Credentialing Professional

6 days ago


Lahore, Punjab, Pakistan beBee Careers Full time
Credentialing Specialist

Are you a detail-oriented and motivated professional looking to make a difference in the healthcare industry? We are seeking a skilled Credentialing Specialist to join our team.

About the Role

We are responsible for managing provider credentialing and enrollment processes with payers, facilities, and licensing boards, ensuring full compliance with applicable regulations and timelines.

  • Manage initial and re-credentialing processes for healthcare providers.
  • Prepare, complete, and submit applications to 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.
Requirements

We are looking for a candidate with:

  • A minimum of 2 years of credentialing experience in a healthcare or medical practice environment.
  • Knowledge of CAQH, NPPES, PECOS, and payer credentialing systems.
  • Strong attention to detail and time management skills.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Office Suite and credentialing software
  • Ability to handle multiple tasks in a deadline-driven environment.
Benefits

We offer a dynamic and supportive work environment, opportunities for growth and development, and a competitive salary package.



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