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credentialing specialist

CloudRCM Solutions

CloudRCM Solutions is a leader in healthcare revenue cycle management, committed to delivering efficient and reliable solutions to our clients. We pride ourselves on fostering a professional and collaborative work environment. We are currently looking for a Credentialing Specialist with at least 3 year of experience to join our growing team.Job Summary: As a Credentialing Specialist, you will be responsible for managing the credentialing process for healthcare providers, ensuring compliance with payer requirements and industry standards.Key Responsibilities:<ul><li>Provider Credentialing:</li><li>Process credentialing applications for healthcare providers.</li><li>Verify and maintain accurate provider information with insurance companies and regulatory bodies.</li><li>Ensure all documentation is complete, accurate, and submitted within deadlines.</li><li>Communication and Coordination:</li><li>Serve as the primary point of contact for providers regarding credentialing updates and requirements.</li><li>Liaise with insurance companies, healthcare facilities, and internal teams to resolve credentialing issues.</li><li>Compliance Management:</li><li>Maintain compliance with industry regulations, accreditation standards, and payer requirements.</li><li>Track license renewals, certifications, and other required documents.</li><li>Data Management:</li><li>Update and maintain provider credentialing databases.</li><li>Generate regular reports on credentialing status and activities.</li><li>Problem Solving:</li><li>Address and resolve issues related to provider enrollment and credentialing delays.</li><li>Ensure smooth onboarding of new providers by coordinating credentialing activities</li></ul>EXPERIENCE REQUIRED:<ul><li>3 year of experience in provider credentialing or a related field.</li><li>Knowledge of healthcare credentialing processes and payer enrollment requirements.</li><li>Familiarity with credentialing software and databases.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication skills (verbal and written).</li><li>Ability to work independently and manage multiple tasks in a deadline-driven environment.</li><li>Proficiency in MS Office (Word, Excel, Outlook).</li></ul>Joining: Immediate joining Within a weekJob Type: Full-time Shift: (6:00 PM - 3:00 AM) Night shift Job Location: Bahria Phase 4, RawalpindiJob Type: Full-timeWork Location: In personExpected Start Date: 13/10/2025

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 Growth Job Type: Full-time, Night Shift from 6pm to 3am (Mon-Fri)Job 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

Meds IT Nexus

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.80,000 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: 051 889-2889Job Type: Full-timeJob Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per month

Senior Credentialing Specialist (Medical Billing)

CloudRCM Solutions is a leader in healthcare revenue cycle management, committed to delivering efficient and reliable solutions to our clients. We pride ourselves on fostering a professional and collaborative work environment. We are currently looking for a Credentialing Specialist with at least 3 year of experience to join our growing team.Job Summary: As a Credentialing Specialist, you will be responsible for managing the credentialing process for healthcare providers, ensuring compliance with payer requirements and industry standards.Key Responsibilities:<ul><li>Provider Credentialing:</li><li>Process credentialing applications for healthcare providers.</li><li>Verify and maintain accurate provider information with insurance companies and regulatory bodies.</li><li>Ensure all documentation is complete, accurate, and submitted within deadlines.</li><li>Communication and Coordination:</li><li>Serve as the primary point of contact for providers regarding credentialing updates and requirements.</li><li>Liaise with insurance companies, healthcare facilities, and internal teams to resolve credentialing issues.</li><li>Compliance Management:</li><li>Maintain compliance with industry regulations, accreditation standards, and payer requirements.</li><li>Track license renewals, certifications, and other required documents.</li><li>Data Management:</li><li>Update and maintain provider credentialing databases.</li><li>Generate regular reports on credentialing status and activities.</li><li>Problem Solving:</li><li>Address and resolve issues related to provider enrollment and credentialing delays.</li><li>Ensure smooth onboarding of new providers by coordinating credentialing activities</li></ul>EXPERIENCE REQUIRED:<ul><li>3 year of experience in provider credentialing or a related field.</li><li>Knowledge of healthcare credentialing processes and payer enrollment requirements.</li><li>Familiarity with credentialing software and databases.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication skills (verbal and written).</li><li>Ability to work independently and manage multiple tasks in a deadline-driven environment.</li><li>Proficiency in MS Office (Word, Excel, Outlook).</li></ul>Joining: Immediate joining Within a weekJob Type: Full-time Shift: (6:00 PM - 3:00 AM) Night shift Job Location: Bahria Phase 4, RawalpindiJob Type: Full-timeWork Location: In personApplication Deadline: 28/07/2025 Expected Start Date: 01/10/2025

