Credentialing Specialist

2 weeks ago

Rawalpindi Gpo, Pakistan CloudRCM Solutions Full time 900,000 - 1,200,000 per year

CloudRCM Solutions is a leader in healthcare revenue cycle management, committed to delivering efficient and reliable solutions to our clients. We pride ourselves on fostering a professional and collaborative work environment. We are currently looking for a Credentialing Specialist with at least 3 year of experience to join our growing team.

Job Summary:

As a Credentialing Specialist, you will be responsible for managing the credentialing process for healthcare providers, ensuring compliance with payer requirements and industry standards.

Key Responsibilities:

  • Provider Credentialing:
  • Process credentialing applications for healthcare providers.
  • Verify and maintain accurate provider information with insurance companies and regulatory bodies.
  • Ensure all documentation is complete, accurate, and submitted within deadlines.
  • Communication and Coordination:
  • Serve as the primary point of contact for providers regarding credentialing updates and requirements.
  • Liaise with insurance companies, healthcare facilities, and internal teams to resolve credentialing issues.
  • Compliance Management:
  • Maintain compliance with industry regulations, accreditation standards, and payer requirements.
  • Track license renewals, certifications, and other required documents.
  • Data Management:
  • Update and maintain provider credentialing databases.
  • Generate regular reports on credentialing status and activities.
  • Problem Solving:
  • Address and resolve issues related to provider enrollment and credentialing delays.
  • Ensure smooth onboarding of new providers by coordinating credentialing activities

EXPERIENCE REQUIRED:

  • 3 year of experience in provider credentialing or a related field.
  • Knowledge of healthcare credentialing processes and payer enrollment requirements.
  • Familiarity with credentialing software and databases.
  • Strong attention to detail and organizational skills.
  • Excellent communication skills (verbal and written).
  • Ability to work independently and manage multiple tasks in a deadline-driven environment.
  • Proficiency in MS Office (Word, Excel, Outlook).

Joining: Immediate joining Within a week

Job Type: Full-time

Shift: (6:00 PM - 3:00 AM) Night shift

Job Location: Bahria Phase 4, Rawalpindi

Job Type: Full-time

Work Location: In person

Expected Start Date: 13/10/2025

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