Credentialing Executive

Job description:

Education:

Bachelor's degree

Minimum Experience:

• 2–3 years of experience in provider credentialing & enrollment
• Knowledge of payer-specific enrollment requirements
• Excellent written and verbal communication skills
• Attention to detail and ability to manage multiple assignments
• Strong organizational and documentation skills
• Timely alerts and renewals handled

Responsibilities:

• Prepare and submit credentialing and re-credentialing applications for providers across commercial, government, and Medicaid/Medicare payers.
• Maintain and update provider data in CAQH, PECOS, and other relevant portals.
• Track application status, follow up with payers, and resolve any delays or issues.
• Ensure timely revalidations, license renewals, and certifications.
• Maintain detailed and accurate records of credentialing activities for audits and compliance.
• Communicate regularly with internal teams and clients regarding credentialing status, expirations, and requirements.
• Assist with payer contracting, contract re-negotiation and fee schedule retrieval, if applicable.

Benefits:

Market-Leading Salary, Medical insurance, Provident fund, EOBI, Paid Leaves, cash advance, Employee Performance based bonuses, Annual increments, Allowances ( Accommodation, OPD, Travel, Night, utilities, Technical ), Parental Leaves, Annual dinners & trips

Note: Preference will be given to candidates from Hazara Division, KPK for this specific role. However, candidates from all over the Pakistan are welcomed.

Job Type: Full-time

Work Location: In person

Job Type: Full-time

Work Location: In person