Credentialing Specialist – Medical Billing

About the role

HR Business Solutions is looking for a detail‑oriented Credentialing Specialist to support its medical billing operations. The role focuses on managing provider enrolment and credentialing processes for US‑based insurance payers while working from Islamabad.

Key responsibilities

• Manage provider credentialing and re‑credentialing with insurance payers.
• Complete and submit enrolment applications accurately and on time.
• Follow up with insurance companies regarding application status.
• Maintain CAQH profiles and provider documentation.
• Ensure compliance with payer and regulatory requirements.
• Coordinate with clients and internal teams to resolve credentialing issues.
• Prepare credentialing reports and maintain accurate records.

Required profile

• 1–2 years of experience in credentialing with a USA‑based medical billing company.
• Strong knowledge of CAQH, NPI, PECOS, and commercial insurance enrollment.
• Excellent spoken and written English communication skills.
• Strong organizational and problem‑solving abilities.
• Proficiency in MS Office and credentialing software.

Required skills

• MS Office
• Credentialing software

What we offer

• Competitive salary package.
• Professional and growth‑oriented work environment.
• Opportunity to work with international healthcare clients.
• Career growth and learning opportunities.