Medical Credentialing Specialist – U.S. Healthcare

Bluedge; Karachi Division; Vor Ort; PKR 600.000 - 900.000; Vollzeit

Zusammenfassung

Bluedge is seeking a Medical Credentialing Specialist to manage end-to-end credentialing and payer enrollment for U.S. healthcare providers, with an initial focus on California physicians and behavioral-health providers.

You will complete credentialing applications, verify licenses and other credentials, submit through payer portals, track progress, and communicate updates to physicians and internal management. This is a full-time role serving U.S. provider clients.

Aufgaben

• Complete provider credentialing applications
• Maintain and update CAQH profiles
• 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
• Handle recredentialing and renewals
• Communicate status updates to physicians and internal management

Jobbeschreibung

Medical Credentialing Specialist – U.S. Healthcare

• 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
• 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
• Handle recredentialing and renewals
• Communicate status updates to physicians and internal management

Preferred Experience

• Psychiatry / behavioral health credentialing experience is a strong plus
• California experience is also preferred

Compensation

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