Healthcare Credentialing Specialist

2 weeks ago


Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time
Healthcare Credentialing Specialist | Must have Credentialing Experience

Medical Administration (Healthcare & Medical)

Accesshealthcare is looking for Experienced Customer Service Representative to be part of our growing team

Responsibilities

  • Work assigned Accounts Receivable accounts or denied claims accounts through the Access Healthcare or client's workflow and follow up on claims with insurance companies
  • Conduct outbound calls to providers to determine if the provider information on file is correct before an insurance claim is submitted
  • Conduct research and analysis on possible process gaps
  • Affiliate our providers with the payers or insurance companies
  • Document in the revenue cycle system on the actions taken, documentation sent to insurance companies, and any other notes from the call with the insurance companies

Qualifications

  • Must have experience in Provider Credentialing and Healthcare Insurance processes for US healthcare customers.
  • Must be fluent in English Language
  • Strong knowledge of Payer Processes and Credentialing
  • Willingness to work continuously in night shifts
  • Prior experience of working in a medical billing company and use of medical billing software is a definite advantage.
  • Knowledge of Healthcare terminology will be considered a plus
  • Must be amenable to work onsite at McKinley,Taguig

We are always interested in talking to inspired, talented, and motivated people. Apply now

Your application will include the following questions:

What's your expected monthly basic salary?

How many years' experience do you have in the BPO industry?

How many years' experience do you have as a Credentialing Verification Coordinator?

Access Healthcare provides business process outsourcing and applications services, and robotic process automation tools to healthcare providers, payers, and related service providers. We operate from 19 delivery centers across 9 cities in the US, India and the Philippines, and our 11,000+ staff is committed to bringing revenue cycle excellence to our customers by leveraging technology, emerging best practices, and global delivery. Based in Dallas, we support over 300,000 physicians, serve 80+ specialties, process over $ 70 billion of A/R annually, and ascribe medical codes to over 30 million charts annually. To learn how Access Healthcare can help your organization boost its financial performance, visit

Access Healthcare provides business process outsourcing and applications services, and robotic process automation tools to healthcare providers, payers, and related service providers. We operate from 19 delivery centers across 9 cities in the US, India and the Philippines, and our 11,000+ staff is committed to bringing revenue cycle excellence to our customers by leveraging technology, emerging best practices, and global delivery. Based in Dallas, we support over 300,000 physicians, serve 80+ specialties, process over $ 70 billion of A/R annually, and ascribe medical codes to over 30 million charts annually. To learn how Access Healthcare can help your organization boost its financial performance, visit

Show more

Perks and benefits

Medical

Miscellaneous allowance

Insurance, Incoming Free Transport, 25 Paid Leaves

Don't provide your bank or credit card details when applying for jobs.

Researching careers? Find all the information and tips you need on career advice.

#J-18808-Ljbffr

  • Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

    Full time Add expected salary to your profile for insights Accesshealthcare is looking for Experienced Credentialing / Enrollment Specialist to be part of our growing teamResponsibilities:Completion of Enrollment Activities (including, but not limited to, online applications, roster completion, CAQH, PDF applications needed to enroll a provider (physician...


  • Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

    Training Specialist for BPO Healthcare (Registered Nurse) | Start ASAP Nursing - General Medical & Surgical (Healthcare & Medical) Access Healthcare is looking for an experienced Training Specialist for our Clinical accounts. Facilitates virtual and in-person new hire, upskill, recursive, skill enhancement, knowledge update and compliance training...


  • Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

    Collections Specialist | Healthcare BPO | Competitive Salary Package | Day-1 HMOAccess Healthcare is looking for a skilled and experienced Collections Specialist for Healthcare Insurance to join our dynamic team. If you have a background in handling patient collections or Self-Pay in a BPO environment and possess excellent communication and organizational...


  • Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

    Clinical Training Specialist | BPO Healthcare | Competitive Salary | Day-1 HMOAccess Healthcare is looking for an experienced Training Specialist for our Clinical accounts. Facilitates virtual and in-person new hire, upskill, recursive, skill enhancement, knowledge update and compliance training sessionsFacilitates and attends train the trainer sessions, as...


  • Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

    Patient Collections Specialist (Self-Pay) - PIONEER ACCOUNTAccesshealthcare is looking for a skilled and experienced Patient Collections (Self-Pay) Associate to join our dynamic team. If you have a background in handling patient collections in a BPO environment and possess excellent communication and organizational skills, we invite you to apply.Key...


  • Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

    Nursing - General Medical & Surgical (Healthcare & Medical) Facilitates virtual and in-person new hire, upskill, recursive, skill enhancement, knowledge update and compliance training sessionsFacilitates and attends train the trainer sessions, as neededSends daily attendance, training and class endorsement reportsCreates, updates and maintains class...


  • Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

    Medical Courses Fresh Grads | Pre-authorization Specialist | Pasay Site Medical Specialists (Healthcare & Medical) Access Healthcare is in need of Medical Allied Courses with or without experience for our Prior Authorization AccountTasks:Will need to complete a full analysis of patient's medical chartsConduct outbound calls to providers to obtain...

