Medical Billing Team Member

1 day ago


Lahore, Punjab, Pakistan Cyber System Full time
About Cyber System

Cyber System is a leading provider of medical billing services.

Job Description

We are seeking an experienced Credentials Specialist to join our medical billing team. The successful candidate will be responsible for ensuring that all healthcare providers are properly credentialed and enrolled with payers, in accordance with regulatory requirements and company policies.

Key Responsibilities:
  • Provider Credentialing: Verify provider credentials, including education, training, licensure, and certification.
  • Payer Enrollment: Enroll providers with payers, including Medicare, Medicaid, and commercial insurance companies.
  • Application Preparation: Prepare and submit credentialing and enrollment applications to payers.
  • Follow-up and Resolution: Follow up with payers to resolve any issues or discrepancies related to credentialing and enrollment.
  • Maintenance of Credentialing Records: Maintain accurate and up-to-date records of provider credentials and enrollment status.
  • Compliance: Ensure compliance with regulatory requirements, including HIPAA, OIG, and state-specific laws.
  • Communication: Communicate with providers, payers, and internal stakeholders to resolve credentialing and enrollment issues.
  • Data Entry: Accurately enter data into credentialing and billing systems.


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