Healthcare Credentialing Specialist c/o JFI
4 weeks ago
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 and prepares and presents reports with findings, conclusions, and recommendations. •In collaboration with leadership, participates in reviews and continual improvement of department policies and procedures. •Responsible for ongoing monitoring and timely re-verification of expiring credentials in accordance with all applicable regulatory standards. •Processes provider initial and re-appointment applications, reaches out to ensure completion, escalates to Medical Staff Office as needed, and prepares profiles for review. •Updates provider demographic information and data changes as directed, follows appropriate guidelines regarding provider information disclosure, ensures accuracy in work and performs proactive and reactive monitoring and quality auditing as needed. •Processes provider access requests as needed. Qualifications Bachelor’s degree in any field Minimum of 1 year of experience in credentialing or provider enrollment within a healthcare, BPO, or shared services environment. Experience in HR background checks or employment verification in the medical field may also be considered. Willing to work in a hybrid setup and flexible with work schedules #J-18808-Ljbffr
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Expert Credentialing Specialist
3 weeks ago
Taguig, Philippines Michael Page Full timeTo work in a fast growing multinational healthcare business To take ownership in a new role and grow their career About Our Client This opportunity is with a large healthcare organization offering comprehensive business services. Known for its professional environment and emphasis on excellence, the company provides employees with the chance to grow and...
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Credentialing Analyst
4 weeks ago
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 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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Senior Credentialing/Licensing Coordinator
3 weeks ago
Taguig, Philippines Ubiquity Full timeOverview At Ubiquity , we believe better careers start with purpose. If you’re passionate about making a difference in healthcare operations and thrive in a fast-moving environment, this role is for you. What You’ll Get To Do Every Day Oversee provider licensing applications, ensuring compliance with state medical board and federal regulations Process...
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Senior Credentialing/Licensing Coordinator
2 weeks ago
BGC, Taguig city, Philippines Ubiquity Global Services Full time ₱30,000 - ₱60,000 per yearAt Ubiquity, we believe better careers start with purpose. We bring head (expertise), heart (collaboration), and hustle (drive) into everything we do. If you're passionate about making a difference in healthcare operations and thrive in a fast-moving environment, this role is for you.What you'll get to do every dayLicensingOversee provider licensing...
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Healthcare Recruiters
2 weeks ago
Taguig, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time ₱900,000 - ₱1,200,000 per yearAccess Healthcare is looking for Recruiters to join our team for a 3-month project-based role. The Recruiter will manage the end-to-end recruitment process, ensuring the timely acquisition of top talent for various roles. This is a fully remote position that requires a high level of autonomy and expertise in healthcare recruitment.Key Responsibilities:Manage...
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Insurance Verification Specialist
2 weeks ago
Taguig, National Capital Region, Philippines Access Healthcare Full time ₱300,000 - ₱360,000 per yearJob OverviewWe are looking for a Patient Eligibility Verification Specialist for our Voice Program, who will be responsible for verifying patients' insurance coverage and eligibility under Medicaid and Medicare. The role requires strong communication skills, attention to detail, and experience handling patient verification calls in a healthcare or BPO...
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Prior Authorization Specialist
1 week ago
Taguig, National Capital Region, Philippines Access Healthcare Full time ₱300,000 - ₱360,000 per yearAccess Healthcare is looking for motivated and detail-oriented individuals to join our Healthcare Prior Authorization team.Key Responsibilities:Review and process prior authorization requests from healthcare providers.Verify patient insurance coverage and ensure compliance with payer requirements.Coordinate with healthcare providers, insurance companies, and...
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Quality Assurance Specialist
3 weeks ago
Taguig, Philippines Private Advertiser Full timeAbout the role As a Quality Assurance Specialist (Healthcare), you will play a crucial role in ensuring exceptional customer service and support for our healthcare clients. Based in Bonifacio Global City Taguig City Metro Manila , this full-time position will require you to monitor and analyse customer interactions to identify areas for improvement and drive...
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Repairs and Maintenance Specialist
2 weeks ago
Taguig, National Capital Region, Philippines HGS Offshore Staffing Solutions (HGS OSS) Full time ₱400,000 - ₱600,000 per yearRole Overview:The purpose of the Repairs & Maintenance Specialist is to manage and oversee repairs and maintenance cases, ensuring seamless support for both our customers and Community Management Team. This customer-facing role prioritises service excellence by managing quote requests, work orders, and recurring maintenance works. Success in this role is...