Provider Eligibility Coordinator

1 week ago


Islamabad, Islamabad, Pakistan Pyramids Global (Pvt) Ltd. Full time

We are seeking a highly organized Provider Eligibility Coordinator to join our team at Pyramids Global (Pvt) Ltd. As a key member of our credentialing department, you will be responsible for maintaining up-to-date records of provider licenses, credentials, and insurance contracts.

About the Job:

This is a full-time, permanent evening shift (5:00 PM – 2:00 AM) role based at our Islamabad/Rawalpindi office.

Responsibilities:
  1. Maintain up-to-date records of provider licenses, credentials, and insurance contracts.
  2. Collaborate with regulatory agencies, insurance providers, and healthcare partners to ensure compliance.
  3. Train and develop team members to enhance performance and adherence to best practices.
  4. Provide detailed reports on credentialing statuses, expirations, and compliance metrics.
Requirements:
  1. Bachelor's degree (HEC recognized) – A CPCS certification is a plus.
  2. 3+ years of experience in medical credentialing, privileging, and compliance management.
  3. Proven leadership skills with experience managing and mentoring teams.
  4. Strong understanding of healthcare regulations, payer enrollment, and credentialing workflows.
  5. Proficiency in EMR systems, credentialing databases, and Microsoft Office (Excel & Word).
  6. Exceptional organizational and communication skills with a strong attention to detail.


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