Credentialing Specialist

6 days ago

Lahore, Punjab, Pakistan beBee Careers Full time

Credentials Specialist Role Overview

We are seeking a highly skilled and detail-oriented Credentials Specialist to join our 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.

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

About the Ideal Candidate:

  • Education: High school diploma or equivalent required; associate's or bachelor's degree preferred.
  • Experience: 2+ years of experience in credentialing, medical billing, or a related field.
  • Certifications: Certified Provider Credentialing Specialist (CPCS) or Certified Credentialing Specialist (CCS) certification preferred.
  • Skills: Strong analytical, organizational, and communication skills. Ability to work in a fast-paced environment and meet deadlines.
  • Software: Proficient in Microsoft Office and credentialing software systems.

Additional Requirements:

Our ideal candidate is a motivated and detail-oriented individual with a passion for credentialing and medical billing. If you are interested in this role, please submit your application, including your resume and cover letter.

  • credentialing Specialist

    2 weeks ago

    Lahore, Punjab, Pakistan Cyber System Full time

    2 days ago Be among the first 25 applicantsDirect message the job poster from Cyber SystemHuman Resources Executive | HR Operations | Compensation & BenefitsWe 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...

  • Credentialing Specialist

    2 weeks ago

    Lahore, Punjab, Pakistan STAMTECHNOLOGIES (PRIVATE) LIMITED Full time

    1 week ago Be among the first 25 applicantsDirect message the job poster from STAMTECHNOLOGIES (PRIVATE) LIMITEDCredentialing & Enrollments/ImplementationsCompany DescriptionSTAMTECHNOLOGIES (PRIVATE) LIMITED specializes in Medical Billing, Healthcare IT Services, Credentialing & Enrollment, Account Receivable, RCM, Revenue Cycle Management, and Appointment...

  • Credentialing Specialist

    4 weeks ago

    Lahore, Punjab, Pakistan QB Billing Solution Full time

    5 days ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.Direct message the job poster from QB Billing SolutionMedical Billing Analyst || AR Specialist || HIPPA Certified || Audit Specialist || Client Support Representative || Patient Support RepresentativeCompany DescriptionQB Billing SolutionRole...

  • Credentialing Specialist

    2 days ago

    Lahore, Punjab, Pakistan MedICD Full time

    2 days ago Be among the first 25 applicantsDepartment: Medical Staff Services / Provider RelationsWe are seeking a highly skilled and detail-oriented Credentialing Specialist with 5+ years of experience to join our team. The ideal candidate will be responsible for managing the full-cycle credentialing and re-credentialing process for healthcare providers,...

  • Credentialing Specialist

    2 weeks ago

    Lahore, Punjab, Pakistan EXPERT SERVICES - UPDATES & JOB Full time

    Credentialing Specialist - Mental Health CareCredentialing Specialist - Mental Health Care1 day ago Be among the first 25 applicantsWe are looking for aCredentialing Specialistwitha minimum of 1 year of experiencein credentialing forMental Health Care providers. The ideal candidate should havestrong communication skills, especially in spoken English and have...

  • Credentialing Specialist

    3 weeks ago

    Lahore, Punjab, Pakistan Expert Services Full time

    Job DescriptionJoin Professional Services, a dynamic leader in the medical billing industry based in Lahore, as a Credentialing Specialist specializing in mental health care. Your expertise will contribute to ensuring that our mental health professionals are credentialed efficiently, enhancing the quality of care we provide.ResponsibilitiesManage the...

  • Healthcare Credentialing Specialist

    7 days ago

    Lahore, Punjab, Pakistan beBee Careers Full time

    A successful Credentialing Specialist will be responsible for managing medical staff credentialing, communicating with stakeholders, and handling Medicare processes.The ideal candidate will possess 2 years hands-on experience in Medical Credentialing, strong communication and customer service skills, and experience with Medicare and Medicaid processes.Key...

  • Credentialing Specialist Position

    6 days ago

    Lahore, Punjab, Pakistan beBee Careers Full time

    Credentialing Specialist Job OpportunityWe are seeking a skilled Credentialing Specialist to join our team.The ideal candidate should have strong communication skills, especially in spoken English, and experience in Mental Health Care Credentialing. They should also have a solid understanding of the credentialing process in the healthcare/medical billing...

  • Senior Credentialing Specialist

    2 weeks ago

    Lahore, Punjab, Pakistan credexpertmd Full time

    Company DescriptionCredExpertMD specializes in the complexities of provider credentialing, payer enrollment, and healthcare contracting. Our team has a proven track record of efficiently enrolling providers with various healthcare payers, leveraging deep industry knowledge, analytical skills, and effective time management. We are committed to delivering...

  • Credentialing Professional

    2 weeks ago

    Lahore, Punjab, Pakistan beBee Careers Full time

    Role OverviewThis is a full-time on-site position for a Credentialing Specialist. The Credentialing Specialist will manage credentialing processes, communicate with stakeholders, provide customer service, handle medical staff credentialing, and ensure compliance with Medicare regulations.Key ResponsibilitiesManage credentialing processesCommunicate with...