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credentialing specialist

Speak Viral

We are looking for a Credentialing Specialist to join our team and oversee administrative tasks dealing with our health facility&rsquo;s credentialing.Credentialing Coordinator responsibilities include maintaining and verifying files and tracking the expiration of certifications throughout the organization.Ultimately, you will work with different departments across our organization to ensure staff members have the necessary accreditations needed throughout the year.Responsibilities<ul><li>Identify discrepancies in information and conduct follow-ups</li><li>Present applications to the facility&rsquo;s Credentialing Committee</li><li>Assist customers with credentialing inquiries</li><li>Respond to health plan provider inquiries</li><li>Capture primary source documentation in computer databases</li><li>Ensure data is backed up</li><li>Follow compliance laws, regulations, procedures, and policies</li></ul>Requirements and skills<ul><li>Proven work experience as a Credentialing Coordinator or similar role</li><li>Excellent verbal and written communication skills</li><li>Expertise with Microsoft Office Word and Excel</li><li>Proficient touch-typing skills</li><li>Ability to focus for extended periods</li><li>Relevant training and/or certifications as a Credentialing Coordinator</li></ul>Benefits: Increment after Probation Annual Increment Free Meal/Tea Career GrowthJob Type: Full-timePay: Rs50,000.00 - Rs100,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

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: 05:30 PM To 02:30 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)

BLSMedicalBilling

The Credentialing Specialist is primarily responsible for managing all facets of the healthcare provider credentialing, re-credentialing, privileging, and payer enrollment processes. This role ensures that all providers are properly vetted, authorized to practice, and successfully enrolled with insurance payers to facilitate timely reimbursement, with secondary duties supporting Accounts Receivable functions.Primary Duties and Responsibilities: Credentialing<ul><li>Initial Credentialing &amp; Reappointment: Manage the complete credentialing lifecycle for all practitioners, including initial applications and timely reappointment/re-credentialing.</li><li>Collect, organize, and thoroughly review all required documents (licenses, certifications, education, malpractice history, etc.).</li><li>Perform Primary Source Verification (PSV) of all credentials according to delegated and internal policies.</li><li>Payer Enrollment &amp; Maintenance:</li><li>Prepare, submit, and diligently track provider enrollment applications (initial setup, changes, terminations) with Medicare, Medicaid, and all commercial insurance carriers.</li><li>Ensure NPI, CAQH, PECOS, and state enrollment profiles are accurate, current, and attested to promptly.</li><li>Database Management: Accurately enter and maintain all provider credentialing, privileging, and payer enrollment data in the credentialing software (e.g., Cactus, MD-Staff, Symplr).</li><li>Compliance &amp; Audits:</li><li>Maintain current knowledge of state/federal regulations, medical staff bylaws, and accreditation standards (e.g., NCQA, TJC) related to credentialing and provider enrollment.</li><li>Assist in preparing for and participating in external payer or accreditation audits.</li><li>Expirables Management: Proactively monitor and track all provider expiration dates (licenses, DEA, certifications, insurance), ensuring timely renewal processes are initiated to prevent lapses in coverage or billing capacity.</li><li>Committee Support: Prepare files and relevant documentation for Credentialing Committee review and meetings.</li></ul>Secondary Duties: AR Support<ul><li>Payer Communication: Serve as a liaison between the revenue cycle team and insurance payers regarding provider enrollment issues that impact claim processing.</li><li>Denial Resolution: Assist the billing team by quickly resolving claim denials or rejections directly tied to credentialing or provider enrollment errors (e.g., &quot;provider not on file,&quot; &quot;invalid provider number&quot;).</li><li>Data Integrity: Verify that provider demographic information is consistent across the credentialing system, billing system, and payer enrollment portals.</li></ul>Qualifications and SkillsRequired Skills<ul><li>Expert Knowledge: Deep, working knowledge of the credentialing process, PSV requirements, and payer enrollment procedures.</li><li>Technology: Proficient in using specialized credentialing software (required) and familiarity with electronic health record (EHR) and medical billing systems (preferred).</li><li>Compliance &amp; Detail: Exceptional organizational skills and meticulous attention to detail to handle highly sensitive and regulated documentation.</li><li>Interpersonal Skills: Professional and effective communication skills to interact with providers, internal leadership, and external payer contacts.</li></ul>Education and Experience<ul><li>Minimum of 1 to 3 years of dedicated experience in healthcare provider credentialing, preferably in a group practice, hospital, or managed care setting.</li><li>Associate's or Bachelor's degree in Healthcare Administration or a related field is preferred.</li><li>Certification (Highly Preferred): Certified Provider Credentialing Specialist (CPCS).</li></ul>Job Type: Full-timePay: Rs35,000.00 - Rs55,000.00 per monthExperience:<ul><li>credentialing: 1 year (Preferred)</li></ul>Work Location: In person

