Medical Credentialing Specialist

Overview:

Responsible for managing and maintaining provider credentialing with hospitals, surgery centers, and relevant networks, ensuring compliance with all state, federal, and accreditation requirements.

Key Responsibilities:

• Prepare and submit credentialing applications for physicians and allied health providers

• Maintain up-to-date records of licenses, certifications, malpractice insurance, and CAQH profiles

• Track and renew credentials proactively to avoid lapses

• Communicate with hospitals, payers, and accreditation bodies to resolve credentialing issues

• Ensure compliance with regulatory and accreditation standards

Qualifications:

• Experience with provider credentialing in a medical practice or healthcare setting

• Knowledge of CAQH, PECOS, NPPES, and payer enrollment processes

• Strong attention to detail and organizational skills

• Ability to handle confidential information securely

We are hiring for an on-site position where fluency in English is mandatory.

Work Hours: 6:00 AM to 3:00 PM

Salary: PKR 150,000 per month

Credentialing Knowledge

Attention to Detail

Communication Skills

Time Management

Knowledge of U.S. Healthcare Regulations

Problem Solving

Experience with Credentialing Software

Record-Keeping and File Management

Team Collaboration

Confidentiality & Ethics

Ask ChatGPT