Credentialing Specialist - Medical Billing

MDPro Technologies; Lahore; On-site; PKR 1,400,000 - 2,000,000; Full time

Job summary

A healthcare services company in Lahore is seeking a Credentialing Specialist focused on processing insurance applications and managing provider profiles. The ideal candidate will have excellent communication skills, a strong ability to work independently and in a team, and experience with insurance enrollment processes. The role requires willingness to work night shifts.

Qualifications

• Experience with commercial and government insurance enrollments.

Responsibilities

• Process insurance applications and follow up on credentialing.
• Negotiate contracts with insurance companies.
• Maintain provider profiles and manage renewals.
• Send reminders to providers for upcoming expirations.

Skills

Exceptional communication skills

Interpersonal skills

Decision-making skills

Ability to work independently

Teamwork

Job description

Credentialing Specialist - Medical Billing

To process insurance applications To follow up on the credentialing application
• To negotiate the contracts with insurance
• Get provider Ids from insurance once credentialing is complete
• Maintain provider profiles perfectly CAQH profile creation and updating NPI Registration and updates
• State License registration and renewals
• Work with provider office managers and IPAs DEA Registration and updates Payer Fee Schedule Creation & Evaluation
• Sending reminders to providers for upcoming expirations and renewals
• Experience with commercial and government insurance enrollments.

Responsibilities:
• Exceptional communication skills.
• Good interpersonal and decision-making skills.
• Ability to work independently and as part of a team.
• Willing to work in night shift (7PM to 4AM)

Hospital & Health Care - Lahore, Pakistan