Credentialing Specialist - CodeCure Ai

Taraki; Islamabad; Sur place; PKR 600 000 - 1 000 000; Plein temps

Résumé du poste

CodeCure Ai in Islamabad is seeking a Credentialing Specialist to manage CAQH, NPPES, PECOS and other credentialing portals, submit and follow up on credentialing and DEA registration applications, and maintain accurate credentialing records.

The role involves coordinating with Medicare, Medicaid and commercial insurers, handling ERA/EFT enrollment with payers, ensuring timely completion and renewal of provider credentials, and leveraging 2–3 years of Medical & Behavioral Health credentialing

Qualifications

• 2–3 years of Medical & Behavioral Health credentialing experience.
• Hands-on experience with CAQH, PECOS, NPPES.
• Strong knowledge of provider licensing, DEA registration & board certifications.
• Understanding of Medicare, Medicaid & commercial payer enrollment.

Responsabilités

• Manage CAQH, NPPES, PECOS and other credentialing portals.
• Submit and follow up on credentialing & DEA registration applications.
• Handle ERA/EFT enrollment with insurance payers.
• Coordinate with Medicare, Medicaid and commercial insurers.
• Maintain accurate and organized credentialing records.

Connaissances

CAQH

PECOS

NPPES

Provider licensing

DEA registration

Board certifications

Communication

Follow-up

Description du poste

Our client CodeCure Ai is hiring a Credentialing Specialist in Islamabad.

What You'll Do:

• Manage CAQH, NPPES, PECOS, and other credentialing portals
• Submit and follow up on credentialing & DEA registration applications
• Handle ERA/EFT enrollment with insurance payers
• Coordinate with Medicare, Medicaid, and commercial insurers
• Maintain accurate and organized credentialing records
• Follow up with payers regarding network participation and provider status
• Ensure timely completion and renewal of provider credentials

What We're Looking For:

• 2–3 years of experience in Medical & Behavioral Health Credentialing
• Hands-on experience with CAQH, PECOS, NPPES, and similar portals
• Strong knowledge of provider licensing, DEA registration & board certifications
• Understanding of Medicare, Medicaid & commercial payer enrollment
• Excellent communication and follow-up skills
• Strong attention to detail and organizational abilities