Medical Insurance Credentialing Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Medical Insurance Credentialing Specialist based in South Africa.

We are seeking a detail-oriented Medical Insurance Credentialing Specialist to manage provider enrollment, credentialing, and medical billing operations in a remote healthcare environment. In this role, you will coordinate with insurance payers, healthcare providers, and internal teams to ensure accurate documentation, timely claims processing, and reliable reimbursement. You will oversee credentialing applications and renewals while maintaining compliance with payer requirements and applicable healthcare regulations. Your expertise in insurance billing, coding, and claims resolution will help minimize denials and prevent delays in provider network participation. You will also monitor payment discrepancies, maintain comprehensive records, and identify opportunities to improve revenue cycle processes. This is an opportunity to contribute to efficient healthcare administration while supporting providers and delivering operational accuracy.