US Credentialing Specialist

Location: Shahrah-e-Faisal, Karachi
Job Type: Full-Time
Work Mode: Onsite
Shift: 6:00 PM – 3:00 AM (PKT)
Working Days: Monday to Friday

Job Overview

We are seeking an experienced US Credentialing Specialist with hands-on knowledge of US healthcare provider credentialing, CAQH registration, and insurance payer enrollment. The ideal candidate will be responsible for maintaining accurate provider records, coordinating credentialing documentation, monitoring licenses and certifications, and ensuring timely completion of enrollment processes.

Key Responsibilities

• Manage and centralize healthcare provider credentialing records using standardized tracking sheets.
• Maintain accurate records of providers, licenses, certifications, and payer enrollment statuses.
• Initiate credentialing processes for new physicians, including CAQH registration and profile updates.
• Coordinate with physicians to collect and submit required documentation through secure channels.
• Track license renewals, certifications, compliance requirements, and malpractice insurance coverage.
• Coordinate insurance payer enrollment and monitor application progress.
• Maintain organized and up-to-date provider information to ensure continuity during staff transitions.
• Assist in transitioning existing provider data into a centralized credentialing system.
• Follow established documentation, confidentiality, and data management procedures.

Job Requirements

• Relevant experience in US healthcare provider credentialing and payer enrollment.
• Hands-on experience with CAQH registration, profile maintenance, and updates.
• Understanding of provider licensing, certifications, malpractice coverage, and compliance requirements.
• Proficiency in Microsoft Excel or Google Sheets.
• Familiarity with US healthcare credentialing documentation and workflows.
• Strong attention to detail and data accuracy.
• Excellent organizational, communication, and coordination skills.
• Ability to manage multiple tasks, deadlines, and provider records efficiently.

Salary: Market competitive, based on experience and expertise.

Perks and Benefits

• OPD and IPD medical coverage for self, dependents, and parents.
• Life insurance coverage for self.
• Fuel card for male employees.
• Free pick-and-drop facility for female employees.
• In-house gym facility.
• Paid leaves and US holidays.
• Employee referral bonus.

Pay: Rs90,000.00 - Rs100,000.00 per month

Work Location: In person