Credentialing Analyst

3 days ago

Rawalpindi Cantonment, Pakistan Tech Zync Full time

Company: Tech Zync (Medical Billing Company)

Location: Satellite Town Rawalpindi

Job Type: Full-Time (On-Site)

Experience: Minimum 1+ years as a Credentialing Specialist/Analyst (Medical Billing)

About Tech Zync

Tech Zync is a leading medical billing company committed to delivering seamless revenue cycle management and credentialing solutions to healthcare providers. We take pride in our expertise, technology-driven processes, and commitment to compliance. Join our team and contribute to a growing company that values efficiency, accuracy, and professional growth.

Job Description

We are seeking a detail-oriented Credentialing Analyst to join our team. The ideal candidate must have prior experience in credentialing and provider enrollment within the healthcare industry. This position is on-site and requires working closely with insurance companies, healthcare providers, and internal teams to ensure accurate and timely credentialing.

Key Responsibilities

  • Manage the end-to-end credentialing and re-credentialing process for providers.
  • Verify and maintain provider credentials, licenses, and certifications in compliance with regulatory and payer requirements.
  • Submit and track applications for enrollment with commercial and government payers.
  • Maintain up-to-date records in credentialing databases and internal systems.
  • Communicate with insurance companies and providers to resolve credentialing issues.
  • Ensure compliance with industry regulations, accreditation standards, and company policies.
  • Monitor and follow up on expiring credentials to avoid disruptions in billing.
  • Collaborate with internal teams to support timely reimbursement and provider onboarding.

Qualifications & Requirements

  • Minimum 1+ years of experience as a Credentialing Specialist/Analyst in a healthcare or medical billing setting.
  • Strong knowledge of insurance payer enrollment, credentialing regulations, and compliance requirements.
  • Experience working with CAQH, NPPES, PECOS, Medicare, and Medicaid enrollment.
  • Proficiency in credentialing software and MS Office Suite (Excel, Word, Outlook).
  • Excellent attention to detail, problem-solving skills, and ability to multitask.
  • Strong communication and interpersonal skills for working with providers and insurance companies.
  • Ability to work on-site and collaborate with a team in a fast-paced environment.
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