Credentialing Specialist

Job Title:
Credentialing Specialist

Location:
Karachi, Pakistan

Company:
Eplanet Global

Role Overview:

We are looking for a Credentialing Specialist
to manage provider credentialing and enrollment processes. You will ensure compliance with payer requirements, maintain provider data, and support smooth billing operations.

Key Responsibilities:

• Prepare, submit, and track credentialing and recredentialing applications.
• Collect and verify provider documents (licenses, certifications, insurance).
• Maintain provider profiles on CAQH and other portals.
• Coordinate with payers for Commercial, Medicaid, and Medicare enrollment.
• Keep the Credentialing Tracker updated and follow up on pending applications.
• Communicate status updates to internal teams and ensure compliance with regulations.

Requirements:

• Experience in medical billing, credentialing, or healthcare admin...