Healthcare Credentialing Specialist

21 hours ago


Karachi, Sindh, Pakistan beBeeCredentialing Full time
Job Description

We are seeking a highly skilled professional to manage the credentialing process for healthcare providers. This individual will be responsible for ensuring that all necessary documents and information are accurate and up-to-date, and that applications are submitted in a timely manner.

The successful candidate will have a strong understanding of medical billing, coding practices, and healthcare regulations, as well as excellent communication and organizational skills.

Key responsibilities will include:

  • Managing the entire credentialing process from initial applications to ongoing maintenance and re-credentialing
  • Verifying and maintaining accurate provider information, including licenses, certifications, and insurance policies
  • Submitting enrollment applications to various insurance carriers and government agencies
  • Staying up-to-date with industry regulations and insurance requirements to ensure provider compliance

This role requires a high level of accuracy, attention to detail, and the ability to work independently while managing multiple projects simultaneously.

Required Skills and Qualifications

To be successful in this role, you will need:

  • A minimum of 3 years of relevant experience in healthcare credentialing or related fields
  • Strong knowledge of medical billing, coding practices, and healthcare regulations
  • Excellent communication and organizational skills
  • Ability to work independently and manage multiple projects simultaneously
  • Knowledge of HIPAA requirements related to medical records and billing

Preferrably, you will also have:

  • Experience in RPM billing
  • Bachelor's Degree in Computer Science, Healthcare Administration, or Commerce-related fields
Benefits

As a valued member of our team, you can expect:

  • Private healthcare insurance with coverage for yourself and your immediate family
  • Company-paid lunch or dinner shifts
  • 14 days of annual leave and 10 days of casual or sick leave
  • Paid professional development training and certifications if required


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