Senior Credentialing Expert

Meds Nexus is seeking a dedicated U.S. Healthcare Credentialing Expert to join their team on a full-time, on-site basis in Rawalpindi. This role operates during the night shift from 5:30 PM to 2:30 AM, Monday through Friday. The ideal candidate will be skilled in managing provider profiles, tracking enrollment statuses, and resolving credentialing challenges to ensure timely approvals within a growing partner network. This position requires strong organizational abilities and a detail-oriented approach to support efficient credentialing workflows.

Key Responsibilities
- Workflow Analysis: Review provider credentialing files thoroughly to identify and address any missing documentation before submitting applications to Medicare, Medicaid, and commercial payers.
- Status Inquiries: Maintain regular follow-ups with U.S. insurance carriers through phone and online portals to monitor application progress and address any rejections promptly.
- Credentialing Hold Resolution: Collaborate with Billing and Accounts Receivable teams to resolve claims that are held due to discrepancies in enrollment effective dates.
- Master Profile Maintenance: Keep digital provider files up to date, including tracking logs, license expiration alerts, and contract effective dates to ensure accuracy.
- Performance Reporting: Prepare structured weekly and monthly credentialing status reports using MS Excel for leadership review and decision-making.

Required Qualifications
- Education: Bachelor’s degree in any discipline.
- Experience: 4 to 5 years of focused experience in U.S. provider credentialing and revenue cycle support.
- Analytical Skills: Exceptional attention to detail with strong record-keeping abilities and proficiency in managing data using MS Excel.
- Language Skills: Clear spoken English with a polished written communication style.

Preferred Qualifications and Benefits
- Schedule: Fixed weekends off (Saturday and Sunday) to support work-life balance.
- Financial Perks: Competitive salary package including inflation bonuses, HR performance rewards, regular salary increments, loan facilities, advance salary options, and Employee Endowment Fund Program (EEFP).
- Additional Benefits: Paid leaves with annual leave encashment and medical support to ensure employee well-being.
- Office Amenities: Complimentary hot dinner served nightly on-site, along with dual tea and green tea breaks to maintain energy during night shifts.

Candidates should be prepared to work from the office located in Rawalpindi and must be comfortable commuting to this location. The night shift schedule is fixed, and applicants should confirm their willingness to work these hours. During the application process, candidates will be asked about their current and expected salary, total experience, and notice period status.

This role offers a unique opportunity to contribute to a dynamic healthcare organization while developing expertise in U.S. provider credentialing within a supportive work environment.