Position Overview

We are looking for an experienced Credentialing Specialist to join our growing healthcare team in Lahore. The ideal candidate should have hands-on experience with provider credentialing, payer enrollments, and maintaining accurate provider records.

Key Responsibilities

• Manage provider credentialing and re-credentialing processes.
• Handle CAQH profile creation, updates, and maintenance.
• Process Medicare and Medicaid provider enrollments.
• Manage commercial payer enrollments.
• Follow up with insurance companies regarding enrollment status.
• Perform PECOS and NPPES updates.
• Maintain accurate provider records and credentialing documentation.
• Ensure compliance with payer requirements and deadlines.
• Coordinate with internal teams and providers to resolve credentialing issues.

Requirements

• Previous experience in healthcare credentialing.
• Strong knowledge of US healthcare payer enrollment processes.
• Experience with Medicare, Medicaid, and commercial insurance enrollments.
• Excellent communication and follow-up skills.
• Strong attention to detail and organizational abilities.
• Ability to work independently and manage multiple deadlines.

Why Join Us?

• Opportunity to grow within the US healthcare industry.
• Work with an experienced healthcare operations team.
• Professional and collaborative work environment.
• Exposure to advanced credentialing and revenue cycle processes.