Credentialing Manager

2 weeks ago

Islamabad, Islamabad, Pakistan Proactive Medical Billing & Coding LLC Full time 100,000 - 150,000 per year

Company Description:

Proactive Medical Billing & Coding LLC is a trusted leader in streamlined revenue management for healthcare practices. With expertise in medical billing, coding, and revenue cycle management, we help alleviate administrative burdens, optimize financial performance, and maximize reimbursement. Our advanced technology and adherence to industry regulations ensure seamless integration with your practice. Our comprehensive services include eligibility verification, authorization management, compliance, transparent reporting, and provider enrollment and credentialing.

Role Description:

This is a full-time remote job for a Credentialing Manager. The Credentialing Manager will oversee and manage all aspects of provider enrollment and credentialing. Primary tasks include verifying the qualifications of healthcare professionals, maintaining current files on healthcare providers, preparing and submitting documentation to insurance companies, and ensuring compliance with industry regulations and standards.
The ideal candidate will bring in-depth knowledge of payer requirements, licensing processes, and technical setups to ensure smooth provider enrollment and compliance.
The Credentialing Manager will also handle regular audits and communicate effectively with healthcare providers and insurance companies.

.

Qualifications:

  • Minimum 3+ years of healthcare credentialing experience.
  • Strong understanding of
    payer requirements and licensing
    processes.
  • Hands-on experience with
    EDI, ERA, EFT
    .
  • Excellent organizational and communication skills.
  • Proven ability to work independently in a fast-paced environment.
  • Ability to work effectively in a fast-paced environment
  • Excellent written and verbal communication skills

What We Offer:

  • Competitive compensation.
  • Remote work flexibility.
  • Growth opportunities within a supportive team environment.
  • Bonuses

Interested candidates are encouraged to apply via LinkedIn or send their resume to

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