Credentialing Expert

Meds Nexus is seeking a dedicated Credentialing Expert to join our team in Rawalpindi on a full-time, on-site basis. This role operates during the night shift from 5:30 PM to 2:30 AM (Monday to Friday). The successful candidate will be responsible for managing provider enrollment and insurance network setups for our U.S. healthcare clients. You will handle insurance applications, maintain communication with U.S. health plans, and ensure timely approval of healthcare providers so they can begin billing without unnecessary delays.

Key Responsibilities
- Complete and submit provider enrollment forms for Medicare, Medicaid, and private commercial insurance companies.
- Regularly follow up with U.S. insurance companies through calls and web portals to track application statuses and expedite approvals.
- Verify provider in-network status, active contracts, and fee schedules once approvals are received.
- Collaborate closely with billing and accounts receivable teams to resolve claim holds caused by pending credentialing.
- Maintain organized digital records including provider start dates, application tracking logs, and approval numbers.

Required Qualifications
- Bachelor’s degree in any discipline.
- Four to five years of experience in U.S. medical credentialing, provider enrollment, and insurance contracting.
- Strong written and verbal English communication skills, capable of effectively liaising with U.S. insurance representatives.
- Willingness and ability to work full-time on-site during the specified night shift hours in Rawalpindi.

Preferred Qualifications and Benefits
- Fixed weekends off (Saturday and Sunday) to support work-life balance.
- Competitive salary package with additional financial incentives such as yearly loyalty rewards, inflation bonuses, HR performance rewards, regular salary increments, loan facilities, advance salary options, and Employee Endowment Fund Program (EEFP).
- Paid leaves, annual leave encashment, and medical support to ensure employee well-being.
- On-site amenities include a complimentary hot dinner every night and two tea breaks featuring regular and green tea.

Candidates should be able to commute easily to our office located on Murree Road, Rawalpindi. This role requires commitment to night shift hours and the ability to start promptly. Applicants will be asked about their current and expected salary, notice period, and relevant experience during the application process.

This position is strictly in-person and offers an excellent opportunity to contribute to a growing healthcare services company while working with U.S. healthcare providers.