Provider Credentialing Specialist

4 days ago

Karachi, Sindh, Pakistan beBee Careers Full time

About Credentialing Specialists:

Credentialing specialists play a crucial role in ensuring that healthcare providers meet regulatory requirements and maintain their credentials. In this position, you will be responsible for managing the credentialing process, from initial applications to ongoing maintenance and re-credentialing.

Key Responsibilities
  • Develop and implement efficient credentialing processes to minimize errors and delays.
  • Liaise with insurance companies, healthcare providers, and relevant parties to resolve credentialing issues and inquiries.
  • Stay up-to-date with industry regulations and insurance requirements to ensure provider compliance.
  • Identify and address obstacles or challenges in the credentialing process promptly and effectively.
  • Collaborate with other teams to resolve issues related to provider credentialing.
Required Skills and Qualifications
  • A minimum of 3 years of experience in healthcare credentialing or related fields.
  • Strong knowledge of medical billing, coding practices, healthcare regulations, and insurance policies.
  • Experience in RPM billing is preferred.
  • Bachelor's Degree in Computer Science, Healthcare Administration, or Commerce-related fields is preferred.
  • Proficiency in GSuite, Slack, and excellent problem-solving and organizational skills.
  • Solid understanding of billing software and electronic medical records.
  • Exceptional communication and time management skills.
  • Attention to detail is essential.
  • Ability to work independently and manage multiple projects simultaneously.
Performance Metrics
  • Application Processing Time: Submit applications within 24-48 hours of request.
  • Application Accuracy: Aim for 95–100% accuracy, with minimal corrections needed.
  • Application Approval Rate: Achieve a 95% approval rate on first submission.
  • Timely Follow-Up: Promptly follow up on additional documentation requests.
  • Weekly Reports: Provide a weekly summary of application statuses and follow-ups.
Perks
  • Comprehensive healthcare insurance.
  • Company-paid meal breaks.
  • Annual leave and casual or sick leave.
  • Paid professional development training and certifications if required.

Why Work with Us?

We offer a dynamic and supportive work environment that encourages career growth and professional development. Our team is passionate about making a positive impact in the healthcare industry, and we believe that our employees are the key to achieving this goal.

  • Provider Credentialing Coordinator

    1 day ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Job Description:We are seeking a detail-oriented Credentialing Specialist to join our medical services team. The successful candidate will have excellent communication skills and the ability to work effectively in a team environment.About the Position:- Responsible for verifying the credentials of healthcare providers- Ensures that all necessary documents...

  • Credentialing Specialist

    2 days ago

    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...

  • Credentialing Professional

    7 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Credentialing SpecialistKey Responsibilities of the Credentialing Specialist include managing credentialing processes, communicating with staff, and ensuring compliance with Medicare regulations.The role involves overseeing initial credentialing and re-credentialing processes for healthcare providers. This includes collecting and verifying required...

  • Credentialing Specialist

    2 days ago

    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...

  • Credentialing Officer

    2 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Job Title: Credentialing OfficerAbout the Job:We are seeking a highly skilled and detail-oriented Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for ensuring the accuracy and completeness of healthcare provider data. Your primary goal will be to identify and resolve discrepancies in provider...

  • Credentialing Professional

    7 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    **Job Summary:**This role requires a skilled credentialing specialist to oversee the credentialing and re-credentialing process for healthcare professionals.

  • Credentialing Specialist

    2 days ago

    Karachi, Sindh, Pakistan Circadia Technologies Ltd Full time

    About Circadia:Circadia is a dynamic and rapidly growing health tech startup on a mission to revolutionize healthcare through innovative mobile technology solutions. Our mobile apps empower healthcare professionals and patients alike to make informed decisions, streamline processes, and improve patient outcomes. We are a passionate team dedicated to making a...

  • Credentialing Specialist

    2 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Job Summary:We are looking for a motivated and organized Credentialing Specialist to support our medical services team. The ideal candidate will have strong analytical skills and the ability to work effectively in a fast-paced environment.About the Role:- Coordinate with healthcare providers to collect and verify credentialing documentation- Maintain...

  • Healthcare Provider Credentialer

    6 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Credentialing Specialist Role DescriptionThis is a full-time remote position that requires a Credentialing Specialist to work collaboratively with internal teams, including HR, legal, and clinical staff. The successful candidate will be responsible for streamlining credentialing processes and ensuring seamless communication with providers.The ideal candidate...

  • Medical Credentials Coordinator

    6 days ago

    Karachi, Sindh, Pakistan beBee Careers Full time

    Credentialing Specialist Job DescriptionWe are seeking an experienced Credentialing Specialist to join our team. The ideal candidate will possess excellent communication skills, be detail-oriented, and have a strong understanding of medical terminology, coding, and insurance billing procedures.