Healthcare Provider Credentialing Expert

2 days ago


Lahore, Punjab, Pakistan beBee Careers Full time

We are seeking a detail-oriented and motivated Credentialing Specialist with a minimum of 2 years of credentialing experience in the healthcare field. The ideal candidate will be responsible for managing provider credentialing and enrollment processes with payers, facilities, and licensing boards, ensuring full compliance with applicable regulations and timelines.

Job Responsibilities:
  • Manage initial and re-credentialing processes for healthcare providers.
  • Prepare, complete, and submit applications to payers (Medicare, Medicaid, and commercial insurers), state boards, and hospitals.
  • Track application statuses and proactively follow up to ensure timely approvals.
  • Maintain up-to-date and organized credentialing files and databases.
  • Verify provider information, including licensure, education, training, and work history.
  • Monitor and manage expirables (licenses, DEA, malpractice insurance, etc.).
  • Communicate regularly with providers and internal teams to gather required documentation.
  • Ensure compliance with NCQA, Joint Commission, CMS, and payer-specific requirements.
  • Respond to payer inquiries and resolve any discrepancies or delays.


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