credentialing specialist Jobs in Pakistan

credentialing specialist

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advisory senior - healthcare consulting

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ar representative - medical billing

health care provider

International Medical Corps

<div>
 
 Job Summary
 
 
 
 The Nurse will work to contribute to an improvement in the overall health of the targeted population through the provision of quality health care (curative, preventive health care). This position is expected to triage patients, ensure smooth patient flow, provide clinical care, assist with referrals as needed and provide health education and hygiene promotion. In addition, the Nurse may also be requested to assist Health staff in another capacity as needed.
 
 
 To perform this job successfully, an individual must be able to perform each essential function with or without reasonable accommodation.
 
 
 
 Main Tasks And Responsibilities
 
 
 
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 Provide clinical nursing services according to internationally accepted standards.
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 Assist clinicians, midwives, laboratory, vaccination, and pharmacy in running of general duties as designated by the supervisor.
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 Manage triage, taking vital signs and organize patients for consultation.
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 Conduct vaccination for children and pregnant women.
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 Undertake dressing, suturing of deep wounds etc.
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 Conduct nursing care of patients as per guidelines &amp; instructions of the physician if working in inpatient department and carry out tasks according to the protocols.
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 Ensure compliance to MoH/WHO guidelines of rational drug use.
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 In collaboration with the supervisor provide treatment as per MOH/WHO treatment guidelines and protocols.
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 Ensure that patients are accurately registered and recorded for reporting and case management.
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 Ensure proper data management through completion of appropriate patient cards, registers, tally sheets, and reports.
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 Support conducting laboratory and other available and accessible investigations for patients.
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 Provide health education and hygiene promotion to patients based on their diagnoses and co-morbidities such as diet, activity, hygiene, and disease prevention (such as need for vaccination, suggest lifestyle changes etc.)
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 Attend physical examination of sexual and reproductive health patients especially for a male health care provider whenever requested.
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 Ensure relevant patients including children under 5 are screened for malnutrition or provide malnutrition services if trained and responsibilities assigned by the supervisor.
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 Work with supervisor to provide both didactic and on-the-job training to build capacity and enhance skills of other staff such as CHWs and nurse assistants.
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 Collaborate with other departments as needed to ensure smooth implementation and integration of services.
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 Adhere to administrative directives with regards to work schedules, record keeping, patient communications, confidentiality, re-stocking of essential drugs, consumables, and other medical supplies.
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 Carry out assigned additional duties including triage, IPC, child protection focal point, dispensing, and/or data management as needed.
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 Assist with the setup, maintenance and mobilization of the clinical spaces as required.
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 The duties and responsibilities listed are representative of the nature and level of work assigned and are not necessarily all-inclusive. The emergency nature of IMC work requires personnel to adapt to a rapidly changing landscape; duties may be reconfigured to meet operational requirements.
 
 
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 Policy Adherence
 
 
 
 <ul>
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 Actively promote PSEA (prevention of sexual exploitation and abuse) standards within International Medical Corps and among beneficiaries served by International Medical Corps.
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 Adhere to the Code of Conduct, maintain humanitarian principles and respect international humanitarian law at all times.
 
 
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 Perform other duties as assigned. The duties and responsibilities listed in this document are representative of the nature and level of work assigned and not necessarily all inclusive.
 
 
 
 Minimum Qualifications
 
 
 
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 Qualified and registered nurse from government recognized nursing Institute with a valid license to practice or a similar required qualification in the country for the position.
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 Previous experience in same capacity will be an edge.
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 Previous NGO experience preferable.
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 Good communications skills, both oral and written
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 Extremely flexible and have the ability to cope with stressful situations and frustrations.
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 Ability to relate to and motivate staff effectively.
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 Good decision-making skills
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 Must work independently under difficult conditions.
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 Able to take on non-medical responsibilities from time to time to cover for other team members.
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 Good reading and writing skills in English.
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 Fluency in spoken national and local language.
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 </ul>
</div>