Credentialing Specialist with AR Support

sequel technologies

Location: Bahria Town Phase 7 (On-site; preference for residents of Bahria, DHA, Askari 14, or nearby areas)Company Description Sequel Technologies, a software company providing healthcare IT and medical billing services to the US market.<ul><li>Role Description</li></ul>Support the provider's enrollment and credentialing process for various insurance carriers.<ul><li>Collect, verify, and process provider information and required documentation.</li><li>Enter and maintain accurate data in internal systems and payer portals.</li><li>Track application status and follow up with insurance companies or clients as needed.</li><li>Ensure compliance with payer requirements and company policies.</li><li>Collaborate with internal teams (billing, operations, client support) to ensure timely provider setup.</li><li>Generate and update reports related to enrollment status and progress.</li><li>Provide excellent customer service to clients by communicating updates clearly and professionally.</li></ul>Qualifications <ul><li>Education: Bachelor&rsquo;s degree in business administration, healthcare management, information technology, or any related field.</li><li>Experience: No prior experience required. Fresh graduates are encouraged to apply.</li><li>Technical Skills:</li><li>Proficiency in Microsoft Office Suite (Excel, Word, Outlook).</li><li>Basic understanding of databases or healthcare software systems is a plus.</li><li>Soft Skills:</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication and interpersonal skills.</li><li>Ability to multitask and work effectively in a fast-paced environment.</li><li>Eagerness to learn and grow within the healthcare technology industry.</li></ul>Timings <ul><li>6:00 PM to 3:00 AM</li></ul>Benefits <ul><li>Healthcare (OPD + IPD)</li><li>Entertainment Allowance</li><li>Cellular Allowance</li><li>Provident Fund</li></ul>Job Types: Full-time, FresherWork Location: In person

