
Medical Credentialing Professional
16 hours ago
Job Overview
24-7 Consultancy is seeking a detail-oriented and organized Medical Credentialing Specialist to join our team. The role involves managing and maintaining the credentialing and re-credentialing process for healthcare providers to ensure compliance with industry standards, regulatory requirements, and payer guidelines.
Main Responsibilities- Credentialing and Re-Credentialing:
- Manage the end-to-end credentialing process for healthcare providers, including obtaining and verifying necessary documentation (e.g., licenses, certifications, and education).
- Maintain accurate and up-to-date provider information in credentialing databases.
- Compliance:
- Ensure compliance with state, federal, and payer regulations.
- Monitor credentialing expirations and manage timely renewals of licenses, certifications, and insurance enrollments.
- Verification and Communication:
- Perform primary source verification of education, training, licensure, and work history.
- Communicate with insurance companies, hospitals, and other healthcare organizations to ensure provider enrollments are completed.
- Database Management:
- Maintain and update credentialing software and systems with accurate provider records.
- Generate regular reports on credentialing status and compliance metrics for management review.
- Work closely with providers, administrators, and third-party payers to resolve credentialing issues promptly.
- Assist in streamlining credentialing workflows to enhance efficiency.
- High school diploma or equivalent (Bachelor's degree in Healthcare Administration or related field preferred).
- Minimum of 1-2 years of experience in medical credentialing or a related role.
- Knowledge of credentialing and privileging processes, including payer enrollment requirements.
- Familiarity with credentialing software and systems (e.g., CAQH, NPPES, or Verity).
- Strong attention to detail and organizational skills.
- Excellent verbal and written communication skills.
- Ability to work independently and handle sensitive information confidentially.
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification.
- Experience with Medicare and Medicaid credentialing processes.
- Understanding of healthcare regulations and compliance standards (e.g., HIPAA).
-
Credentialing Analyst
2 weeks ago
Rawalpindi Cantonment, Pakistan Tech Zync Full timeCompany: Tech Zync (Medical Billing Company)Location: Satellite Town RawalpindiJob Type: Full-Time (On-Site)Experience: Minimum 1+ years as a Credentialing Specialist/Analyst (Medical Billing)About Tech ZyncTech Zync is a leading medical billing company committed to delivering seamless revenue cycle management and credentialing solutions to healthcare...
-
Credentialing Specialist
18 hours ago
Rawalpindi Cantonment, Pakistan 24-7 Consultancy Full timeJob SummaryWe are seeking a detail-oriented and organized Medical Credentialing Specialist to join our healthcare team. The role involves managing and maintaining the credentialing and re-credentialing process for healthcare providers to ensure compliance with industry standards, regulatory requirements, and payer guidelines. The ideal candidate will play a...
-
Credentialing Analyst
3 weeks ago
Rawalpindi Cantonment, Pakistan Tech Zync Full timeCompany: Tech Zync (Medical Billing Company)Location: Satellite Town RawalpindiJob Type: Full-Time (On-Site)Experience: Minimum 1+ years as a Credentialing Specialist/Analyst (Medical Billing)About Tech ZyncTech Zync is a leading medical billing company committed to delivering seamless revenue cycle management and credentialing solutions to healthcare...
-
Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full timeAs a key member of our team, you will be responsible for ensuring the accuracy and integrity of our medical billing and credentialing processes.Key Responsibilities:Audit Planning and Execution: Conduct regular audits on charge entries, payment postings, and claim submissions to ensure compliance with industry standards and company policies.Compliance and...
-
Credentialing and Privileging Expert
16 hours ago
Rawalpindi Cantonment, Pakistan 24-7 Consultancy Full timeAs a Medical Credentialing Specialist at 24-7 Consultancy, you will be responsible for ensuring the accuracy and completeness of provider information in our credentialing databases. This includes managing the credentialing and re-credentialing process, verifying education and licensure, and communicating with insurance companies and other healthcare...
-
Credentialing & Enrollment Team Lead
4 weeks ago
Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full timeJob DescriptionMeds Nexus is looking for candidates on the night shift with experience as Team Lead Credentialing & EDI. The candidate should be enthusiastic and must have proven work experience in performing all New Client Account Setups, Research and Development activities, ensuring that the credentialing requirements for government and commercial payers...
-
Medical Audit Manager
4 days ago
Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full timeThe Auditor Specialist for Revenue Cycle Management (RCM) plays a critical role in ensuring the accuracy and integrity of our medical billing and credentialing processes.Key Responsibilities:Audit Planning and Execution: Develop and implement comprehensive audit plans for medical billing and credentialing processes to ensure compliance with industry...
-
Learning and Development Manager
16 hours ago
Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full timeWork with Us:We're a dynamic team driven by a shared vision of excellence in medical billing services. Our goal is to empower our employees with the skills and knowledge necessary to succeed in this complex industry.About Our Ideal Candidate:You possess a strong educational background in education, training, or human resources, preferably with a...
