Location
lahore
Job Type
Full-time
Posted
June 02, 2026
Job Description
Job Description
We are hiring a Credentialing & Provider Enrollment Specialist to manage provider credentialing, payer enrollment, and compliance processes for behavioral and mental health providers, including hospital‑based programs and individual clinicians. The ideal candidate should have strong experience handling commercial and government payer enrollments while ensuring providers remain fully credentialed and billing ready.
Credentialing & Provider Enrollment Specialist
Behavioral Health Hospital Billing
Key Responsibilities
- Manage provider credentialing and payer enrollment with commercial payers, Medicare, and Medicaid
- Maintain and update CAQH profiles with timely attestations
- Process CMS 855B / 855I enrollments and PECOS updates
- Handle Group NPI (Type 2) and Individual NPI (Type 1) setup and NPPES linkage
- Verify provider licenses, DEA/CDS certificates, malpractice insurance, and...