Manager Credentialing and Enrollment

2 days ago

Rawalpindi, Punjab, Pakistan Paymedics Full time 900,000 - 1,200,000 per year

Location:
 6th Road, Rawalpindi

Job Type:
 Full-time | On-site

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WhatsApp CVs to:

Company Description:

REVMED is a leading company in the healthcare industry, providing state-of-the-art Revenue Cycle Management, billing services, and comprehensive practice management for various medical practices and healthcare systems. Our team of experts enhances billing processes, maximizes reimbursement, minimizes denials, and ensures compliance, thereby improving the financial health of our clients.

Responsibilities:

  • Manage all aspects of credentialing, including:
  • Primary source verification
  • CAQH, NPI, and other registries
  • State medical licensing
  • Medicare, Medicaid, and other payer enrollments
  • Insurance paneling and credentialing
  • Oversee credentialing process for:
  • Sole providers
  • Group practices
  • Revalidations and reapplications
  • Ensure compliance with regulatory requirements and payer standards
  • Manage and maintain accurate records and databases
  • Collaborate with providers, payers, and internal teams
  • Develop and implement efficient processes to improve credentialing workflow
  • Provide excellent customer service to clients and providers
  • Stay up-to-date with industry changes and best practices

Requirements:

  • 3+ years of hands-on experience in credentialing, preferably in a healthcare setting
  • Experience working with all major payers and state-specific credentialing requirements
  • Strong knowledge of credentialing regulations, including Medicare, Medicaid, and ACA
  • Excellent organizational, communication, and problem-solving skills
  • Ability to manage multiple priorities and deadlines
  • Experience with EDI/ERA/EFT enrollments, insurance portal setups, and payers' day-to-day updates
  • Strong team management and client management skills

Perks & Benefits at REVMED:

  • Market Competitive Salaries
  • Monthly Bonus
  • Post Probation Increment
  • Annual Increment
  • Retention Bonuses
  • In-house Meals & Teas
  • Pick & Drop Service for Female Staff
  • Health Insurance
  • 36 Paid Leaves Annually
  • Supportive & Growth-Oriented Work Environment

Join REVMED (Paymedics) and be a part of a leading medical billing company focused on career development, employee wellbeing, and innovation.

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