Nurse, Health

Revmed

Job Summary:We are seeking a detail-oriented and experienced Medical Credentialing &amp; Enrollment Specialist to manage provider credentialing, re-credentialing, and payer enrollment processes. The ideal candidate will ensure compliance with insurance and regulatory requirements while maintaining accurate provider records and timely submissions.Key Responsibilities:<ul><li>Manage end-to-end provider credentialing and enrollment with insurance payers (Medicare, Medicaid, Commercial Plans).</li><li>Prepare and submit initial credentialing and re-credentialing applications.</li><li>Maintain and update provider information in CAQH (Council for Affordable Quality Healthcare).</li><li>Track application status and follow up with payers to ensure timely approvals.</li><li>Handle provider enrollment, revalidation, and demographic updates.</li><li>Maintain accurate records of provider credentials, licenses, certifications, and expirations.</li><li>Coordinate with internal departments (billing, HR, compliance) for required documentation.</li><li>Resolve credentialing-related issues and payer denials.</li><li>Ensure compliance with healthcare regulations and payer requirements.</li><li>Maintain credentialing database and prepare reports as required.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree or relevant experience in Healthcare Administration or related field.</li><li>1&ndash;3+ years of experience in US medical credentialing and enrollment.</li><li>Hands-on experience with CAQH, PECOS, NPPES, and payer portals.</li><li>Strong knowledge of Medicare, Medicaid, and commercial insurance processes.</li><li>Excellent communication and follow-up skills.</li><li>Strong attention to detail and organizational skills.</li><li>Ability to handle multiple providers and deadlines simultaneously.</li></ul>Preferred Skills:<ul><li>Experience in RCM (Revenue Cycle Management) environment.</li><li>Familiarity with credentialing software/tools.</li><li>Knowledge of compliance and healthcare regulations.</li><li>Ability to work independently and in a team environment.</li></ul>Benefits (Customize as per your company):<ul><li>Competitive Salary Package</li><li>Post-Probation &amp; Annual Increments</li><li>Family Health Insurance</li><li>Paid Leaves &amp; Leave Encashment</li><li>Performance &amp; Retention Bonuses</li><li>Meal Allowance</li><li>Pick &amp; Drop (for female staff)</li></ul>Job Type: Full-timeWork Location: In person

Medical Credentialing & Enrollment Specialists

HR Square Consultancy

We are looking for a responsible, caring, and experienced nanny to take care of child in a safe and nurturing environment.Responsibilities:<ul><li>Provide attentive care and supervision to the child</li><li>Assist with feeding, bathing, and daily routines</li><li>Engage in age-appropriate activities and playtime</li><li>Maintain cleanliness and hygiene of the child&rsquo;s space</li><li>Light housekeeping related to the child</li></ul>Requirements:<ul><li>Previous experience as a nanny or childcare provider</li><li>Patient, trustworthy, and reliable</li><li>Basic knowledge of child care and safety</li><li>Ability to follow instructions and maintain routine</li><li>References will be preferred</li></ul>Job Details:<ul><li>Location: Korangi</li><li>Timings: Full-time</li></ul>If you are interested or know someone suitable, please applyWork Location: In person

Nanny

Alpha Beta Partners Ltd (UK based company)

BIntroduction to CompanyEstablished in 1989, Metropolitan Warehouse &amp; Delivery (MWD) is a leading provider of premier White Glove furniture delivery services in the USA. With operations in 44 cities across the USA and a dedicated team of over 1,200 professionals, MWD specializes in ECommerce furniture delivery, warehousing, and comprehensive white-glove delivery solutions.Job Specifications<ul><li>Location : Plaza 145, Civic Center, Phase IV, Bharia Town, Rawalpindi</li><li>Job Type : Onsite - Full Time</li><li>Education :Bachelor's Degree</li><li>Experience : 1 Year of Experience</li><li>Skill Set : Microsoft Excel, English Communication &amp; Typing Speed</li></ul>Job Description<ul><li>Routing trucks for Final Mile Hubs &amp; overseeing the managment of Final Mile Drivers.</li><li>Ensuring the accurate tracking of deliveries and providing customers with the best delivery experience.</li><li>Monitoring &amp; tracking LH trailers, and coordinating with the cross-dock team to confirm trailer statuses.</li><li>Efficently managing inventory for Final Mile Hubs, Including maintaining records of inbound and outbound</li><li>delivery zones managment</li><li>regularly communicating with US warehouse staff to ensure a smooth workflow</li><li>Handiling commercial vendors within the scope of Final Mile operations.</li><li>Carrying out all tasks assigned by a senior team member that fall within the scope of the position</li></ul>Employee Benifits<ul><li>Market Competetive Salaries</li><li>Promotions &amp; Yearly increments ( Based on Performance )</li><li>EOBI &amp; Graduity</li><li>2 Yearly Bonuses</li><li>Medical Insurance ( Employee, Spouce &amp; Children )</li><li>Life Insurance</li><li>Employee Health Care Program ( Gym , Kitchen/Mess Services , Inhouse doctor )</li><li>Employee Social Activity Program ( Tours , Office Celebrations , Team collaboration )</li></ul>Job Type: Full-timePay: Rs70,000.00 - Rs80,000.00 per monthWork Location: In person

Dispatch Associate ( Females Only )

