Medical Credentialing Expert

1 day ago


Karachi, Sindh, Pakistan beBeeCredentialing Full time
Healthcare Professional Credentier

This role requires expertise in credentialing and re-credentialing of healthcare professionals. Ensuring accurate information is maintained on file and within the credentialing database is a key responsibility.

This position involves working independently with frequent coordination with team members.

Key Responsibilities:
  • Perform comprehensive credentialing for medical and behavioral providers, including contracting and CAQH attestation.
  • Maintain confidentiality and discretion during communications related to credentialing applicants and applications.
  • Develop effective communication skills to respond to emails and create insurance portals as required.
  • Ensure knowledge of medical provider credentialing principles, policies, processes, procedures, and documentation.
Requirements:
  • Proven experience as a Medical Biller in a US healthcare setting or similar role, requiring 2-3 years of experience.
  • Proficiency in medical billing software and electronic health records (EHR/EMR) systems.
  • In-depth knowledge of medical terminology, coding (CPT, ICD-10, HCPCS), and insurance billing procedures.
  • Strong understanding of healthcare compliance and privacy regulations (HIPAA).
  • Excellent communication skills for interacting professionally with patients, insurance companies, and healthcare providers.
Qualifications:
  • Outstanding organizational and time management skills for multitasking and prioritizing tasks effectively.
  • Prior experience in credentialing is highly valued.
  • Strong verbal and written communication skills are essential.
  • Bachelor's degree in business administration or a related field is preferred.

As a Credentialing Specialist, you will contribute to ensuring the accuracy and validity of healthcare professional credentials. If you have a strong background in medical billing and credentialing, this role may be suitable for you.



  • Karachi, Sindh, Pakistan Cognizance Full time

    Job Description:We are looking for aCredentialing Expertto ensure our healthcare providers meet the required standards for insurance companies. This role requires excellent organizational skills and knowledge of credentialing processes. Key Responsibilities:Manage the credentialing and re-credentialing process for healthcare providers.Ensure all providers...


  • 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 beBeeCredentialing Full time

    About Credentialing and Provider ManagementJob SummaryManage provider applications, enrollments, and ongoing maintenance.Key ResponsibilitiesCoordinate credentialing process from initial application to re-credentialing for healthcare providers.Submit enrollment applications to insurance carriers and government agencies.Maintain accurate provider information,...


  • Karachi, Sindh, Pakistan beBeeCredentialing Full time

    Medical Credentialing OfficerWe are seeking an accomplished Medical Credentialing Officer to join our organization. In this role, you will be responsible for ensuring that medical services meet the highest standards of quality and safety.The ideal candidate will possess excellent communication and interpersonal skills, as well as a strong attention to detail...


  • Karachi, Sindh, Pakistan Claims Med Full time

    Claims Med pioneers in Medical Services for Healthcare providers in the United States. We are looking for fresh, energetic individuals who can not only add value to our institution, but also find endless opportunities in a growing firm.We are currently hiring for a Provider Credentialing Officer and looking for candidates who are willing to learn and apply...

  • Chief Medical Officer

    3 weeks ago


    Karachi, Sindh, Pakistan Aga Khan University Full time

    Chief Medical Officer (CMO) and Associate Dean, Clinical AffairsDirect message the job poster from Aga Khan UniversityThe Aga Khan University Hospital (AKUH) is a not-for-profit healthcare institute that offers comprehensive medical services under one roof. It includes a tertiary care hospital in Karachi, four Off-Campus Hospitals, over 30 Medical Centres,...


  • Karachi, Sindh, Pakistan Aga Khan University Full time

    Clinical Nurse Instructor, Clifton Medical ServicesDepartmentClifton Medical ServicesEntityAga Khan University HospitalLocation[Location not specified]IntroductionThe Aga Khan University Hospital, in addition to its five Hospitals, creates access through its Outreach Services which include Clinical Laboratories, Outpatient Medical Centres, Pharmacy services,...

  • Medical Biller

    1 week ago


    Karachi, Sindh, Pakistan Fit Solutions Full time

    Company DescriptionWelcome to FitSolutions - a team of tech-savvy professionals dedicated to delivering IT services such as website development, SEO, digital marketing, and more. With a passion for innovation and excellence, we help businesses achieve their online goals and success.Role DescriptionThis is a full-time on-site role in Karāchi for a Medical...

  • Q/A Expert

    3 weeks ago


    Karachi, Sindh, Pakistan Nativebrains Full time

    We're Hiring: Quality Assurance (Q/A) ExpertAre you a detail-oriented Quality Assurance professional passionate about delivering flawless project quality and exceptional client satisfaction? Join our team at Native Brains as a Q/A Expert, where you'll play a critical role in maintaining the highest standards for our projects.Key Responsibilities:Project...

  • Medical Biller

    3 weeks ago


    Karachi, Sindh, Pakistan Ignite & Infinite Full time

    2 days ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.Direct message the job poster from Ignite & InfiniteHR Executive | Michigan Healthcare Recruitment | Karachi Ops | HR, Compliance & Paycom ExpertTitle: Medical Biller (DME)Salary: Market competitive (Depends upon Experience)Timing: 6 PM – 3 AM (Monday...