Provider Credentialing & Enrollment Specialist

Sequel Technologies; Saddar; On-site; PKR 600,000 - 900,000; Full time

Benefits offered by this job

Healthcare (OPD + IPD)

Entertainment Allowance

Cellular Allowance

Provident Fund

Job summary

Sequel Technologies in Rawalpindi is seeking a Credentialing Specialist to manage provider credentialing and enrollment with Medicare, Medicaid, and commercial payers. You will prepare and submit enrollment applications, maintain provider information, and track status.

You will coordinate with payers, maintain CAQH/PECOS/NPPES profiles, review documents for accuracy, and ensure active enrollment before claims are submitted.

Qualifications

• 2-3 years of credentialing experience required.
• Bachelor's degree from a reputable university.
• Familiarity with EHR/EMR systems preferred.

Responsibilities

• Manage credentialing and enrollment with Medicare, Medicaid, and commercial plans.
• Review provider documents for accuracy and compliance.
• Create and maintain provider profiles in CAQH, PECOS, NPPES, and payer portals.
• Submit initial credentialing, recredentialing, and enrollment applications.
• Follow up with payers on application status and requests.
• Track licenses, certifications, malpractice insurance, and other credentials.
• Identify and resolve issues or missing information that may delay enrollment.
• Maintain confidentiality of provider and client information per HIPAA and company policies.

Skills

Credentialing experience

Attention to detail

Communication

Education

Bachelor's degree

Tools

EHR/EMR systems

Job description

Sequel Technologies in Rawalpindi is seeking a Credentialing Specialist to manage provider credentialing and enrollment with Medicare, Medicaid, and commercial payers. You will prepare and submit enrollment applications, maintain provider information, and track status.

You will coordinate with payers, maintain CAQH/PECOS/NPPES profiles, review documents for accuracy, and ensure active enrollment before claims are submitted.