Credentialing Specialist
3 weeks ago
Job description Access Healthcare is currently looking for Provider Enrollment and Credentialing specialist to be part of our growing team. The Provider Enrollment and Credentialing Specialist is responsible for managing the process of enrolling healthcare providers into insurance networks and ensuring that their credentials meet industry standards. This role ensures that healthcare professionals are properly credentialed to provide services, meet regulatory and payer requirements, and support operational efficiency within a healthcare organization. Responsibilities Completion of Enrollment Activities (including, but not limited to, online applications, roster completion, CAQH, PDF applications needed to enroll a provider (physician group) with a payer), provided all information for enrollment to take place (including, but not limited to, access to a payer portal, access to Availity, and CAQH user name and passwords, in addition to all information needed to enroll, including signature pages). Provider credentialing services shall also include review, documentation and follow-up with payers. Once cleared, you will continue to perform Credentialing Activities – Completion of Enrollment Activities to Client as stated above. Credentialing Specialist shall assist Client in enrolling the providers (physician groups) with the specified payers. Credentialing services shall also include review, documentation and follow-up with payers until the providers are enrolled with the payers. Qualifications Must have experience in Provider Enrollment and Credentialing processes for US healthcare customers. Strong knowledge of Payer Processes and Credentialing Prior experience of working in a medical billing company and use of medical billing software is a definite advantage. Must be amenable to work onsite at McKinley, Taguig and night shift schedule Benefits Annual Salary Increase (based on performance) 20% Night Differential HMO on Day 1 Life Insurance on Day 1 Free Shuttle Job Type: Full-time Benefits Health insurance Life insurance Opportunities for promotion Paid training Pay raise Promotion to permanent employee Transportation service provided Ability to commute/relocate Taguig: Reliably commute or planning to relocate before starting work (Required) Experience Credentialing Specialist: 1 year (Required) Healthcare Customer Service Representative: 1 year (Required) Location Taguig (Preferred) #J-18808-Ljbffr
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Credentialing Specialist
3 days ago
Taguig, National Capital Region, Philippines Access Healthcare Full time ₱360,000 - ₱420,000 per yearAccess Healthcare is currently looking for Provider Enrollment and Credentialing specialist to be part of our growing team.The Provider Enrollment and Credentialing Specialist is responsible for managing the process of enrolling healthcare providers into insurance networks and ensuring that their credentials meet industry standards. This role ensures that...
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Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time ₱1,200,000 - ₱2,400,000 per yearAccess Healthcare is currently looking for Provider Enrollment and Credentialing specialist to be part of our growing team. The Provider Enrollment and Credentialing Specialist is responsible for managing the process of enrolling healthcare providers into insurance networks and ensuring that their credentials meet industry standards. This role ensures that...
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Taguig, Philippines John Clements Consultants, Inc. Full timeCredentialing and Provider Enrollment Specialists Responsibilities Responsible for timely and accurate initial credentialing and re-credentialing of affiliated network practitioners. Processes primary source verification and additional requirements. Assists the Credentialing Manager in conducting regulatory compliance audits of delegated healthcare entities...
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Taguig, Philippines Access Healthcare Services Manila, Inc. Full timeAccess Healthcare is currently looking for Provider Enrollment and Credentialing specialist to be part of our growing team. The Provider Enrollment and Credentialing Specialist is responsible for managing the process of enrolling healthcare providers into insurance networks and ensuring that their credentials meet industry standards. This role ensures that...
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Taguig, National Capital Region, Philippines Palmeira Lando OPC Full time ₱300,000 - ₱900,000 per yearIf you have a insurance credentialing experience and you are ready to be part of our growing team as a Insurance Credentialing Specialist, Palmeira Lando OPC is looking for youWhy Palmeira Lando OPC?At Palmeira Lando OPC, we're not just another BPO, we are a healthcare-first company built by professionals from the U.S. healthcare industry. We operate our own...
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Healthcare CSR | Provider Enrollment
3 weeks ago
Taguig, Philippines Top Source Executive Search Full timeWe are seeking a diligent and detail-oriented Provider Enrollment and Credentialing Specialist to join our team. The ideal candidate will be responsible for the timely and accurate completion of enrollment tasks, demonstrating a strong commitment to quality, efficiency, and meeting key performance goals within a fast‑paced environment. Work Setup: Full...
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Taguig, National Capital Region, Philippines John Clements Consultants, Inc. Full time ₱400,000 - ₱600,000 per yearResponsibilities•Responsible for timely and accurate initial credentialing and re-credentialing of affiliated network practitioners. Processes primary source verification and additional requirements.•Assists the Credentialing Manager in conducting regulatory compliance audits of delegated healthcare entities and prepares and presents reports with...
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Healthcare Credentialing Specialist c/o JFI
4 days ago
Taguig, Philippines John Clements Consultants, Inc. Full timeResponsibilities •Responsible for timely and accurate initial credentialing and re-credentialing of affiliated network practitioners. Processes primary source verification and additional requirements. •Assists the Credentialing Manager in conducting regulatory compliance audits of delegated healthcare entities and prepares and presents reports with...
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Inpatient Coder
3 weeks ago
Taguig, Philippines TASQ Staffing Solutions Full timeAbout the job Inpatient Coder - Training Specialist (TWFH) License: PRN + IP Certificate/Credentials: With CCS Certification (Inpatient) Work setup: TWFH Start date: ASAP Skillset: Non-Voice Requirements: At least 1 year of Training/ IP Coding experience or relevant expertiseTraining experience is highly preferred Shift schedule: Flexible to work on shifting...
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Inpatient Coder
3 weeks ago
Taguig, Philippines TASQ Staffing Solutions Full timeAbout the job Inpatient Coder - Training Specialist (TWFH) License: PRN + IP Certificate/Credentials : With CCS Certification (Inpatient) Work setup: TWFH Start date: ASAP Skillset : Non-Voice Requirements: At least 1 year of Training/ IP Coding experience or relevant expertise Training experience is highly preferred Shift schedule : Flexible to work on...
