Credentialing Specialist - Medical Billing - HR Business Solutions

Our client HR Business Solutions is hiring a Credentialing Specialist - Medical Billing in Rawalpindi.

HRBS is seeking a detail-oriented and experienced Credentialing Specialist to join our team. The ideal candidate must have experience working with USA-based medical billing companies and a strong understanding of provider enrolment and credentialing processes.

Our client HR Business Solutions is hiring a Credentialing Specialist - Medical Billing in Rawalpindi.

HRBS is seeking a detail-oriented and experienced Credentialing Specialist to join our team. The ideal candidate must have experience working with USA-based medical billing companies and a strong understanding of provider enrolment and credentialing processes.

Key Responsibilities

• Manage provider credentialing and re-credentialing with insurance payers.

• Complete and submit enrolment applications accurately and on time.

• Follow up with insurance companies regarding application status.

• Maintain CAQH profiles and provider documentation.

• Ensure compliance with payer and regulatory requirements.

• Coordinate with clients and internal teams to resolve credentialing issues.

• Prepare credentialing reports and maintain accurate records.

Requirements

• 1-2 years of experience in Credentialing with a USA-based medical billing company.

• Strong knowledge of creating CAQH, NPI, PECOS, and commercial insurance enrollment.

• Excellent spoken and written English communication skills.

• Strong organizational and problem-solving abilities.

• Proficiency in MS Office and credentialing software.

What We Offer

• Competitive salary package.

• Professional and growth-oriented work environment.

• Opportunity to work with international healthcare clients.

• Career growth and learning opportunities.

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