Sr Credentialing Expert

We are seeking a highly organized and detail-oriented Sr Credentialing Expert to join our team in Rawalpindi. This full-time, on-site position operates during night shift hours from 5:30 PM to 2:30 AM, Monday through Friday. The successful candidate will play a critical role in managing high-volume provider enrollment and re-credentialing within U.S. insurance networks, ensuring that all provider credentials remain compliant and up to date. This role demands proactive communication, problem-solving skills, and a thorough understanding of credentialing processes in the healthcare industry.

Key Responsibilities
- Manage complex credentialing challenges by appealing wrongful application rejections and resolving discrepancies within payer networks.
- Conduct consistent follow-ups via phone and online portals with U.S. health plans to expedite provider effective dates.
- Maintain accuracy across multiple platforms by systematically updating internal databases and external payer directories.
- Monitor and oversee renewal timelines for essential documents such as state medical licenses, CDS, DEA registrations, and malpractice insurance policies.
- Collaborate with revenue cycle specialists to resolve claims impacted by provider contracting or network status issues.

Required Qualifications
- Bachelor’s degree in Healthcare Management, Business, or a related field is mandatory.
- A minimum of 3 to 5 years of direct experience in U.S. medical billing credentialing and provider contracting is essential.
- Strong English communication skills, proactive tracking abilities, and excellent digital documentation practices are required.
- Must be available to work on-site in Rawalpindi during the specified night shift hours.

Preferred Qualifications and Benefits
- Fixed weekends off, providing a consistent work-life balance.
- Competitive salary package including yearly loyalty rewards, inflation adjustments, HR performance bonuses, and regular increments.
- Additional financial benefits such as loan policies, advance salary options, and Employee Education Funding Program (EEFP).
- Paid leaves, leave encashment, and medical provisions to support employee well-being.
- Office amenities include complimentary on-site dinner and availability of tea and green tea during shifts.

Candidates should be prepared to commute to our office located in Rawalpindi and be comfortable working the designated night shift. During the application process, candidates will be asked about their current salary, experience, notice period, and salary expectations to ensure alignment with the role’s requirements.

This position offers an excellent opportunity for professionals experienced in U.S. healthcare credentialing to contribute to a dynamic operational team while enjoying a supportive work environment and comprehensive benefits.