Credentialling Specialist

We are seeking a dedicated Credentialing Specialist to join our team on a full-time basis at our Rawalpindi office. This role involves managing the provider onboarding process with U.S. payers to ensure smooth and timely claim processing. The successful candidate will be responsible for maintaining accurate and up-to-date provider credentials and directories, working closely with insurance carriers and internal teams. This position requires on-site availability during night shift hours from 5:30 PM to 2:30 AM, Monday through Friday.

Key Responsibilities
- Manage escalations related to credentialing rejections, application delays, and network discrepancies to ensure timely resolution.
- Conduct daily follow-ups with U.S. insurance carriers to expedite active status approvals for providers.
- Maintain synchronization of provider directories across payer portals and internal systems to prevent claim processing interruptions.
- Monitor and track the renewal of provider documentation, including state licenses and insurance certificates, to ensure compliance.
- Collaborate with internal billing teams to address and resolve network-related claim blocks efficiently.

Required Qualifications
- Bachelor’s degree in Healthcare Management, Business Administration, or a related field.
- Between 3 to 5 years of experience in U.S. medical credentialing or provider enrollment.
- Strong understanding of U.S. healthcare billing processes and familiarity with commercial and government payer guidelines.
- Excellent communication, organizational, and analytical skills.
- Willingness and ability to work on-site during the specified night shift hours.

Additional Information
This position requires the candidate to commute to our office located in Rawalpindi. Candidates should be comfortable working during the night shift from Monday to Friday. During the application process, candidates will be asked about their current and expected salary, relevant experience, and notice period status.

This role offers an opportunity to work in a dynamic environment focused on healthcare provider credentialing with U.S. payers, contributing directly to the efficiency of claim processing and provider network management.