Credentialing Specialist - CodeCure Ai

Taraki

Islamabad

On-site

PKR 900,000 - 1,300,000

Full time

12 days ago
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Job summary

CodeCure Ai in Islamabad is hiring a Credentialing Specialist to manage credentialing portals and handle applications for DEA registration. You will coordinate with Medicare, Medicaid, and commercial insurers and maintain accurate credentialing records.

The ideal candidate has 2–3 years of Medical & Behavioral Health credentialing experience with hands-on CAQH, PECOS, and NPPES skills, strong communication, and meticulous attention to detail.

Qualifications

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

Responsibilities

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

Skills

Credentialing
Communication
Attention to detail

Tools

CAQH
PECOS
NPPES

Job description

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
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