Credentialing Specialist - Medical Billing USA

Boston Neurobehavioral Associates; Karachi Division; On-site; PKR 1,400,000 - 2,000,000; Full time

Job summary

A healthcare management company is seeking a Credentialing Specialist to manage the end-to-end credentialing process for healthcare providers. You will coordinate verification of credentials, ensure compliance with regulations, and assist in contract management. The ideal candidate is detail-oriented and will prepare reports for management. This position is based in Karachi, Pakistan, and offers benefits such as health insurance and a provident fund.

Benefits

Provident Fund

Leave Encashment

Gratuity

Health Insurance

Inflation Bonus

Housing Allowance

Patient seen Bonus

Eid Bonus

Responsibilities

• Coordinate and manage the credentialing process for healthcare providers.
• Verify the accuracy and authenticity of all provider credentials.
• Maintain up-to-date credentialing databases and files.
• Collaborate with departments to ensure regulatory compliance.
• Conduct regular audits of credentialing files.
• Keep abreast of changes in regulatory requirements.
• Assist in negotiating contract terms with providers.
• Serve as a point of contact for credentialing inquiries.
• Prepare and present credentialing reports to management.

Job description

Citadel Healthcare Management (PVT) LTD. provides healthcare management services for practices across North America. Our dedicated team supports a wide range of medical administration tasks, working collaboratively across multiple disciplines.

Our mission is to offer employees meaningful opportunities to apply their expertise, grow in their careers, and contribute to the organization’s ongoing success.

We are committed to creating a workplace where employees feel valued, supported, and motivated. By fostering a collaborative and engaging environment, we ensure that every contribution is recognized and appreciated.

At Citadel, diversity and inclusion are at the heart of our culture. We welcome individuals from all backgrounds—regardless of gender, ethnicity, age, religion, lifestyle, or disability—and embrace the unique perspectives and experiences they bring. Through teamwork, innovation, and continuous professional development, we empower our employees to thrive and drive progress.

Credentialing Specialist - of CHM

Essential Duties and Responsibilities:

• Coordinate and manage the end-to-end credentialing process for healthcare providers including initial credentialing, re-credentialing, and de-credentialing.
• Verify the accuracy and authenticity of all provider credentials including licenses, certifications, education, training, and experience.
• Maintain up-to-date and accurate credentialing databases and files, ensuring quick and efficient retrieval of information when needed.
• Collaborate with different departments, including legal and billing, to facilitate compliance with regulatory requirements.
• Conduct regular audits of the credentialing files to ensure accuracy and completeness.
• Keep abreast of changes in regulatory requirements and industry standards pertaining to credentialing and implement necessary changes in the credentialing process.
• Assist in negotiating contract terms and maintaining contractual documents with providers.
• Serve as a point of contact for providers and other stakeholders for all credentialing-related inquiries and issues.
• Prepare and present credentialing reports to management and relevant committees.

Benefits:

• Provident Fund
• Leave Encashment
• Gratuity
• Health Insurance
• Inflation Bonus
• Housing Allowance
• Patient seen Bonus
• Eid Bonus

Salary: 60,000PKR - 80,000PKR

Work from Office