
Medical Professional Credentiation Specialist
3 days ago
Healthcare professionals seeking a challenging role in credentialing will find this position appealing. As a Credentialing Specialist, you will be responsible for all aspects of credentialing and re-credentialing of healthcare professionals. This position ensures that all healthcare professionals are appropriately credentialed, which includes maintaining current information on file and within the credentialing database.
Responsibilities:- Perform the credentialing process for various medical and behavioral providers.
- Frequent follow-ups with applicants and applications to ensure timely completion.
- Attestation of CAQH documents to maintain compliance.
- Maintain confidentiality and discretion when communicating with credentialing applicants and/or applications.
- Communicate effectively both orally and in writing with stakeholders.
- Respond promptly to emails and other forms of communication.
- Create insurance portals for efficient access to credentials.
- Stay up-to-date on medical provider credentialing and accreditation principles, policies, processes, procedures, and documentation.
- Proven experience as a Medical Biller in a US healthcare setting or similar role.
- 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 with the ability to interact professionally with patients, insurance companies, and healthcare providers.
- Detail-oriented, analytical mindset and ability to work efficiently in a fast-paced environment.
- Minimum 2 to 3 years of experience in a related field.
- Knowledge of Medicare, Medicaid, IPAs & Medicare Advantage plans.
- Proficiency in Microsoft Office Suite and other relevant software.
- Excellent organizational and time management skills.
- Ability to multitask and prioritize tasks effectively.
- Experience in credentialing and related areas.
- Strong verbal and written communication skills.
- Bachelor's degree in business administration or a related field.
This is an excellent opportunity for career growth and development in the healthcare industry. If you have the necessary qualifications and experience, we encourage you to apply.
-
Medical Credentialing Expert
2 weeks ago
Karachi, Sindh, Pakistan beBeeCredentialing Full timeHealthcare Professional CredentierThis 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...
-
Credentialing Specialist
3 weeks ago
Karachi, Sindh, Pakistan HKDL Full timeAs 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...
-
Medical Credentialing Expert
2 weeks ago
Karachi, Sindh, Pakistan Cognizance Full timeJob 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...
-
Healthcare Provider Credentialing Specialist
1 week ago
Karachi, Sindh, Pakistan beBeeCredentialing Full timeAbout 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,...
-
Healthcare Credentialing Specialist
3 days ago
Karachi, Sindh, Pakistan beBeeCredentialer Full time $63,000 - $81,000As a highly skilled and detail-oriented professional, you will play a crucial role in ensuring the accuracy and efficiency of our credentialing processes for healthcare providers.You will be responsible for verifying provider credentials and documentation, as well as maintaining up-to-date knowledge of regulatory requirements.Key ResponsibilitiesVerify the...
-
Credentialing Specialist
3 weeks ago
Karachi, Sindh, Pakistan Claims Med Full timeClaims 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...
-
Certified Medical Services Coordinator
1 week ago
Karachi, Sindh, Pakistan beBeeCredentialing Full timeMedical 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...
-
Healthcare Provider Enrollment Specialist
3 days ago
Karachi, Sindh, Pakistan beBeeCredentialing Full time 1,200,000 - 1,500,000Credentialing Specialist Job DescriptionAs a Credentialing Specialist, you will be responsible for managing the entire credentialing process, from initial applications to ongoing maintenance and re-credentialing for healthcare providers. This involves verifying and maintaining accurate provider information, including licenses, certifications, and insurance...
-
Medical Authorization Specialist Leader
2 weeks ago
Karachi, Sindh, Pakistan beBeeMedicalAuthorization Full timeMedical Authorization Specialist LeaderWe are seeking an experienced medical professional to fill the role of Medical Authorization Specialist Leader. In this in-house position, you will be responsible for managing a team of authorization specialists who review patient information and grant or reject hospital admissions.Key ResponsibilitiesManage a team of...
-
Medical Billing Professional
3 days ago
Karachi, Sindh, Pakistan beBeeBilling Full time 600,000 - 800,000Healthcare Billing ProfessionalAs a skilled Healthcare Billing Specialist, you will be responsible for accurately and efficiently handling medical billing processes, ensuring compliance with healthcare regulations, and maintaining high-quality standards in all billing procedures.Responsibilities:Accurately assign appropriate medical codes (CPT, ICD-10,...