Credentialing and Privileging Professional
2 days ago
Healthcare Provider Credentialing Manager
We are seeking a highly organized and detail-oriented individual to fill this role. The successful candidate will be responsible for managing the credentialing process for healthcare providers. This includes obtaining and verifying necessary documentation such as licenses, certifications, and education. They will also be responsible for maintaining accurate and up-to-date provider information in credentialing databases. Additionally, they will monitor credentialing expirations and manage timely renewals of licenses, certifications, and insurance enrollments.
Key Responsibilities
- Credentialing Process Oversight:
- Oversee the credentialing process for healthcare providers, ensuring compliance with industry standards and regulatory requirements.
- Maintain accurate provider records in credentialing databases.
- Ensure compliance with state, federal, and payer regulations.
- Monitor credentialing expirations and manage timely renewals of licenses, certifications, and insurance enrollments.
- Verify education, training, licensure, and work history through primary sources.
- Communicate with insurance companies, hospitals, and other healthcare organizations to ensure provider enrollments are completed.
- Maintain and update credentialing software and systems with accurate provider records.
- Generate regular reports on credentialing status and compliance metrics for management review.
- Work closely with providers, administrators, and third-party payers to resolve credentialing issues promptly.
- Assist in streamlining credentialing workflows to enhance efficiency.
-
Rawalpindi Cantonment, Pakistan beBee Careers Full timeCredentialing and Privileging ExpertThe successful candidate will have a strong understanding of credentialing and privileging processes, including payer enrollment requirements. They will be responsible for managing the end-to-end credentialing process for healthcare providers, including obtaining and verifying necessary documentation. This includes...
-
Credentialing & Enrollment Team Lead
3 weeks ago
Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full timeJob DescriptionMeds Nexus is looking for candidates on the night shift with experience as Team Lead Credentialing & EDI. The candidate should be enthusiastic and must have proven work experience in performing all New Client Account Setups, Research and Development activities, ensuring that the credentialing requirements for government and commercial payers...
-
Rawalpindi Cantonment, Pakistan beBee Careers Full timeCredentialing Team Lead/Supervisor Job SummaryAs a seasoned HR expert, this role demands exceptional leadership skills to manage comprehensive HR processes, ensuring seamless payroll management, recruitment, daily operations, policy development, and employee relations.This full-time on-site position is situated in Rawalpindi, requiring effective...
-
Comprehensive HR Manager: Team Lead/Supervisor
2 weeks ago
Rawalpindi Cantonment, Pakistan beBee Careers Full timeCredentialing Team Lead/Supervisor Job RequirementsWe are seeking an experienced HR professional to fill this critical role.The successful candidate will have a proven track record in managing comprehensive HR processes, including payroll, recruitment, daily operations, policy development, and employee relations.Essential Qualifications:6 years of experience...
-
Auditor Specialist – Revenue Cycle Management
2 weeks ago
Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full timeAuditor Specialist for Revenue Cycle Management (RCM)The Auditor Specialist for RCM is responsible for overseeing the auditing processes within medical billing and credentialing functions. The role involves conducting detailed audits, ensuring compliance with regulations, identifying areas for improvement, and implementing corrective actions to optimize...
-
Auditor Specialist – Revenue Cycle Management
4 weeks ago
Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full timeThe Auditor Specialist for Revenue Cycle Management (RCM) is responsible for overseeing the auditing processes within the medical billing and credentialing functions. The role involves conducting detailed audits, ensuring compliance with regulations, identifying areas for improvement, and implementing corrective actions to optimize revenue cycle performance....
-
Sales Team Lead
1 week ago
Rawalpindi Cantonment, Pakistan Roots RCM LLC Full timeAbout the CompanyROOTS RCM LLC is a Medical Billing and Credentialing services providing company, dedicated to empowering healthcare providers with reliable, accurate, and innovative RCM solutions. Our services help practices maximize revenue, reduce denials, and maintain full compliance. As we scale, we are seeking a dynamic Sales Team Lead to drive...
-
RCM Manager
4 weeks ago
Rawalpindi Cantonment, Pakistan Xpress Billing And Transcription Services Full timePosition: RCM ManagerExperience Required: Minimum 6–7 yearsXpress Billing is seeking a talented and experienced professional to join our dynamic billing team. If you are passionate about healthcare billing and excel in provider relations, we want to hear from youKey Requirements:Minimum 6–7 years of experience in the medical billing fieldStrong skills in...
-
RCM Manager
3 weeks ago
Rawalpindi Cantonment, Pakistan Xpress Billing And Transcription Services Full timeWe're HiringPosition: RCM ManagerLocation: Rawalpindi (OnSite Position)Experience Required: Minimum 6–7 yearsXpress Billing is looking for a talented and experienced professional to join our dynamic billing team. If you are passionate about healthcare billing and excel in provider relations, we want to hear from youKey Requirements: Minimum 6–7 years of...
-
Business Relations Manager
3 weeks ago
Rawalpindi Cantonment, Pakistan Punjab Institute of Management and Technology Full timeBusiness Relations Manager Punjab Institute of Management and Technology, Pakistan PESECO Construction (Pvt) Limited is looking for an energetic and well-experienced CUSTOMER RELATION MANAGER for the Steel & Construction Office. We are PESECO GROUP, which includes PESECO Steel (Pvt) Ltd and PESECO Construction (Pvt) Ltd (An Engineering Group) leading...
