Medical Credentialing Professional

1 week ago


Karachi, Sindh, Pakistan beBee Careers Full time
Credentialing Specialist Job Overview

This role involves all aspects of credentialing and re-credentialing of healthcare professionals.

Key Responsibilities:
  • Evaluate and process credentialing applications for medical and behavioral providers.
  • Maintain accurate and up-to-date information on file and within the credentialing database.
  • Verify CAQH data for accuracy and completeness.
  • Ensure confidentiality and discretion in all communications related to credentialing applicants and applications.
  • Foster effective communication with stakeholders through both oral and written interactions.
  • Respond promptly to inquiries from various parties.
  • Develop and manage insurance portals for healthcare providers.
Requirements and Qualifications:
  • Demonstrated experience in medical billing or a similar field.
  • 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.
  • A strong understanding of healthcare compliance and privacy regulations.
  • Excellent communication skills for interacting with patients, insurance companies, and healthcare providers.
  • A detail-oriented and analytical mindset with the ability to work efficiently in a fast-paced environment.
  • A minimum of 2 years of experience in a related field.
  • Knowledge of Medicare, Medicaid, IPAs & Medicare Advantage plans.
  • Proficiency in Microsoft Office Suite and other relevant software.
Preferred Qualifications:
  • Strong organizational and time management skills.
  • The ability to multitask and prioritize tasks effectively.
  • Experience in credentialing and medical billing.
  • Effective verbal and written communication skills.
  • A Bachelor's degree in business administration or a related field.
About This Role

This position is ideal for individuals with a passion for credentialing and medical billing who want to make a meaningful impact in the healthcare industry.



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