Credentialing Specialist
17 hours 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 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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Credentialing Specialist
4 weeks ago
Taguig, Philippines HireHawk Full timeJob Title: Credentialing SpecialistJob Type: Full-Time ContractorWorkplace: RemoteSchedule: Monday–Friday, 8:30 AM – 5:00 PM PTCompensation: USD $1,000 – $1,300/month (DOE) About HireHawk At Hirehawk, we connect top global talent with high-performing U.S. companies. Our focus is on finding exceptional professionals who bring both expertise and...
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Network Operations Specialist
3 weeks ago
Taguig, Philippines Risewave Consulting, Inc. Full timeOverview We are looking for a Network Operations Specialist to lead provider roster management and drive adoption of the Symplr DIU tool. You’ll oversee daily roster operations, streamline workflows, and identify automation opportunities across provider onboarding, credentialing, and data validation processes. Responsibilities Manage day-to-day provider...
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Inpatient Coder
13 hours 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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Retirement Specialist
2 days ago
Taguig, National Capital Region, Philippines Willis Towers Watson Full time ₱1,200,000 - ₱2,400,000 per yearAs a Retirement Specialist for Consulting supports the delivery of quality Retirement solutions covering plan valuations, design & review including plan conversions, plan administration, and other retirement benefit services. The Retirement Specialist/Consultant may also get involved in insurance, health, and other risk projects requiring actuarial...
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Retirement Specialist
2 days ago
Taguig, National Capital Region, Philippines WTW Full time ₱900,000 - ₱1,200,000 per yearDescriptionAs aRetirement Specialistfor Consulting supports the delivery of quality Retirement solutions covering plan valuations, design & review including plan conversions, plan administration, and other retirement benefit services. The Retirement Specialist/Consultant may also get involved in insurance, health, and other risk projects requiring actuarial...
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Finance Specialist
4 weeks ago
Taguig, Philippines Sun Life Full timeFinance Specialist – Sun Life Join to apply for the Finance Specialist role at Sun Life . Posting: 6 days ago • Be among the first 25 applicants. Job Description: The Specialist will participate in: (1) the financial statement closing process, including preparation/processing of journal entries, financial and management reports; (2) the preparation...
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Customer Service Representative
6 days ago
Taguig, Philippines Top Source Executive Search Full timeWork Setup: Full time Night shift On site in BGC We are seeking a detail-oriented and experienced Customer Service Representative for a Healthcare account to join our team as a Payor Enrollment Specialist . The ideal candidate will be responsible for the timely and accurate completion of enrollment tasks, demonstrating a strong commitment to quality,...
