Credentialing Specialist

3 weeks ago

Karachi, Sindh, Pakistan Mayatax Full time
Credentialing Specialist

Maya & Associates has been providing bookkeeping, accounting, and finance solutions to individuals and businesses for the last 3 decades. We offer a wide range of services for small to mid-sized businesses, including Business Plans, Bookkeeping, HR, and Payroll Services, and State and Federal Income Taxes across all 50 states. Our core mission is to help clients achieve their goals by providing top-quality professional services.

Role Description

This is a full-time remote role for a Credentialing Specialist at Maya & Associates. The Credentialing Specialist will be responsible for managing credentialing processes, communicating with staff, providing excellent customer service, and ensuring compliance with Medicare regulations.

Responsibilities

  1. Oversee initial credentialing and re-credentialing processes for healthcare providers.
  2. Manage the payor enrollment process, ensuring accuracy and adherence to deadlines.
  3. Collect and verify required documentation, including licenses, certifications, education, training, and references.
  4. Audit reports to ensure compliance with organizational policies and regulatory standards.
  5. Submit, track, and follow up on credentialing and payor enrollment applications.
  6. Maintain an up-to-date database of provider credentials and enrollment statuses.
  7. Collaborate with internal teams such as HR, legal, and clinical staff to streamline credentialing processes.
  8. Serve as the primary point of contact for providers regarding credentialing and enrollment-related inquiries.
  9. Address and resolve discrepancies or disputes related to credentialing and payor enrollment.
  10. Credentialing and Medical Staff Credentialing skills.

Requirements:

  1. 3-5 years in credentialing, specifically with commercial and Medicaid processes.
  2. Bachelor's degree in Healthcare Administration or related field is a plus.
  3. Previous experience in hospital credentialing or behavioral healthcare is a plus.
  4. Proficient in MS Office, particularly Excel.
  5. Knowledge of Medicare regulations.
  6. Ability to multitask and manage multiple projects simultaneously.
  7. Effective communication skills for internal and external interactions.
  8. Must be fluent in English.
  9. Punctual and detail-oriented.
  10. Willing to work onsite in Karachi as per CST hours.
Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Health Care Provider

#J-18808-Ljbffr

  • Credentialing Professional

    3 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Job Title: Credentialing SpecialistOverviewThe Credentialing Specialist plays a crucial role in managing credentialing processes, communicating with staff, providing excellent customer service, and ensuring compliance with Medicare regulations.

  • Credentialing Specialist

    3 weeks ago

    Karachi, Sindh, Pakistan HKDL Full time

    As a Credentialing Specialist at HKDL, you will be responsible for all aspects of credentialing and re-credentialing of health care professionals. This position ensures all health care professionals are appropriately credentialed, which includes the responsibility of maintaining current information on file and within the credentialing database. This position...

  • Medical Credentialing Specialist

    2 weeks ago

    Karachi, Sindh, Pakistan Bridge Healthcare Management Full time

    We are looking for an experienced Medical Credentialing Specialist to join our team. The ideal candidate must have comprehensive knowledge of the end-to-end credentialing process for US healthcare providers. This role requires exceptional attention to detail, strong organizational skills, and the ability to manage multiple credentialing applications...

  • Credentialing Professional

    3 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Job OverviewWe are seeking a skilled and motivated individual to fill the position of Credentialing Specialist. This role involves ensuring that healthcare providers are properly credentialed, which is critical for the delivery of high-quality medical services.

  • Healthcare Credentials Manager

    7 hours ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Job ResponsibilitiesThe Credentialing Specialist will be responsible for:Managing the credentialing process for healthcare providers, including initial applications, ongoing maintenance, and re-credentialing.Verifying and maintaining accurate provider information, including licenses, certifications, and insurance policies.Maintaining organized records of...

  • Medical Credentialing Specialist

    2 weeks ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Job DescriptionWe are seeking an experienced Credentialing Professional to handle the end-to-end credentialing process for US healthcare providers. This role requires exceptional attention to detail, strong organizational skills, and the ability to manage multiple credentialing applications efficiently.Key Responsibilities:Provider Enrollment &...

  • Comprehensive Provider Credentialing Expert

    2 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Medical Credentialing SpecialistWe are seeking a detail-oriented Medical Credentialing Specialist to handle the entire credentialing process for US healthcare providers. The ideal candidate must have comprehensive knowledge of provider enrollment and re-credentialing, as well as strong organizational skills.Key Responsibilities:Provider Enrollment &...

  • Medical Credentials Verifier

    3 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Key ResponsibilitiesAs a Credentialing Specialist, your primary responsibilities will include:Verifying the credentials of healthcare providersMaintaining accurate and up-to-date recordsEnsuring compliance with regulatory requirementsProviding excellent customer serviceRequirementsAdvanced English ProficiencyNight shift availability (8pm - 5am)

  • Credentialing Specialist

    3 weeks ago

    Karachi, Sindh, Pakistan Claims Med Full time

    Claims Med pioneers in Medical Services for Healthcare providers in the United States. We are looking for fresh, energetic individuals who can not only add value to our institution, but also find endless opportunities in a growing firm.We are currently hiring for a Provider Credentialing Officer and looking for candidates who are willing to learn and apply...

  • Medical Staff Coordinator

    3 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Credentialing SpecialistResponsibilitiesOversee initial credentialing and re-credentialing processes for healthcare providers.Manage the payor enrollment process, ensuring accuracy and adherence to deadlines.Collect and verify required documentation, including licenses, certifications, education, training, and references.Audit reports to ensure compliance...