FIT Solutions

Job Title: Medical Biller &ndash; Mental / Behavioral HealthJob Summary: We are hiring a Medical Biller to handle billing and claims for our mental and behavioral health services. The candidate will ensure accurate coding, claims submission, and follow-up with insurance companies.Responsibilities:&middot; Submit and follow up on claims for therapy, psychiatry, and behavioral health services.&middot; Use correct CPT and ICD-10 codes for mental health services.&middot; Verify patient insurance and obtain authorizations if needed.&middot; Review provider notes to ensure accurate billing.&middot; Communicate with insurance companies and patients regarding billing.&middot; Maintain billing records and ensure HIPAA compliance.&middot; Work with EHR/billing software to enter claims and track payments.Requirements:&middot; Previous experience in medical billing, preferably in mental/behavioral health.&middot; Knowledge of CPT/ICD-10 codes for psychiatry and therapy services.&middot; Familiarity with insurance claims, denials, and pre-authorizations.&middot; Attention to detail and good organizational skills.&middot; Proficiency in billing software and MS Office.Job Type: Full-timePay: Rs55,000.00 - Rs65,000.00 per monthWork Location: In person

RCM Executive

HR Ways

About the Company:Looking for an integrated Health Ecosystem, connecting health service users to the health service provider and organizations paying for it.Role Overview &ndash; Corporate Sales ManagerPURPOSE We are looking for a results-driven Corporate Sales Manager to lead company onboarding, build strategic partnerships, and drive revenue growth. If you understand the corporate ecosystem and know how to close deals while maintaining long-term relationships, this role is for you.Key Responsibilities<ul><li>Onboard new corporate clients in line with monthly revenue and acquisition targets.</li><li>Achieve defined KPIs related to sales growth, client acquisition, and retention.</li><li>Develop and execute B2B sales strategies to penetrate target markets.</li><li>Build strong relationships with HR, Finance, and decision-makers within organizations.</li><li>Manage the full sales cycle &mdash; from pre-sales presentations to post-sales account management.</li><li>Coordinate internally with operations and service teams to ensure smooth onboarding.</li><li>Maintain accurate sales pipeline reports and forecasting.</li></ul>KPIs &amp; Performance Metrics<ul><li>Monthly corporate onboarding targets.</li><li>Revenue growth and portfolio expansion.</li><li>Client retention rate.</li><li>Conversion ratio from lead to closure.</li><li>Cross-functional coordination efficiency.</li></ul>Requirements<ul><li>Proven experience in corporate/B2B sales (TPA, self-funded, or financial services preferred).</li><li>Strong negotiation and presentation skills.</li><li>Ability to engage HR and Finance stakeholders confidently.</li><li>Target-oriented mindset with strong follow-through.</li><li>Excellent communication and relationship management skills.</li></ul>What we offer<ul><li>Competitive salary + performance-based incentives.</li><li>Growth-driven environment.</li><li>Leadership exposure.</li><li>Opportunity to build and scale corporate partnerships.</li></ul>Other Details: ﻿Experience: ﻿1-2 years ﻿Location: Karachi (On-site)Job Type: Full-timeWork Location: In person

Sales Manager

Delta Gulf Overseas

We&rsquo;re Hiring: Mid -Jr. GC Estimator (General Contractor Estimator)Location: Wapda Town, Lahore (Onsite- Full-Time | Night Shift) Market Focus: US Construction IndustryWe are a fast-growing provider of construction estimation services for the US market and are looking for a skilled GC Estimator to join our team. If you&rsquo;re detail-oriented with a passion for construction drawings and cost estimation, we&rsquo;d love to hear from you!Key Responsibilities<ul><li>Review drawings, bid documents, and specifications</li><li>Perform material and quantity takeoffs using estimating software</li><li>Prepare accurate cost estimates for residential, commercial, and industrial projects</li><li>Collaborate with teams to meet client scope and deadlines</li><li>Support final bid proposals and ensure timely delivery</li></ul>Requirements<ul><li>Bachelor&rsquo;s/Diploma in Civil Engineering, Architecture, or Construction Management</li><li>1.5-2 years of experience in estimation (US market experience preferred)</li><li>Proficiency in PlanSwift, Bluebeam, or similar tools</li><li>Strong knowledge of CSI divisions, construction methods, and materials</li><li>Ability to read architectural, structural, and MEP drawings</li><li>Good communication and analytical skills</li></ul>Preferred: RSMeans/CostWorks experience, knowledge of US codes, and ability to handle multiple projectsWhat We Offer<ul><li>Health insurance, provident fund, and paid time off</li><li>Growth opportunities</li><li>Friendly, professional, and collaborative environment</li><li>Annual trips and recreational activities</li></ul>Job Type: Full-timePay: Rs60,000.00 - Rs80,000.00 per monthWork Location: In person

Mid - Jr. level GC Estimator

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