Medical Credentialing Specialist – U.S. Healthcare

BlueEdge Digital Marketing Agency; Karachi Division; On-site; PKR 1,200,000 - 2,400,000; Full time

Job summary

BlueEdge Digital Marketing Agency in Karachi, Pakistan seeks a Medical Credentialing Specialist to manage end-to-end credentialing for U.S. healthcare providers.

You'll focus on California physicians and behavioral-health providers, handling applications, CAQH, and payer enrollment. Responsibilities include verification of licenses, NPI, DEA, and education, plus documentation and status updates for physicians and management.

Qualifications

• Experience with provider credentialing and payer enrollment for U.S. healthcare.
• Knowledge of CAQH profiles and credentialing workflows.
• Ability to verify licenses, NPI, DEA, malpractice insurance, and other credentials.

Responsibilities

• Complete provider credentialing applications.
• Maintain CAQH profiles.
• Handle payer enrollment applications.
• Verify licenses, NPI, DEA, malpractice insurance, and education.
• Submit applications through payer portals and required systems.
• Track applications from submission through approval.
• Follow up with insurance companies.
• Resolve application deficiencies.
• Maintain credentialing spreadsheets/CRM.
• Handle recredentialing and renewals.
• Maintain accurate documentation.
• Communicate status updates to physicians and internal management.

Skills

Credentialing

Payer enrollment

CAQH profiles

NPI/DEA verification

Physician credentialing

Tools

CRM

Payer portals

Job description

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Healthcare Services / Operations

Medical Credentialing Specialist – U.S. Healthcare

Location: Karachi, Pakistan Salary: Competitive Salary

• Full-time

Manage end-to-end credentialing and payer enrollment for U.S. healthcare providers, with an initial focus on California physicians and behavioral-health providers.

Responsibilities

• Complete provider credentialing applications
• Maintain and update CAQH profiles
• Handle payer enrollment applications
• Verify provider licenses, NPI, DEA, malpractice insurance, education and other credentials
• Submit applications through payer portals and required systems
• Track applications from submission through approval
• Follow up with insurance companies
• Resolve application deficiencies
• Maintain credentialing spreadsheets/CRM
• Handle recredentialing and renewals
• Maintain accurate documentation
• Communicate status updates to physicians and internal management

Preferred Experience

• Psychiatry / behavioral health credentialing experience is a strong plus

Compensation

California experience is also preferred

• Competitive salary based on experience
• Opportunity to work with U.S. healthcare provider clients