Healthcare Credentialing Specialist c/o JFI
4 days 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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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, 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 Analyst
4 days 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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Reimbursement Supervisor
2 weeks ago
Taguig, Philippines John Clements Consultants, Inc. Full timeResponsibilities Oversee the day-to-day operations and deliverables of the Reimbursement Team, including the preparation, review, and submission of health insurance cost reports, reimbursement analytics, and regulatory compliance activities. Lead and develop a team of reimbursement analysts by managing workflow, providing training, monitoring performance,...
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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, 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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Credentialing Coordinator
2 weeks ago
Taguig, Philippines Finni Health Full timeAbout Finni Health Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We've experienced rapid growth and are backed by top-tier investors like General Catalyst and YCombinator. We seek...
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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...
