Medicare Credentialing Specialist

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