Back
Credentialing Specialist I Medical Billing I Bahria Town (Phase 7)
HR Business Solutions
Islamabad
On-site
Full-time
3-5 Years
5 days ago
Apply

HRBS is seeking a detail-oriented and experienced Credentialing Specialist to join our team. The ideal candidate must have experience working with USA-based medical billing companies and a strong understanding of provider enrollment and credentialing processes.

Key Responsibilities
  • Manage provider credentialing and re-credentialing with insurance payers.
  • Complete and submit enrollment applications accurately and on time.
  • Follow up with insurance companies regarding application status.
  • Maintain CAQH profiles and provider documentation.
  • Ensure compliance with payer and regulatory requirements.
  • Coordinate with clients and internal teams to resolve credentialing issues.
  • Prepare credentialing reports and maintain accurate records.
Requirements
  • 1–2 years of experience in credentialing with a USA-based medical billing company.
  • Strong knowledge of creating CAQH, NPI, PECOS, and commercial insurance enrollment.
  • Excellent spoken and written English communication skills.
  • Strong organizational and problem-solving abilities.
  • Proficiency in MS Office and credentialing software.
What We Offer
  • Competitive salary package.
  • Professional and growth-oriented work environment.
  • Opportunity to work with international healthcare clients.
  • Career growth and learning opportunities.