Job Vacancy Rawalpindi Gpo, Punjab Position Credentialing Executive at XenMD
Welcome to our job portal. XenMD is offering exciting opportunities for the position of Credentialing Executive in Rawalpindi Gpo. We are currently seeking Full-time candidates.
We are looking for individuals with excellent skills and relevant beginners/seniors experience. Additionally, we highly value traits such as honesty, discipline, and accountability in our prospective employees.
Operating in the (according to the company) sector, we provide a wide range of professional opportunities. If you're interested in pursuing a rewarding career with XenMD, we encourage you to submit your application directly through our website.
Join our growing team and embark on a fulfilling career journey with XenMD. Don't miss the chance to be part of our dynamic work environment. Apply now and take the first step towards a bright future.
Job Information
| Company: | XenMD |
| Position: | Credentialing Executive |
| City: | Rawalpindi Gpo, Punjab |
| Province: | Punjab |
| Education: | Confidential |
| Salary: | PKR 30.000 - PKR 50.000 per Month |
| Job Type: | Full-time |
Job Description
The Credentialing Executive is responsible for managing the provider enrollment and credentialing process with insurance companies, hospitals, and other healthcare organizations. This role ensures all providers are properly credentialed and enrolled to receive timely reimbursement for medical services, maintaining compliance with payer and regulatory requirements.
Key Responsibilities:
· Prepare, review, and submit credentialing and re-credentialing applications for healthcare providers with commercial and government insurance payers (e.g., Medicare, Medicaid, BCBS, Aetna, UnitedHealthcare, Cigna, etc.).
· Maintain up-to-date records of providers in credentialing databases and online systems.
· Track the status of credentialing and enrollment applications, follow up with payers, and resolve any discrepancies or issues.
· Verify provider credentials, including licenses, board certifications, DEA, malpractice insurance, and other necessary documents.
· Coordinate with internal billing teams to ensure providers are properly linked and active with payers before billing.
· Update and maintain CAQH profiles, NPI registrations, and PECOS enrollments.
· Manage expirables (licenses, insurance, certifications) and notify providers of renewals.
· Ensure compliance with federal, state, and payer-specific regulations.
· Generate and maintain credentialing reports and dashboards.
· Communicate professionally with providers, practice managers, and insurance representatives.
Required Qualifications:
· Bachelor’s degree in Healthcare Administration, Business, or a related field (or equivalent work experience).
· 1–3 years of experience in medical credentialing, provider enrollment, or medical billing.
· Knowledge of CAQH, NPPES, PECOS, and payer portals.
· Strong understanding of commercial and government payer processes.
· Excellent communication and organizational skills.
· Proficiency in MS Office (Excel, Word, Outlook) and credentialing software.
· Ability to handle multiple tasks, prioritize, and meet deadlines.
Preferred Qualifications:
· Experience with US-based healthcare systems or RCM/BPO companies.
· Certification in credentialing (e.g., CPCS, CPMSM) is a plus.
· Knowledge of medical billing and compliance regulations (HIPAA, CMS).
Key Competencies:
· Attention to detail and accuracy
· Strong problem-solving and analytical skills
· Professional communication and interpersonal skills
· Time management and ability to work independently
· Team collaboration
Job Type: Full-time
Pay: Rs30,00.00 – Rs50,00.00 per month
Application Question(s):
- Will you be able to work in night shift(7pm to 4am)?
- Will you be able to commute to Bahria Town Phase 7 Rawalpindi?
Work Location: In person
Benefit
- Skill development
- Opportunities for promotion
- Collaborative work environment
- Professional training
- Work-life balance
- Professional networking opportunities
- Valuable work experience
- Access to the latest technology
- Recognition and performance awards
- Opportunities to contribute to business growth
Requirements
- Experience in the Related Field (Preferred)
- Physically and Mentally Healthy
- Able to Work Under Pressure
- Good Communication Skills
- Minimum Education of High School Diploma
- No Criminal Record
- Minimum Age of 18 Years
- Able to Work in a Team
- Willing to Be Placed in the Designated Work Location
Company Address
| Province | Punjab |
| City | Rawalpindi Gpo |
| Google Map | Google Map |
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