credentialing coordinator

Speak Viral

The Credentialing Executive is responsible for managing the provider enrollment and credentialing process with insurance companies, hospitals, and other healthcare organizations. This role ensures all providers are properly credentialed and enrolled to receive timely reimbursement for medical services, maintaining compliance with payer and regulatory requirements.Key Responsibilities:&middot; Prepare, review, and submit credentialing and re-credentialing applications for healthcare providers with commercial and government insurance payers (e.g., Medicare, Medicaid, BCBS, Aetna, UnitedHealthcare, Cigna, etc.).&middot; Maintain up-to-date records of providers in credentialing databases and online systems.&middot; Track the status of credentialing and enrollment applications, follow up with payers, and resolve any discrepancies or issues.&middot; Verify provider credentials, including licenses, board certifications, DEA, malpractice insurance, and other necessary documents.&middot; Coordinate with internal billing teams to ensure providers are properly linked and active with payers before billing.&middot; Update and maintain CAQH profiles, NPI registrations, and PECOS enrollments.&middot; Manage expirables (licenses, insurance, certifications) and notify providers of renewals.&middot; Ensure compliance with federal, state, and payer-specific regulations.&middot; Generate and maintain credentialing reports and dashboards.&middot; Communicate professionally with providers, practice managers, and insurance representatives.Required Qualifications:&middot; Bachelor&rsquo;s degree in Healthcare Administration, Business, or a related field (or equivalent work experience).&middot; 1&ndash;3 years of experience in medical credentialing, provider enrollment, or medical billing.&middot; Knowledge of CAQH, NPPES, PECOS, and payer portals.&middot; Strong understanding of commercial and government payer processes.&middot; Excellent communication and organizational skills.&middot; Proficiency in MS Office (Excel, Word, Outlook) and credentialing software.&middot; Ability to handle multiple tasks, prioritize, and meet deadlines.Preferred Qualifications:&middot; Experience with US-based healthcare systems or RCM/BPO companies.&middot; Certification in credentialing (e.g., CPCS, CPMSM) is a plus.&middot; Knowledge of medical billing and compliance regulations (HIPAA, CMS).Key Competencies:&middot; Attention to detail and accuracy&middot; Strong problem-solving and analytical skills&middot; Professional communication and interpersonal skills&middot; Time management and ability to work independently&middot; Team collaborationJob Type: Full-timePay: Rs30,000.00 - Rs50,000.00 per monthApplication Question(s):<ul><li>Will you be able to work night shift(7pm to 4am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Credentialing Executive

The Credentialing Team Lead oversees the daily operations of the credentialing team to ensure accurate, efficient, and compliant processing of provider applications, verifications, and re-credentialing activities. This role serves as the primary liaison between the credentialing team, leadership, and other departments to maintain compliance with regulatory and payer requirements. The Team Lead is responsible for workflow coordination, staff training, quality assurance, and continuous process improvement within the credentialing function.Key Responsibilities:Leadership &amp; Team Oversight&middot; Supervise day-to-day credentialing activities to ensure timely and accurate completion of all provider files.&middot; Assign and monitor workloads to meet departmental goals and service level agreements (SLAs).&middot; Provide ongoing coaching, performance feedback, and training to credentialing specialists.&middot; Support new team members through onboarding and mentoring.Credentialing Operations&middot; Review and approve credentialing files prior to submission to payers or committees.&middot; Ensure compliance with NCQA, URAC, CMS, Joint Commission, and state/federal guidelines.&middot; Coordinate initial credentialing, re-credentialing, and primary source verification processes.&middot; Assist in the maintenance and auditing of credentialing databases and systems (e.g., CAQH, Cactus, Verity, or other platforms).&middot; Respond to escalated provider and payer inquiries in a timely and professional manner.Quality &amp; Compliance&middot; Monitor quality control measures to ensure data accuracy and regulatory compliance.&middot; Prepare reports and metrics on credentialing performance, turnaround times, and productivity.&middot; Support internal and external audits and ensure corrective actions are implemented as needed.&middot; Stay current with evolving industry regulations and best practices.Process Improvement &amp; Collaboration&middot; Identify workflow gaps and lead process improvement initiatives.&middot; Collaborate cross-functionally with provider enrollment, contracting, and human resources teams.&middot; Recommend system enhancements and contribute to policy and procedure updates.Qualifications:Education &amp; Experience&middot; Bachelor&rsquo;s degree preferred (Healthcare Administration, Business, or related field).&middot; Minimum 3&ndash;5 years of experience in provider credentialing or medical staff services.&middot; At least 1&ndash;2 years of experience in a leadership, senior, or team lead capacity preferred.Knowledge, Skills &amp; Abilities&middot; In-depth understanding of credentialing standards (NCQA, URAC, CMS, and state requirements).&middot; Strong organizational and multitasking abilities with keen attention to detail.&middot; Excellent written and verbal communication skills.&middot; Proficiency in credentialing software and Microsoft Office Suite.&middot; Ability to lead, motivate, and develop team members in a fast-paced environment.Job Type: Full-timePay: Rs70,000.00 - Rs110,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(7pm to 4am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Credentialing Team Lead