-
Medical Billing Specialist
16 hours ago
Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full timeOverview:We are a leading provider of medical billing services, dedicated to delivering exceptional results to our clients. Our team is comprised of experienced professionals who share a passion for excellence and a commitment to ongoing learning and development.About the Role:This is an exciting opportunity to join our team as a Training & Skill Development...
-
Medical Sales Professional
2 weeks ago
Rawalpindi Cantonment, Pakistan join Full timeCompany OverviewInsight Medical Billing Services is a leading provider of comprehensive medical billing solutions to healthcare professionals, clinics, and medical facilities.Job DescriptionWe are seeking a dynamic and results-driven Sales Representative to join our growing team. The successful candidate will be responsible for conducting calls to potential...
-
Healthcare Provider Onboarding Specialist
16 hours ago
Rawalpindi Cantonment, Pakistan 24-7 Consultancy Full timeWe are looking for a skilled and detail-oriented Medical Credentialing Specialist to join our team at 24-7 Consultancy. The successful candidate will be responsible for managing the credentialing and re-credentialing process for healthcare providers, ensuring compliance with industry standards, regulatory requirements, and payer guidelines.Key...
-
US Healthcare Market Expansion Manager
5 days ago
Rawalpindi Cantonment, Pakistan Globill Medical Resources Services Full timeGlobill Medical Resources Services: A leading provider of end-to-end solutions to US healthcare providers. Our company empowers clients with expert insurance billing, enrollment & credentialing, licensing, virtual assistance, scribing, and marketing services.Business Development Executive Role: Responsible for generating new business leads and driving sales...
-
Medical Billing Professional
16 hours ago
Rawalpindi Cantonment, Pakistan Healthrix Systems LLC Full timeWe are seeking a highly skilled Medical Billing Specialist to join our team at Healthrix Systems LLC. As a Medical Billing Specialist, you will be responsible for medical billing, claim follow-up, and insurance calls.The ideal candidate should have at least six months of experience in medical billing, claim follow-up, and insurance calls. They should also be...
-
Healthcare Business Growth Specialist
5 days ago
Rawalpindi Cantonment, Pakistan Globill Medical Resources Services Full timeAbout Us: Globill Medical Resources Services is a leading provider of end-to-end solutions to US healthcare providers. Our company empowers clients with expert insurance billing, enrollment & credentialing, licensing, virtual assistance, scribing, and marketing services.Your Role: As a Business Development Executive, you will be responsible for generating...
-
Medical Professionals for Pakistan Army
16 hours ago
Rawalpindi Cantonment, Pakistan MyMenopauseRx, LLC Full timeWe are seeking a highly skilled Medical Professional to join our team in the Pakistan Army. As a Contract Medical Practitioner, you will be responsible for providing medical care to our personnel and their families.The ideal candidate will have an MBBS qualification and excellent communication skills. You will work on a contract basis and be required to...
-
Training and Development Expert
16 hours ago
Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full timeJob Description:We are seeking a highly skilled Training & Skill Development Specialist to join our team at Meds Nexus Private Limited. The ideal candidate will have a strong understanding of the medical billing industry, specifically in billing, coding, and credentialing. This role involves creating and implementing training programs that align with our...
-
Revenue Cycle Management Specialist
4 days ago
Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full timeThe Revenue Cycle Management (RCM) process is a critical component of our organization's success. As an Auditor Specialist, you will play a key role in overseeing the auditing processes within medical billing and credentialing functions.Key Responsibilities:Audit Planning and Execution: Develop and implement comprehensive audit plans for medical billing and...
-
Medical Biller and Coding Professional
16 hours ago
Rawalpindi Cantonment, Pakistan Pyramids Global Full timePyramids Global is looking for a skilled Medical Biller and Coding Professional to join our team in Rawalpindi, Pakistan. In this role, you will be responsible for managing medical claims, denials, and appeals.Key ResponsibilitiesMedical billing and coding knowledgeDenial management and appealsResearch and reportingStrong verbal and written communication...
-
Provider Enrollment Coordinator
16 hours ago
Rawalpindi Cantonment, Pakistan 24-7 Consultancy Full timeThe ideal candidate for this role will have a strong understanding of credentialing and privileging processes, as well as excellent organizational and communication skills. You will be responsible for managing the credentialing and re-credentialing process, verifying education and licensure, and communicating with insurance companies and other healthcare...
-
Business Development Executive
2 weeks ago
Rawalpindi Cantonment, Pakistan Globill Medical Resources Services Full timeJoin Our Team – Business Development Executive (Healthcare)Location: Rawalpindi (On-site) | Full-timeAbout Us:Globill Medical Resources Services empowers US healthcare providers with end-to-end solutions, including insurance billing, enrollment & credentialing, licensing, virtual assistance, scribing, and marketing. We're growing and need a driven Business...