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Junior Credentialing Specialist

2 weeks ago


Rawalpindi Satellite Town, Pakistan QMedix Services Pvt Ltd Full time 40,000 - 70,000 per year

We are seeking a Credentialing Specialist with a strong background in U.S. healthcare credentialing and a minimum of 6 months-2 years of experience working with a medical billing company. This is a full-time, on-site role ideal for someone who is detail-oriented, organized, and well-versed in U.S. insurance panel enrollment processes.

Key Responsibilities:

  • Handle credentialing and re-credentialing applications for physicians and healthcare providers with Medicare, Medicaid, and commercial payers (e.g., UHC, Aetna, Cigna, BCBS, etc.)
  • Complete and maintain accurate provider profiles in portals like CAQH, PECOS, Availity, and various payer-specific platforms
  • Track and follow up on submitted applications until approvals/contracts are received
  • Maintain credentialing records, logs, and spreadsheets
  • Communicate professionally with U.S.-based clients, payers, and providers via email and phone (when required)
  • Stay up-to-date with payer guidelines and credentialing regulations

Requirements:

  • Minimum 2–3 years of credentialing experience in a medical billing company (U.S. healthcare system)
  • Strong knowledge of CAQH, PECOS, NPPES, and commercial payer portals
  • Good communication skills in English (written and verbal)
  • Proficient in using Microsoft Office, Google Sheets, and CRM tools
  • Ability to work independently and as part of a team
  • Attention to detail and problem-solving skills

Job Details:

  • Job Type: Full-time, On-site
  • Shift: 6:00 PM to 3:00 AM (Night shift, Monday to Friday)
  • Location: Satellite Town, Commercial Market (Near Tehzeeb Bakers), Rawalpindi
  • Salary Range: PKR 40,000 to 70,000 (based on experience and performance)

Who Can Apply:

  • Both male and female candidates are encouraged to apply
  • Must meet the experience criteria stated above
  • Residents of Rawalpindi or nearby areas are preferred due to on-site requirements

For inquiry you may message us on Indeed or send an email to

Job Type: Full-time

Pay: Rs40, Rs70,000.00 per month

Ability to commute/relocate:

  • Rawalpindi Satellite Town: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Credentialing: 1 year (Required)

Willingness to travel:

  • 100% (Preferred)

Work Location: In person