Ayzel Global

Company OverviewMedBillz is a US-focused medical billing and revenue cycle management company that helps healthcare providers improve compliance, reduce claim denials, and streamline payer enrollment processes.This role is being hired and managed through Ayzel Global, supporting MedBillz&rsquo;s growing US provider base.Role OverviewWe are seeking a Medical Credentialing Specialist with hands-on experience in US provider enrollment and payer credentialing. The role requires managing end-to-end credentialing workflows, ensuring compliance with payer and regulatory requirements, and working closely with billing and operations teams to prevent revenue disruptions.This is a detail-intensive role suited for professionals who understand the administrative and compliance side of US healthcare systems.Key Responsibilities<ul><li>Manage end-to-end provider credentialing and re-credentialing processes</li><li>Enroll providers with Medicare, Medicaid, and commercial payers</li><li>Complete and maintain CAQH profiles (attestation, updates, audits)</li><li>Track credentialing timelines, expirations, and renewals</li><li>Communicate with insurance payers to resolve credentialing issues</li><li>Maintain accurate credentialing records and documentation</li><li>Coordinate with billing teams to ensure claims readiness post-credentialing</li><li>Ensure compliance with US healthcare regulations and payer requirements</li><li>Support audits and credentialing-related inquiries</li></ul>Required Qualifications<ul><li>1&ndash;3+ years of experience in US medical credentialing or provider enrollment</li><li>Hands-on experience with CAQH, Medicare, Medicaid, and commercial payers</li><li>Strong understanding of US healthcare credentialing workflows</li><li>Excellent attention to detail and documentation skills</li><li>Strong written and verbal English communication</li><li>Ability to manage multiple providers and deadlines simultaneously</li></ul>Preferred Skills (Nice to Have)<ul><li>Experience working with US medical billing or RCM companies</li><li>Familiarity with EHRs, practice management systems, or credentialing software</li><li>Experience credentialing across multiple specialties</li><li>Prior experience working with US clients or offshore healthcare teams</li></ul>What We Offer<ul><li>Full-time, stable role within a growing US healthcare services company</li><li>Competitive salary (based on experience)</li><li>Exposure to US healthcare compliance and payer systems</li><li>Structured processes and long-term growth opportunities</li><li>Supportive, systems-driven work environment</li></ul>Work Type<ul><li>Work Type: Full-time</li><li>Location: On-site / Remote (as per company policy)</li><li>Client: US Healthcare Company (MedBillz)</li></ul>Job Type: Full-timePay: Rs85,000.00 - Rs125,000.00 per monthWork Location: In person

Medical Credentialing Specialist

MeshSquare

Job description:Position: Senior Credentialing SpecialistCompany: Meds NexusLocation: Office # 1st, 5th Floor, Gold Mark Plaza, Asghar Mall Rd, Asghar Mall Scheme, Rawalpindi, Punjab 46000Job Timing: 06:00 PM To 03:00 AM (EVENING SHIFT)Job Type: Night ShiftExperience Required: 2-3 yearsPosition Available: 2Special Note: This job is not for fresh candidates.About Us:Meds Nexus is a leading medical billing company based in Rawalpindi, dedicated to streamlining healthcare financial processes. We are actively seeking a detail-oriented and motivated individual to join our Credentialing team as a Senior Credentialing Specialist.Key Responsibilities:- Accurately complete credentialing and reappointment applications for Outpatient and ABA providers.- Track progress of applications and report to Client Managers/Team Leaders.- Monitor and update provider portals for accurate information.- Maintain current provider records electronically and in hard copy folders.- Assist in obtaining required documentation from providers.- Prepare professional communication to providers, payers, and facilities.- Understand the impact of credentialing on billing, contracts, and EDI.- Investigate and determine solutions to problems.- Communicate clearly and professionally with team members, payers, and credentialing representatives.- Process ERA &amp; EFT applications.- Have brief knowledge of Government, MCOs, and commercial insurance enrollments.Salary Package:- Basic: up to Rs.100,000 per monthJob Rewards and Benefits:- Paid Leaves- HR Bonus- Loan Policy- Advance Salary- Yearly Loyalty Rewards- Leave Encashment- Inflation Bonus- Promotion- Increments- Medical (TBD)- Employee Equity Funds Program (EEFP)- Saturday and Sunday Off- Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)How to Apply:If you are ready to contribute to a dynamic team and take the next step in your finance career, please submit your resume and a cover letter outlining your relevant experience to hr@medsnexus.com. Please include &quot;Account Assistant Application&quot; in the subject line.Application Deadline: On an urgent basisMeds Nexus is an equal-opportunity employer. We encourage applications from candidates of all backgrounds and experiences.Contact Information:- Email: hr@medsnexus.com- Phone: 051 889-2889 WhatsApp: 03708892889Job Type: Full-timePay: Rs100,000.00 - Rs150,000.00 per monthWork Location: In person

