Credentialing Specialist

4 weeks ago

Lahore, Punjab, Pakistan Exponere Billing, LLC Full time

Direct message the job poster from Exponere Billing, LLC

Talent Acquisition Specialist | Technical & Healthcare Hiring Expert | Building High-Impact Teams | Employer Branding Advocate

Job Title: Credentialing Specialist

Experience: 1–2 Years

Job Type: Full-Time

About Us:

At Exponere Billing, we specialize in delivering comprehensive medical billing and revenue cycle management solutions. We're committed to helping healthcare providers streamline operations and maximize reimbursements. As we continue to grow, we're looking for a detail-oriented and motivated Credentialing Specialist to join our team.

Job Summary:

The Credentialing Specialist will be responsible for enrolling and maintaining providers with insurance payers, ensuring all credentials are accurate, up to date, and compliant with industry standards. This role is ideal for someone with 1–2 years of experience in medical credentialing who thrives in a fast-paced environment and values precision.

Key Responsibilities:

  • Manage initial credentialing and re-credentialing processes for healthcare providers.
  • Submit and follow up on payer applications, CAQH profiles, NPI registrations, and related documentation.
  • Monitor credentialing statuses and maintain detailed records using internal systems.
  • Communicate with providers, insurance companies, and internal teams to resolve issues or obtain missing information.
  • Ensure compliance with industry regulations and payer-specific guidelines.
  • Assist with audits and provide documentation as needed.

Requirements:

  • 1–2 years of experience in medical credentialing (preferably in a billing or healthcare setting).
  • Familiarity with CAQH, NPPES, PECOS, and payer portals.
  • Strong organizational skills and attention to detail.
  • Excellent written and verbal communication skills.
  • Ability to work independently and as part of a team.
  • Proficient in Microsoft Office Suite (Excel, Word, Outlook).
Additional Benefits:
  • Fuel allowance
  • Health insurance
  • Meal (dinner provided)
  • Wedding allowance
  • Appreciation bonus
  • Maternity/Paternity/Paid leaves (as per company policy)
  • KPI-based incentives
Seniority level
  • Entry level
Employment type
  • Full-time
Job function
  • Health Care Provider
Industries
  • IT Services and IT Consulting

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