Credentialing Specialist (Health Care Industry)

Credentialing Specialist (2-3 years experience):

Key Responsibilities:

  • Collect, verify, and process credentialing and re-credentialing applications for providers.
  • Ensure timely and accurate submission of applications to insurance companies, payers, and credentialing bodies.
  • Review provider documents for completeness and accuracy, including licenses, certifications, malpractice insurance, and education records.
  • Maintain and update credentialing databases and files to ensure all provider information is current.
  • Communicate with providers and internal departments to obtain required documentation and resolve credentialing issues.
  • Monitor and track license expirations and re-credentialing deadlines to maintain compliance.
  • Assist with audits and respond to requests for credentialing information.
  • Stay current on federal, state, and accreditation credentialing regulations and standards (e.g., NCQA, CMS).
  • Support provider onboarding and enrollment processes as needed.

Job Type: Full-time

Pay: Rs110,000.00 - Rs120,000.00 per month

Work Location: In person

Application Deadline: 02/06/2025


Information :

  • Company : Prima Systems
  • Position : Credentialing Specialist (Health Care Industry)
  • Location : Lahore
  • Country : PK

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Post Date : 2025-06-02 | Expired Date : 2025-07-02