Credentialing Specialist

16 hours ago


Islamabad, Islamabad, Pakistan Advanced RCMS LLC Full time 1,200,000 - 3,600,000 per year


Now Hiring: Credentialing Specialist (On-Site | Islamabad)

Location:
Gulberg Greens, Islamabad

Company:
Advanced RCMS LLC

Position Type:
Full-Time (On-Site)

About the Role:

Advanced RCMS LLC — a leading U.S. healthcare revenue cycle management company — is looking for a
Credentialing Specialist
with
at least 3 years of experience
in provider enrollment, licensing, and payer credentialing.

The ideal candidate will have a strong understanding of U.S. healthcare systems, insurance networks, and credentialing processes for physicians, clinics, and behavioral health providers.

Key Responsibilities:

  • Manage
    provider enrollment and credentialing
    with commercial and government payers.
  • Complete and maintain
    CAQH profiles
    ,
    NPI registration
    ,
    Medicare/Medicaid enrollment
    ,
    EDI/EFT setup
    , and
    licensure applications
    .
  • Track credentialing status, expirations, and renewals.
  • Communicate with insurance payers and providers professionally.
  • Maintain detailed documentation for all credentialing activities.

Required Experience & Skills:

  • Minimum 3 years of hands-on experience
    in
    U.S. healthcare credentialing
    .
  • Strong understanding of
    CAQH, NPPES, PECOS, Availity
    , and payer portals.
  • Experience in
    EDI/EFT enrollment
    and
    Medicare/Medicaid
    processes.
  • Excellent communication, organization, and multitasking skills.
  • High attention to detail and accuracy.

Compensation & Benefits:

  • Competitive salary
    based on experience.
  • Professional and growth-oriented work environment.
  • Opportunity to work with a U.S.-based healthcare RCM team.


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