Medicare Credentialing Specialist
2 weeks ago
Location: NASTP, Rawalpindi
Job Type: Full-time (Night Shift)
About Us
The Inventor Solutions is a healthcare BPO company specializing in medical and dental billing, revenue cycle management, and credentialing services for U.S.-based practices. We are expanding our credentialing team to support a sleep practice in the U.S. that requires expertise in Medicare enrollment and compliance.
Role Overview
We are seeking a Medicare Credentialing Specialist to handle provider enrollment, revalidation, and ongoing compliance with Medicare regulations, specifically for a sleep practice. The role requires attention to detail, strong communication skills, and prior experience with U.S. healthcare credentialing.
Key Responsibilities
- Manage Medicare provider enrollment and revalidation applications.
- Complete and submit CAQH profiles, PECOS applications, and payer enrollments.
- Coordinate with providers, practice managers, and payers to ensure credentialing accuracy.
- Maintain and update credentialing files, compliance records, and expiration tracking.
- Troubleshoot delays and resolve enrollment issues with Medicare and other payers.
- Ensure timely completion of credentialing processes to prevent revenue delays.
Qualifications
- Minimum 1–2 years of experience in U.S. healthcare credentialing (Medicare focus preferred).
- Strong knowledge of PECOS, NPPES, CAQH, and payer enrollment systems.
- Familiarity with credentialing requirements for sleep practices is a plus.
- Excellent written and verbal communication skills.
- Strong organizational skills and ability to manage multiple tasks.
What We Offer
- Competitive salary package.
- Growth opportunities in a fast-scaling healthcare BPO.
- Exposure to U.S. healthcare systems and compliance.
- Supportive team culture with training and career development.
Job Type: Full-time
Experience:
- Credentialing : 1 year (Required)
Work Location: In person
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