Posted Oct 17, 2026 40 views
Pyramids Global LLC, a leading healthcare operations and revenue cycle management company, is seeking a full-time Credentialing Specialist to join their onsite team in Islamabad. This role involves managing the complete credentialing and provider enrollment process for U.S. healthcare providers, including initial applications, re-credentialing, and ongoing updates. The Credentialing Specialist will work closely with providers, payers, and internal teams to ensure accurate documentation, compliance with healthcare regulations, and timely processing of credentialing applications. This position reports to the Credentialing Team Lead or Operations Manager and operates on a U.S. shift, five days a week.
Key Responsibilities
- Manage the end-to-end credentialing and re-credentialing processes for U.S. healthcare providers.
- Collect, verify, and maintain provider licenses, certifications, qualifications, and all supporting documentation.
- Create, update, and maintain provider profiles in CAQH ProView and other credentialing systems.
- Track credentialing applications, monitor re-credentialing deadlines, and manage expiring credentials.
- Coordinate with commercial and government payers to obtain application updates and resolve outstanding requirements.
- Follow up on pending applications, missing documents, and verification requests to ensure timely approvals.
- Maintain accurate credentialing records, trackers, and audit-ready documentation.
- Identify discrepancies and escalate complex cases for resolution as needed.
- Adhere to company standard operating procedures (SOPs), confidentiality policies, and applicable credentialing standards.
- Communicate effectively with clients and payers through phone and email.
- Support Medicare and other government program enrollments.
- Contribute to process improvements within credentialing operations.
Required Qualifications
- Minimum of one year of hands-on experience in U.S. healthcare credentialing or a closely related function.
- Practical knowledge of CAQH ProView and provider data management.
- Familiarity with credentialing workflows, document verification, application tracking, and deadline management.
- Understanding of healthcare data confidentiality and compliance requirements.
- Strong communication, organizational, and follow-up skills.
- Excellent attention to detail, problem-solving abilities, and accountability.
- Ability to manage multiple cases efficiently in a fast-paced environment.
- Bachelor’s degree preferred; however, equivalent relevant experience will be considered.
Preferred Qualifications and Benefits
- Exposure to commercial and government payer credentialing requirements, including Medicare.
- Familiarity with NCQA standards and payer-specific credentialing guidelines.
- Opportunity to work with a reputable healthcare support services company that enhances operational efficiency for providers across the U.S.
- Gain experience in a dynamic environment supporting a variety of healthcare providers and programs.
This role offers a unique opportunity to contribute to a vital function within healthcare operations, ensuring providers are credentialed accurately and efficiently to support patient care and reimbursement processes. Candidates interested in this position are encouraged to apply through the company’s official recruitment channels.
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Pyramids Global, LLC
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