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G11- Credentialing Executive / G10- Sr. Credentialing Associate
IPS Pakistan, House No. 372, Old RGA Factory, Main Ferozepur Road, New Dera Mian Saeed, Lahore
Responsibilities
Process provider credentialing and enrollment applications with insurance companies and healthcare networks accurately and within required timelines.
Manage provider applications, revalidations, demographic updates, terminations, and other payer-related requests.
Follow up with insurance payers and providers to resolve pending applications, missing information, and enrollment issues.
Maintain accurate credentialing records, trackers, documentation, and status updates while meeting departmental productivity and quality standards.
Key Skills
Basic to intermediate knowledge of U.S. healthcare provider credentialing and insurance enrollment processes.
Familiarity with CAQH, NPI, Medicare, Medicaid, commercial payers, and common provider enrollment requirements.
Strong attention to detail, organizational skills, follow-up ability, and capacity to manage multiple assignments and deadlines.
Good written and verbal communication skills with the ability to coordinate effectively with internal teams and insurance representatives.
Software & IT Skills
Proficient in Microsoft Office, particularly Excel, Word, and Outlook.
Comfortable working with payer portals, CAQH, NPI databases, and other web-based healthcare systems.
Ability to maintain and update spreadsheets, credentialing trackers, reports, and electronic records accurately.
Willingness and ability to learn new software, internal systems, and technology-based workflows quickly.
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