Medical Credentials Validator

3 days ago


Rawalpindi Cantonment, Pakistan beBeeCredentialing Full time 4,000,000 - 6,000,000

Job Summary:

We are seeking a Medical Credentialing Specialist to verify and maintain the credentials of healthcare providers.

Key Responsibilities:
  • Verify healthcare provider credentials, including education, training, certifications, and licensure.
  • Ensure compliance with regulations and credentialing requirements of insurance companies and government programs.
  • Manage and track provider credentialing applications, submissions, and renewals.
  • Coordinate with insurance payers for timely and accurate credentialing and recredentialing.
  • Maintain accurate records of provider credentials and ensure regulatory compliance.
  • Assist providers with credentialing-related documentation and steps.
  • Review and complete credentialing paperwork.
  • Resolve credentialing issues with healthcare providers and insurance companies.
Requirements:
  • Bachelor's degree or equivalent experience in healthcare administration or a related field.
  • 2-3 years of medical credentialing or healthcare administration experience.
  • Strong attention to detail, knowledge of credentialing processes, excellent communication skills, and proficiency in medical credentialing software.
  • Understanding of healthcare regulations, payer requirements, and compliance standards.


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