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credentialing specialist

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educator / academics quality & training lead

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male assistant team leader

credentialing team lead

Speak Viral

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

Credentialing Team Lead

Meds IT Nexus

Job descriptionJob descriptionMeds Nexus is looking for candidates on the night shift with experience as Team Lead Credentialing &amp; EDI. The candidate should be enthusiastic and must have a proven work experience in performing all New Client Account Setups, Research and Development activities, ensuring that the credentialing requirements for government and commercial payers are met, Submit and follow-up on submitted credentialing requests to all contracted commercial payers and government agencies, maintain the close working relations experience will be preferred along with Basic IT skills (databases, MS Office, etc.)Job Responsibilities:3 to 5 years of experience in credentialing departmentAt least 1 year of experience in a Supervisory RoleExperience in credentialing different specialties with major regular and private payers state-wiseReview the approval and termination of professional provider contracts as they relate to the credentialing processEnsure accurate and timely information for re-credentialing, data analysis, and directory generation, as well as recommending changes to the credentialing criteria and processesMaintain all credentialing and re-credentialing policies and processes to ensure that they comply with all applicable regulationsDevelop and implement departmental goals and objectives with input from staff membersDevelop and implement departmental policies and procedures that guide and support the provision of servicesInteract with all customers to ensure prompt and accurate communication as needed to provide the service expected and to meet the goals of the service.Job Types: Contract, Full-timeContract length: 36 month<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>Credentialing &amp; Enrollment + EDI: 5+ years (Preferred)</li></ul>Language:<ul><li>Fluent English (Preferred)</li></ul>Job Type: Full-timeAbility to Relocate:<ul><li>Rawalpindi: Relocate before starting work (Required)</li></ul>Job Type: Full-timePay: Rs100,000.00 - Rs150,000.00 per monthWork Location: In person

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

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 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 Executive

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

2D Video Animator

MeshSquare

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>6:00 PM to 3:00 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

Tech Solutions Pro

About Us:We are a growing software development and digital solutions company focused on delivering innovative and scalable products. Our current tech stack includes MERN and Laravel, and we&rsquo;re expanding to Python and AI in the near future. We are looking for a dynamic and experienced Team Lead to lead and mentor our development teams.Key Responsibilities:<ul><li>Lead, mentor, and manage a team of Full Stack Developers (MERN, Laravel, and future Python/AI engineers).</li><li>Oversee the end-to-end software development lifecycle, ensuring timely and high-quality deliverables.</li><li>Collaborate closely with product managers, designers, and other stakeholders to define and implement technical solutions.</li><li>Set coding standards, conduct code reviews, and ensure best practices are followed.</li><li>Design and develop scalable and secure web applications and APIs.</li><li>Plan sprints, allocate tasks, and monitor progress effectively.</li><li>Stay updated with the latest technologies and contribute to architectural decisions.</li><li>Support in hiring, onboarding, and training new team members.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree in Computer Science, Software Engineering, or a related field.</li><li>3+ years of professional full stack development experience.</li><li>1+ year of proven experience as a Team Lead or Technical Lead.</li><li>Strong expertise in MERN stack (MongoDB, Express.js, React.js, Node.js) and Laravel.</li><li>Experience in architecting scalable and maintainable systems.</li><li>Excellent understanding of Git workflows, CI/CD pipelines, and modern development practices.</li><li>Strong communication, leadership, and problem-solving skills.</li><li>Willingness to work onsite with cross-functional teams.</li></ul>Nice to Have:<ul><li>Familiarity with Python, AI/ML technologies, or data engineering.</li><li>Experience working in agile environments.</li><li>Exposure to cloud platforms like AWS or Azure.</li></ul>Job Type: Full-timePay: Rs110,000.00 - Rs130,000.00 per monthWork Location: In person

Team Lead – Software Development (Full Stack)

Explore 263+ Credentialing team lead in Medical Billing Jobs In Medical Billing Jobs In Medical Billing Jobs In Rawalpindi Pakistan this December. Find roles across top companies and apply now to boost your career.

263 credentialing team lead jobs IN Medical Billing Jobs In Medical Billing Jobs In Medical Billing Jobs In Rawalpindi Pakistan

Credentialing Team Lead

Credentialing Team Lead

Credentialing Specialist

Credentialing Executive

2D Video Animator

Content Writer

Team Lead – Software Development (Full Stack)