Comprehensive Provider Credentialing Expert

2 days ago


Karachi, Sindh, Pakistan beBee Careers Full time
Medical Credentialing Specialist

We 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 & Credentialing: Manage the credentialing and re-credentialing of physicians, nurses, and other healthcare providers with insurance networks, Medicare, Medicaid, and other payers.
  • Documentation & Verification: Collect, review, and submit accurate and up-to-date provider documentation.
  • Payer Applications & Contracts: Complete, track, and follow up on payer applications, contracts, and agreements to ensure timely approvals.
  • CAQH & NPI Management: Maintain and update provider profiles on CAQH, NPPES (NPI registration), and other credentialing databases.
  • Follow-Ups & Compliance: Communicate with insurance companies and credentialing organizations to track application progress, resolve issues, and ensure compliance with industry regulations.
  • License & Certification Renewals: Monitor and ensure timely renewal of provider licenses, certifications, and other necessary credentials.
  • Database & Record-Keeping: Maintain accurate and organized records of all credentialing activities.
  • Communication & Coordination: Work closely with healthcare providers, insurance companies, and internal teams to streamline the credentialing process.

Requirements:
  • Proven experience in medical credentialing for US healthcare providers.
  • Strong knowledge of insurance payer enrollment, Medicare/Medicaid credentialing, and CAQH management.
  • Experience handling commercial and government payers (BCBS, Aetna, Cigna, UHC, etc.).
  • Ability to independently manage the entire credentialing process from start to finish.
  • Strong understanding of HIPAA compliance and medical credentialing guidelines.
  • Excellent communication and follow-up skills for dealing with insurance representatives.
  • Proficiency in credentialing software and database management tools.
  • Detail-oriented with strong organizational and time-management skills.

Why This Role?
  • A challenging opportunity to work with a growing organization handling US-based clients.
  • A professional work environment with growth potential.
  • Competitive compensation based on experience and expertise.


  • Karachi, Sindh, Pakistan beBee Careers Full time

    Job RequirementsThe ideal candidate will have experience in medical credentialing and be able to demonstrate comprehensive knowledge of the end-to-end credentialing process. Strong organizational and communication skills are essential for this role, as well as the ability to work independently to manage multiple credentialing applications...


  • 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...


  • Karachi, Sindh, Pakistan Mayatax Full time

    Credentialing SpecialistMaya & 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...


  • 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.


  • 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 &...


  • 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...


  • 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.


  • 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...


  • 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)


  • Karachi, Sindh, Pakistan beBee Careers Full time

    About the RoleThis is a key position within our organization, responsible for ensuring that healthcare providers are properly credentialed and enrolled in insurance networks. The successful candidate will have excellent communication and organizational skills, as well as the ability to work independently to manage multiple credentialing applications...