Credentialing Specialist — US Provider Enrollment

Pyramids Global, LLC; Islamabad; Presencial; PKR 1.200.000 - 1.800.000; Jornada completa

Descripción de la vacante

Pyramids Global LLC in Islamabad is seeking a Credentialing Specialist to join our Onsite team. You will manage end-to-end credentialing and provider enrollment with U.S. payers, maintain CAQH ProView records, and ensure compliance with payer requirements.

This role demands strong attention to detail, clear communication, and the ability to handle multiple credentialing cases in a fast-paced environment. On-site in Islamabad, full-time, U.S. shift support.

Formación

• Experience with U.S. credentialing and re-credentialing processes.
• Ability to verify licenses, certifications and provider data against payer requirements.
• Familiarity with CAQH ProView and credentialing workflows is preferred.

Responsabilidades

• Manage end-to-end credentialing and re-credentialing for U.S. providers.
• Collect, verify, and maintain licenses, certifications, and documentation.
• Create and update provider profiles in CAQH ProView and systems.
• Track applications, deadlines and expiring credentials; escalate when needed.
• Coordinate with payers to obtain updates and resolve requirements.
• Maintain audit-ready credentialing records and reports.
• Communicate with clients and payers by phone and email.

Conocimientos

US credentialing

CAQH ProView

Payer requirements

Documentation accuracy

Communication

Multi-case management

Attention to detail

Educación

Bachelor's degree or equivalent experience

Herramientas

CAQH ProView

Descripción del empleo

Pyramids Global LLC in Islamabad is seeking a Credentialing Specialist to join our Onsite team. You will manage end-to-end credentialing and provider enrollment with U.S. payers, maintain CAQH ProView records, and ensure compliance with payer requirements.

This role demands strong attention to detail, clear communication, and the ability to handle multiple credentialing cases in a fast-paced environment. On-site in Islamabad, full-time, U.S. shift support.