  • Training Specialist

    2 weeks ago


    Taguig, National Capital Region, Philippines Nezda Technologies Full time

    Position: Training Specialist (Medical Field)Location: BGC, TaguigWork setup: On-siteWork Schedule: ShiftingJob Descriptions:The Training Specialist is responsible for developing, implementing and evaluating Shearwater Health training activities. Plans, assesses, organizes, coordinates, conducts and evaluates all SWH training programs and activities. These...


  • Taguig, National Capital Region, Philippines IQVIA LLC Full time

    Data Delivery Operations Specialist page is loaded Data Delivery Operations Specialist Apply locations Taguig City, Philippines time type Full time posted on Posted 3 Days Ago job requisition id R JOB RESPONSIBILITIES: Works with Client Services Account Managers/Sales Team and customers to get detailed data specifications Manages data segmentation requests...


  • Taguig, National Capital Region, Philippines IQVIA Full time

    Database Development & Administration (Information & Communication Technology) Full time Add expected salary to your profile for insights Works with Client Services Account Managers/Sales Team and customers to get detailed data specificationsManages data segmentation requests to determine the optimum data set for each client centered around HCP...


  • Taguig, National Capital Region, Philippines Nezda Technologies Full time

    Quality Assurance & Control (Manufacturing, Transport & Logistics) Position: Quality Assurance Specialist (Medical Field)Location: BGC, TaguigWork setup: On-siteWork Schedule: Shifting.Job Descriptions:The Quality Assurance (QA) Specialist is responsible in ensuring accuracy of information and quality of delivery by monitoring, auditing, reviewing,...

  • QA Specialist

    2 weeks ago


    Taguig, National Capital Region, Philippines Shearwater Health Full time

    QA Specialist | PHRN Inpatient Coder (with Onsite Allowance)Let your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careersOur Clinicians & Associate advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive...


  • Taguig, National Capital Region, Philippines Neks Job Philippines Full time

    We are looking for a high-performing ACCOUNTS RECEIVABLE SPECIALIST to help us meet our customer acquisition and revenue growth targets by keeping our company competitive and innovative. You will be responsible for maximizing our sales team potential, crafting sales plans and justifying those to plans to the upper management.Why pick us?Competitive...


  • Taguig, National Capital Region, Philippines Monroe Consulting Group Full time

    Executive Search Firm Monroe Consulting Group is recruiting an Applications Specialist on behalf of a multinational manufacturer of optical systems and optoelectronics. The role will be responsible providing technical expertise, training, and support to healthcare professionals, customers, and internal stakeholders. The role will directly report to the...


  • Taguig, National Capital Region, Philippines Neksjob Full time

    We are looking for a high-performing ACCOUNTS RECEIVABLE SPECIALIST to help us meet our customer acquisition and revenue growth targets by keeping our company competitive and innovative. You will be responsible for maximizing our sales team potential, crafting sales plans and justifying those to plans to the upper management. Why pick us? Competitive Salary...

  • AR Specialist

    2 weeks ago


    Taguig, National Capital Region, Philippines IQ BackOffice Inc. (formerly HRMall Inc.) Full time

    Cash Application Specialist | US Healthcare & EOB for Medical Billing exp IQ BackOffice Inc. (formerly HRMall Inc.) Bookkeeping & Small Practice Accounting (Accounting) Full time Add expected salary to your profile for insights Is responsible for the of daily task of posting cash and adjustments through ERA processing or manual posting in the various...


  • Taguig, National Capital Region, Philippines Carelon Global Solutions Full time

    Talent Acquisition Support Sr Specialist Recruitment - Internal (Human Resources & Recruitment) Full time Add expected salary to your profile for insights The Talent Acquisition Support Sr. Specialist will provide administrative support throughout the recruitment process. Primary duties include but are not limited to: Monitoring pre-employment requirements...


  • Taguig, National Capital Region, Philippines Carelon Global Solutions Full time

    Recruitment - Internal (Human Resources & Recruitment) The Talent Acquisition Support Specialist will provide administrative support throughout the recruitment process. Primary duties include but are not limited to:Monitoring pre-employment requirements and checks including background verification and medical.Sending offer letters to the candidates.Building...

  • SEO Senior Specialist

    2 weeks ago


    Taguig, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time

    Media Strategy, Planning & Buying (Advertising, Arts & Media) Full time Add expected salary to your profile for insights The Web SEO Senior Specialist will be responsible for the SEO strategy and execution of content-driven organic initiatives to acquire new customers efficiently and at scale for the organization.Qualifications:Amenable to work in BGC...


  • Taguig, National Capital Region, Philippines Philips Full time

    Job TitleModality Specialist, Imaging (CT, MR and DXR)Job DescriptionModality Sales Specialist, Imaging (CT, MR and DXR) In this role, you have the opportunity to provide support and manage all aspects of Clinical Education, Business Growth, Marketing and Strategic representations of the Imaging (CT, MR and DXR) modalities within Philippines. Together with...