
Credentialing Specialist
11 hours ago
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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