Behavioral Health Credentialing Specialist

Boston Neurobehavioral Associates; Karachi Division; On-site; PKR 600,000 - 1,200,000; Full time

Benefits offered by this job

Competitive salary

Health insurance

Paid time off and holidays

Professional growth opportunities

Supportive work environment

Job summary

Citadel Healthcare Management (PVT) LTD. is seeking a Credentialing Specialist to manage the full credentialing and re-credentialing process for behavioral health providers, ensuring accurate applications to insurance panels and payer networks.

You will verify licenses and background checks, maintain NCQA and CMS compliant records, and collaborate with HR and clinical teams to onboard providers on time. This role is based in-office with growth opportunities in a mission-driven environment.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, or related field (preferred).
• 2–4 years of healthcare credentialing experience, preferably in behavioral health or outpatient settings.
• Knowledge of insurance payer requirements, CAQH, NPI, and credentialing standards.

Responsibilities

• Manage the full credentialing and re-credentialing process for behavioral health providers and therapists.
• Prepare, review, and submit applications to insurance panels, Medicaid/Medicare, and other payer networks.
• Verify provider qualifications, licenses, certifications, and background checks.
• Maintain accurate credentialing records in compliance with NCQA (National Committee for Quality Assurance) standards and CMS regulations.
• Track application status, follow up with payers, and resolve discrepancies.
• Collaborate with HR, compliance, and clinical teams to ensure timely provider onboarding.
• Monitor expirations of licenses, certifications, and re-credentialing deadlines.

Skills

Strong communication

Problem solving

Organizational skills

Attention to deadlines

Payer requirements knowledge

NPI knowledge

Education

Bachelor’s degree in Healthcare Admin/related field

Tools

Credentialing software

MS Office Suite

Job description

Citadel Healthcare Management (PVT) LTD. is seeking a Credentialing Specialist to manage the full credentialing and re-credentialing process for behavioral health providers, ensuring accurate applications to insurance panels and payer networks.

You will verify licenses and background checks, maintain NCQA and CMS compliant records, and collaborate with HR and clinical teams to onboard providers on time. This role is based in-office with growth opportunities in a mission-driven environment.