Senior Credentialing Specialist (Medical Billing)

About XenMD XenMD is a leading healthcare solutions company providing medical billing, coding, credentialing, and digital marketing services to healthcare providers across the U.S. With a strong focus on innovation and teamwork, we&rsquo;re dedicated to helping our clients streamline their operations and grow their practices &mdash; while fostering a collaborative, growth-oriented work environment for our team.Position OverviewWe are seeking a creative and detail-oriented Video Animator to join our marketing and creative team. The ideal candidate will be responsible for producing engaging, high-quality animated videos that simplify complex healthcare and business concepts for our clients and audience. You will work closely with our content, marketing, and design teams to create visually appealing explainer videos, service ads, social media reels, and motion graphics that align with the XenMD brand.Key ResponsibilitiesDesign and produce 2D and motion graphic videos for marketing, education, and internal communication. Create animated explainer videos for XenMD&rsquo;s services (billing, credentialing, marketing, etc.). Collaborate with scriptwriters, voiceover artists, and designers to deliver cohesive storytelling. Develop storyboards, style frames, and animations that effectively communicate ideas. Edit and enhance existing video content for campaigns and social media platforms. Ensure all video content aligns with XenMD&rsquo;s branding and messaging standards. Stay up to date with animation trends, tools, and creative techniques to keep content fresh and engaging.QualificationsBachelor&rsquo;s degree in Animation, Multimedia Arts, Design, or a related field. Proven experience (2+ years) as a Video Animator or Motion Graphic Designer. Proficiency in Adobe After Effects, Premiere Pro, Illustrator, Photoshop, and related animation tools. Strong sense of timing, movement, and visual storytelling. Ability to manage multiple projects and meet deadlines in a fast-paced environment. Familiarity with social media video formats (Reels, YouTube, LinkedIn, etc.). Basic understanding of the healthcare or medical industry is a plus, but not required.What We OfferA collaborative and creative work environment. Competitive salary based on experience. Opportunities for professional growth and training. Work with a dynamic team supporting healthcare providers across the U.S.Job Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(7pm to 4am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

2D Video Animator

Taseer Developers

Female Office CoordinatorWe are looking for a reliable and organized Office Coordinator to join our team.Responsibilities:Manage daily office operations and administrative tasks.Coordinate schedules, meetings, and office supplies.Support staff and ensure smooth office workflowRequirements:Proven experience as an Office Coordinator or in a similar role.Strong organizational and communication skills.Salary: 60Klocation: Bahria town phase 7 RawalpindiApply now: Send your CV to 03195201190Job Type: Full-timePay: From Rs60,000.00 per monthWork Location: In person

Female Office Coordinator

About Us: XenMD is a healthcare support company offering medical billing, insurance credentialing, and digital marketing services to healthcare providers. We value creativity, collaboration, and quality in everything we do&mdash;and we&rsquo;re growing our creative team to better serve our brand and clients.Position Overview: We&rsquo;re looking for a talented Video Editor to join our in-house creative team. This role is ideal for someone who is passionate about storytelling through video, has a keen eye for design, and enjoys bringing healthcare and corporate branding to life in a fresh and engaging way.Key Responsibilities:<ul><li>Edit promotional, testimonial, training, and social media videos for XenMD and client projects.</li><li>Create visually appealing graphics, infographics, reels, thumbnails, and social media posts.</li><li>Collaborate with the marketing and operations teams to conceptualize and execute visual content.</li><li>Ensure all designs and videos align with brand guidelines and messaging.</li><li>Animate graphics and incorporate motion design where required.</li><li>Manage and organize multimedia files, and ensure timely delivery of projects.</li><li>Stay updated with the latest design and editing trends.</li></ul>Requirements:<ul><li>Proficiency in Adobe Creative Suite (Premiere Pro, After Effects, Photoshop, Illustrator, InDesign).</li><li>Strong portfolio showcasing both video editing and graphic design work.</li><li>Understanding of storytelling, pacing, transitions, and color grading in video.</li><li>Ability to adapt designs for digital platforms including web, social media, and presentations.</li><li>Strong attention to detail and ability to handle multiple projects simultaneously.</li><li>Good communication and teamwork skills.</li><li>Bachelor&rsquo;s degree in Multimedia Arts, Design, or a related field (preferred).</li></ul>What We Offer:<ul><li>Friendly and creative work environment</li><li>Opportunity to work on diverse projects</li><li>Market-competitive salary</li><li>Room to grow and explore your creative strengths</li><li>Flexible collaboration with marketing and branding professionals</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(7pm to 4am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Video Editor

Explore 19+ Credentialing coordinator in Rawalpindi Pakistan this January. Find roles across top companies and apply now to boost your career.