Medicare Credentialing Specialist

Location : NASTP, Rawalpindi

Job Type : Full-time (Night Shift)

About Us

The Inventor Solutions is a healthcare BPO company specializing in medical and dental billing, revenue cycle management, and credentialing services for U.S.-based practices. We are expanding our credentialing team to support a sleep practice in the U.S. that requires expertise in Medicare enrollment and compliance.

Role Overview

We are seeking a Medicare Credentialing Specialist to handle provider enrollment, revalidation, and ongoing compliance with Medicare regulations, specifically for a sleep practice. The role requires attention to detail, strong communication skills, and prior experience with U.S. healthcare credentialing.

Key Responsibilities

• Manage Medicare provider enrollment and revalidation applications.
• Complete and submit CAQH profiles, PECOS applications, and payer enrollments.
• Coordinate with providers, practice managers, and payers to ensure credentialing accuracy.
• Maintain and update credentialing files, compliance records, and expiration tracking.
• Troubleshoot delays and resolve enrollment issues with Medicare and other payers.
• Ensure timely completion of credentialing processes to prevent revenue delays.

Qualifications

What We Offer

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