Providers Credentialing Specialist (Lahore-Onsite)

About the role

Wolveyes MDE is seeking an experienced, detail-oriented Credentialing Specialist with 2 to 3 years of hands-on experience in U.S. healthcare provider credentialing and payer enrollment. The role is full-time and on-site in Johar Town, Lahore, working Monday to Friday. The specialist manages applications, maintains provider records, coordinates with insurance payers and follows up on pending enrollments to support timely approvals.

Key responsibilities

• Manage credentialing and enrollment for medical and behavioral health providers across multiple specialties
• Prepare and submit applications to Medicare, Medicaid and commercial insurers
• Maintain provider profiles, complete attestations and keep information accurate and up to date
• Handle ERA and EFT enrollment applications and follow-ups
• Track provider licenses, certifications, expirations and renewals, and manage payer revalidations
• Contact payers to check application status, resolve pending cases and obtain approvals
• Resolve insurance portal issues, access problems and application errors
• Navigate payer portals and submit documents by online portal, email, fax and other required channels
• Maintain credentialing records, follow-up logs and enrollment status reports

Required profile

• 2 to 3 years of hands-on experience in U.S. healthcare provider credentialing and payer enrollment
• Practical experience managing credentialing applications for medical or behavioral health providers
• Working knowledge of Medicare, Medicaid and commercial payer enrollment processes
• Experience maintaining CAQH profiles and completing provider attestations
• Experience managing license records, renewals and payer revalidations
• Ability to work independently, coordinate with the credentialing and medical billing teams, and communicate professionally in English

Required skills

• Familiarity with PECOS, NPPES or other provider enrollment platforms is an advantage
• Proficiency in Microsoft Excel, Google Sheets or similar tools for record keeping and tracking application statuses
• Strong organization, attention to detail and ability to handle multiple deadlines