Sr. Credentialing Analyst

HIVETECH Global

Role Summary:We are seeking a motivated and experienced Recruitment Specialist to join our HR team. The Recruitment Specialist will be responsible for managing the full recruitment cycle &ndash; from identifying hiring needs to onboarding qualified candidates. The role requires strong networking, communication, and organizational skills to attract and retain top talent for the organization.Key Responsibilities:<ul><li>Collaborate with department managers to identify hiring needs and workforce planning.</li><li>Draft, post, and manage job advertisements on various platforms (online job portals, LinkedIn, social media, etc.).</li><li>Screen resumes, shortlist candidates, and conduct initial interviews.</li><li>Coordinate and schedule interviews between candidates and hiring managers.</li><li>Manage the end-to-end recruitment process including reference checks, offer letters, and onboarding.</li><li>Build and maintain a talent pipeline for future hiring needs.</li><li>Develop and maintain strong relationships with universities, recruitment agencies, and other talent sources.</li><li>Maintain applicant tracking systems and recruitment reports.</li><li>Ensure compliance with company policies and labor laws throughout the hiring process.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree in Human Resources, Business Administration, or related field.</li><li>Proven work experience as a Recruitment Specialist, Talent Acquisition Officer, or similar role.</li><li>Strong understanding of recruitment processes, sourcing techniques, and applicant tracking systems.</li><li>Excellent communication, interpersonal, and negotiation skills.</li><li>Ability to work under pressure and meet deadlines.</li><li>Familiarity with labor laws and HR best practices.</li><li>Proficiency in MS Office and HR software.</li></ul>Preferred Qualifications:<ul><li>Experience recruiting in Sales.</li><li>Strong networking and relationship-building skills.</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs60,000.00 per monthWork Location: In person

Recruitment Specialist

Angular quantum

Hiring Alert! Actively looking for BPO Specialist. For a Business Process Outsourcing (BPO) role outlines responsibilities such as managing customer communications via phone, email, and chat, resolving issues, documenting interactions, achieving performance targets, and collaborating with teams.The specific duties vary by BPO role (e.g., BPO Executive, Specialist, or Sales Executive), but generally involve providing high-quality service, maintaining product knowledge, and improving processes.Key Responsibilities:- Customer Interaction: Handle customer inquiries, complaints, and issues through various channels like phone, email, and chat. -Problem Resolution: Troubleshoot problems, provide accurate information, and escalate complex issues to the appropriate departments. -Team Collaboration: Work with other departments and team members to ensure smooth operations and enhance the overall customer experience.Note: US Based timings (6pm-3am)(On Site) Excellent communication skills On Site role Bahria town phase 7 Rawalpindi Working Days:(Mon-Fri) Salary ranges from: 80,000 -120,000 PKRJob Type: Full-timePay: Rs80,000.00 - Rs120,000.00 per monthWork Location: In person

CSR for Inbound Calls

BPO Specialist

Explore 37+ Credentialing specialist in Rawalpindi this October. Find roles across top companies and apply now to boost your career.

37 credentialing specialist jobs IN Rawalpindi

Credentialing Specialist

Credentialing Specialist

Senior Credentialing Specialist (Medical Billing)

Sr. Credentialing Analyst

Recruitment Specialist

CSR for Inbound Calls

BPO Specialist