Healthcare Provider Enrollment and Credentialing Specialist | Taguig
3 weeks ago
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 #J-18808-Ljbffr
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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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Credentialing Specialist
3 weeks ago
Taguig, Philippines access healthcare Full timeJob 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...
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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, 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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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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Health Provider Enrollment Analyst
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Taguig, Philippines Michael Page Full timeBe part of a growing shared services company in a non profit health care company Opportunity to gain pioneering experience in a hybrid work setup About Our Client Our client is a leading organization in the U.S. healthcare sector, recognized for its focus on innovation, high-quality patient care, and operational excellence. Its expanding global capability...
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Credentialing Analyst
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Taguig, Philippines John Clements Consultants, Inc. Full timeResponsibilities Handle timely and accurate initial credentialing and re-credentialing of network practitioners, including primary source verification and other documentation requirements. Support the Credentialing Manager in conducting regulatory compliance audits and preparing detailed reports with findings and recommendations. Collaborate with leadership...
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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 Credentialing Specialist c/o JFI
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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...