Credentialing Professional

7 days ago


Karachi, Sindh, Pakistan beBee Careers Full time
Credentialing Specialist

Key Responsibilities of the Credentialing Specialist include managing credentialing processes, communicating with staff, and ensuring compliance with Medicare regulations.

The role involves overseeing initial credentialing and re-credentialing processes for healthcare providers. This includes collecting and verifying required documentation, such as licenses, certifications, education, training, and references.

  1. Manage payor enrollment processes to ensure accuracy and adherence to deadlines.
  2. Audit reports to guarantee compliance with organizational policies and regulatory standards.
  3. Submit, track, and follow up on credentialing and payor enrollment applications.
  4. Maintain an updated database of provider credentials and enrollment statuses.


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