Credentialing Specialist

CodeCure AI; Islamabad; On-site; PKR 1,200,000 - 1,800,000; Full time

Job summary

CodeCure AI in Islamabad's Gulberg Green is seeking a Credentialing Specialist to manage credentialing workflows, enroll providers, and ensure regulatory compliance.

You will work with CAQH, PECOS, NPPES portals, and coordinate with Medicare, Medicaid, and insurers while keeping detailed credentialing records and ensuring network statuses.

Qualifications

• 2–3 years of credentialing experience in Medical & Behavioral Health.
• Hands-on experience with CAQH, PECOS, NPPES and similar portals.
• Knowledge of provider licensing, DEA, and board certifications.
• Strong communication skills and sharp attention to detail.

Responsibilities

• Maintain CAQH, NPPES, and PECOS portals.
• Submit and follow up on credentialing and DEA registrations.
• Enroll providers for ERA/EFT with payers.
• Coordinate with Medicare, Medicaid, and commercial insurers.
• Maintain organized, accurate credentialing records.
• Follow up with payers on network status.

Skills

Credentialing

Communication

Attention to detail

Tools

CAQH

PECOS

NPPES

DEA registration

Job description

CodeCure AI is Hiring: Credentialing Specialist

Location: Gulberg Green, Islamabad

We're looking for a detail-oriented professional who can navigate the complexities of insurance credentialing, provider enrollment, and regulatory compliance with confidence.

What You'll Do:

• Manage CAQH, NPPES, and PECOS portals
• Submit and follow up on credentialing and DEA registration applications
• Enroll providers for ERA/EFT with payers
• Coordinate with Medicare, Medicaid, and commercial insurers
• Maintain organized, accurate credentialing records
• Follow up with payers on network status

What We're Looking For:

• 2-3 years of credentialing experience (Medical & Behavioral Health)
• Hands-on experience with CAQH, PECOS, NPPES, and similar portals
• Knowledge of provider licensing, DEA, and board certifications
• Strong communication skills and sharp attention to detail