Credentialing and Enrollment Manager

14 hours ago


Islamabad, Islamabad, Pakistan beBee Careers Full time
Job Overview:

We are seeking a highly skilled Credentialing Specialist to join our team. The ideal candidate will have experience with psychiatric and behavioral health provider enrollments, multi-state submissions, and maintaining compliance across all credentialing activities. They will be responsible for managing the end-to-end credentialing and enrollment processes for healthcare providers specializing in psychiatry and behavioral health services under the U.S. healthcare system.

The Credentialing Specialist will be responsible for handling credentialing with Medicare, Medicaid, commercial insurance payers, and hospitals. A strong understanding of Medicare/Medicaid guidelines, commercial payer requirements, CAQH, and credentialing regulations is essential. Key Responsibilities include verifying provider credentials and maintaining accurate and up-to-date records, monitoring compliance with Medicare regulations, and addressing any policy updates.

The successful candidate will have exceptional attention to detail and organizational skills, with excellent verbal and written communication abilities. They will be proficient in MS Office Suite and experience with credentialing software or portals.



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