CREDENTIALING SPECIALIST @ EPLANET GLOBAL
Eplanet Global is currently seeking a detail-oriented and experienced Credentialing Specialist to join our onsite team in Lahore. This role is fundamental to our healthcare operations, requiring the candidate to manage the complete provider credentialing and re-credentialing lifecycle with various insurance companies and healthcare networks. You will be responsible for the meticulous preparation and submission of provider enrollment applications to both commercial and government payers, including Medicare and Medicaid, ensuring full compliance and accuracy throughout the process.
In addition to application management, the successful candidate will maintain comprehensive records of provider credentials, including professional licenses, certifications, DEA, and malpractice insurance. You will be tasked with updating CAQH profiles and internal databases while proactively monitoring expiration dates to ensure timely renewals. This position operates during the US night shift to ensure seamless coordination with US healthcare standards and time zones. If you have a background in US medical billing or BPO services and possess excellent communication skills, this is an excellent opportunity to grow your career in a dynamic international environment.
In addition to application management, the successful candidate will maintain comprehensive records of provider credentials, including professional licenses, certifications, DEA, and malpractice insurance. You will be tasked with updating CAQH profiles and internal databases while proactively monitoring expiration dates to ensure timely renewals. This position operates during the US night shift to ensure seamless coordination with US healthcare standards and time zones. If you have a background in US medical billing or BPO services and possess excellent communication skills, this is an excellent opportunity to grow your career in a dynamic international environment.
Key Requirements
1–3+ years of experience in US Healthcare Credentialing / Provider Enrollment.
Strong understanding of CAQH, NPI, PECOS, and insurance payer portals.
Experience working with Medicare, Medicaid, and commercial insurance credentialing.
Good communication and follow-up skills with insurance companies.
Ability to work in night shift (US time zone).
Experience in BPO or medical billing company is preferred.
Proficiency in maintaining accurate records of provider licenses and certifications.
Ability to update and maintain provider data in credentialing databases and internal systems.
Capability to monitor expirations and renewals of provider credentials effectively.
Meticulous attention to detail in preparing provider enrollment applications.
Ability to work onsite at the Lahore office location.