees from diverse backgrounds and roles, including job sites.</li>
<li>Bi-lingual in English and Spanish strongly preferred.</li>
<li>Previous experience in HR, benefits, or a related role.</li>
</ul><ul><li>Degree in Human Resources, Business Administration, or related field preferred or minimum of 5 years experience working with Benefits Administration for large private organizations.</li></ul> 


LIFE WITH US 


At Ulliman Schutte, we are an industry leader because of our people. We foster a work environment that emphasizes lasting relationships, encourages personal growth, and rewards hard work. Our team is driven by a sense of urgency, a commitment to quality, and a shared responsibility to manage risks and keep everyone safe. Above all, we aim to add value in everything we do. 


Ulliman Schutte Construction, LLC is focused on building teams of honest, dedicated professionals who have a passion for Building a Better Environment for our employees, customers, business partners, and the communities we serve. We are proud to be an Equal Opportunity Employer that does not discriminate on the basis of race, color, sex, gender identity, sexual orientation, religion, national origin, Veteran or disability status. 


Ulliman Schutte is a drug-free working environment. All offers are contingent upon compliance with Ulliman Schutte&rsquo;s pre-employment drug screening policies and E-Verify eligibility confirmation.</div>

Benefits 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

Geniuslane

Job Title: PediatricianDepartment: Pediatric CareReports To: Dr. Rahul BharatKey Responsibilities:<ul><li>New Patient Consultation</li><li>Conduct initial consultations with new patients.</li><li>Utilize observational skills to assess patient needs.</li><li>Communicate diagnosis and care plans effectively.</li><li>Diagnosis Communication</li><li>Clearly convey diagnoses to patients and their families.</li><li>Provide written and verbal explanations to ensure understanding.</li><li>Enrollment Meetings</li><li>Guide parents through the enrollment process.</li><li>Ensure they understand and are ready for their child's treatment plan.</li><li>Follow-up Post Assessment</li><li>Conduct follow-up consultations post-assessment.</li><li>Monitor patient progress and adjust care plans as necessary.</li><li>Discharge-Discontinue Meeting</li><li>Facilitate discharge or discontinuation of patients from the program.</li><li>Ensure a smooth transition and provide necessary follow-up resources.</li><li>Follow-up Consultation for Neurology/Epilepsy/Syndromes</li><li>Manage ongoing care for patients with neurological conditions, epilepsy, and syndromes.</li><li>Schedule and conduct regular follow-up consultations.</li><li>Staff Appraisals</li><li>Participate in staff performance evaluations.</li><li>Provide feedback and support professional development.</li><li>Compliance Meetings</li><li>Attend and contribute to compliance meetings.</li><li>Ensure adherence to organizational policies and procedures.</li></ul>Daily Responsibilities:Morning Routine:<ul><li>Check the calendar for appointments.</li><li>Ensure your availability is known to the team.</li></ul>New Appointments:<ul><li>Review the Introduction presentation of Geniuslane.</li><li>Check app installation and provide training to patients and parents.</li><li>Conduct pediatric consultations.</li><li>Add plans to the 'to-do list' and set reminders.</li><li>Conduct diagnosis checks and add to early intervention programs.</li><li>Request feedback on the app after appointments.</li></ul>After Appointment:<ul><li>Book the next follow-up or discharge appointment.</li><li>Enroll patients in early intervention if needed.</li><li>Respond to escalated messages.</li></ul>Supporting Ongoing Patients:<ul><li>Review comments by the assessor.</li><li>Ensure all videos are subscribed.</li><li>Check and update the rota.</li><li>Facilitate compliance with communication protocols.</li><li>Manage discharge and discontinue patients on software.</li><li>Escalate issues to Dr. Rahul Bharat if necessary.</li></ul>Enrollment:<ul><li>Confirm parents' readiness for enrollment.</li><li>Facilitate the enrollment process.</li></ul>Escalation:<ul><li>Schedule pediatrician appointments for compliance checks.</li><li>Attend Sunday parents' meetings with Dr. Rahul Bharat.</li></ul>Management:<ul><li>Participate in compliance meetings on all center issues.</li></ul>Essential Skills:<ul><li>Good oral communication.</li><li>Proficiency in email and app usage.</li><li>MBBS, BHMS</li><li>Strong organizational skills.</li><li>Good interpersonal skills.</li><li>Calm demeanor, good listening, and escalation skills.</li></ul>Desirable Skills:<ul><li>Experience communicating with parents and children.</li><li>Experience working with children with neurodisability is preferred but not mandatory.</li><li>Experience with CRM software.</li><li>Proficiency in typing and using Word, Excel, and PowerPoint.</li><li>Experience with management software, Google Meet, Google Docs, Excel, and PowerPoint.</li></ul>Personality Attributes:<ul><li>Should live in the city.</li><li>Motivated to bring a positive change in the lives of children with neurodisability.</li><li>Enjoys working and playing with children, not solely motivated by money.</li></ul>Job Types: Full-time, PermanentPay: &#8377;40,000.00 - &#8377;60,000.00 per monthBenefits:<ul><li>Paid time off</li></ul>Ability to commute/relocate:<ul><li>Lucknow City, Uttar Pradesh: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Application Question(s):<ul><li>Do you have MD Pediatrics?</li></ul>Education:<ul><li>Master's (Preferred)</li></ul>Experience:<ul><li>Pediatrics: 1 year (Preferred)</li><li>total work: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

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