Enrollment Representative

Job description:Meds Nexus Pvt. Ltd. is looking for a &quot;Medical Billing Team Lead&quot; to manage our billing team and efforts.We are a medical billing company that manages medical billing for US healthcare entities including hospitals, ERs, Urgent Care Centers, and multi-specialty doctor clinics.We use a combination of US and Pakistan-based team members to provide excellent services to our customers.We have a productivity, customer care, and employee care culture with very honest disciplined processes.We honor and reward professionalism and corporate loyalty.5. We work hard and enjoy hard.If you think you are looking for an organization where you will have excellent opportunities to grow and use your innovation and professionalism to the highest levels, please read on.Professional Skills:Experienced in multi-specialty US medical billing.Experienced in managing a team of billing executives.General knowledge of medical credentialing processes and the ability to coordinate with a credentialing specialist(s).Experienced in managing small to large scale A/R5. Experienced in Hands-on in-patient (Hospitals/ERs) and out-patient (Urgent Care Centers/Doctor Clinics) medical billing. You should be able to prepare, quality assure, and submit a claim. You should be able to follow up on a claim, rejection, and denial.Experienced in managing patient billing and coordinating with US-based team members for patient billing and care.Medium to advanced level use of software such as MS Outlook email software, MS Word, and advanced level expertise with MS Excel.Experienced with multiple medical billing software.Experience with ICD-10. related specialty CPT codes, and respective modifiers. You should be able to guide your team to manage claim quality.Personal Skills:Excellent communication skills. Customer service is very important to us.Honesty, truthfulness, corporate loyalty, and hardworking.Excellent English communication skills. You should be able to talk to physicians&rsquo; offices, hospitals, and patients directly. Be able to communicate with the US team members.While you will initially be hands-on billing, you should be able to manage a team of billers, and manage conflicts for your team.Be able to work on a computer for long hours.You should be able to dress professionally and manage a professional dress code for your team as well.You should be able to create a culture of high-level professionalism, productivity, and honesty within the team and project the same to the rest of the company. Perks &amp; Benefits:<ul><li>Paid Leaves</li><li>HR Bonus</li><li>Inflation Bonus</li><li>Promotion</li><li>Increments</li><li>Medical Coverage</li><li>Leave Encashment</li><li>Contributing Saving Plan (CSP)</li><li>Saturday and Sunday Off</li><li>Transportation allowances only for female staff</li><li>Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)</li></ul>Office Timing:<ul><li>6:00PM to 3:00AM (Night Shift) On-Site</li></ul>Job Type: Full-timeAbility to commute/relocate:<ul><li>Rawalpindi Asghar Mall: Reliably commute or planning to relocate before starting work (Required)</li></ul>Job Type: Full-timePay: Rs100,000.00 - Rs150,000.00 per monthWork Location: In person

Team Lead

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(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

3D Video Animator

Job description:An SEO Content Writer at our firm will be expected to create concise, informative, and engaging content catered to the Medical Billing. This person should have a clear understanding of how search engines operate, This includes knowledge about keywords and the ability to write compelling copy. The candidate for this role must possess the appropriate content writing experience, with medical billing as the area of expertise, and must be skilled at explaining complex concepts in a simple manner.Key Responsibilities:<ul><li>Write articles, website pages, blogs, and other marketing content optimized for SEO to support Medical Billing and Credentialing Services.</li><li>Researched and applied SEO vernacular to enhance user engagement and content visibility.</li><li>Research and remain informed about alterations to industry trends, algorithms, and changes to the seo and marketing content best practices.</li></ul>Qualifications:<ul><li>Hold a Bachelor&rsquo;s in Marketing, English, Communications, or any other relevant field.</li><li>Have over 3-4 years of professional experience in content writing with expertise in.</li><li>Experience in medical billing or knowledge surrounding processes and terminologies used during medical billing.</li><li>Considerable understanding of content marketing principles and content creation.</li></ul>Preferred Skills:<ul><li>Basic understanding of digital marketing strategies and practices.</li><li>Familiar with creating content adapted to fit semantic search engines.</li><li>Proficiency in medical coding (CPT, HCPCS, ICD-10) would be an advantage.</li></ul>Perks &amp; Benefits:<ul><li>Paid Leaves</li><li>HR Bonus</li><li>Inflation Bonus</li><li>Promotion</li><li>Increments</li><li>Medical Coverage</li><li>Leave Encashment</li><li>Contributing Saving Plan (CSP)</li><li>Saturday and Sunday Off</li><li>Transportation allowances only for female staff</li><li>Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)</li></ul>Office Timing:<ul><li>5:30 PM to 2:30 AM (Night Shift) On-Site</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs85,000.00 per monthAbility to commute/relocate:<ul><li>Rawalpindi Asghar Mall: Reliably commute or planning to relocate before starting work (Required)</li></ul>Experience:<ul><li>Content Writing: 3 years (Required)</li></ul>Location:<ul><li>Rawalpindi Asghar Mall (Required)</li></ul>Work Location: In personJob Type: Full-timeJob Type: Full-timePay: Rs50,000.00 - Rs85,000.00 per monthWork Location: In person

Content Writer (on-site)

Explore 38+ Credentialing specialist in Medical Billing Jobs In Medical Billing Jobs In Medical Billing Jobs In Rawalpindi Pakistan this November. Find roles across top companies and apply now to boost your career.