Credentialing and Provider Enrollment Specialists
3 days ago
Credentialing 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 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 Seniority level Associate Employment type Full-time Job function Other Industries Outsourcing and Offshoring Consulting and Hospitals and Health Care #J-18808-Ljbffr
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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 and Enrollment
2 weeks ago
Taguig, National Capital Region, Philippines Access Healthcare Full timeAccesshealthcare is looking for Credentialing Specialist to be part of our growing teamResponsibilitiesCompletion 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,...
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Healthcare CSR | Provider Enrollment
2 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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Credentialing Specialist
2 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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Health Provider Enrollment Analyst
2 weeks ago
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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Enrollments Specialist
3 days ago
Taguig, Philippines Osmind Full timeAbout Us Osmind is a technology, services, and data company focused exclusively on psychiatry. Mental health disorders are one of the leading causes of death worldwide and are tied to shortening lifespans. Yet, we have cause for hope: there have been developments in new psychiatric medications since the first FDA approval in 1954, such as new treatments like...
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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 Compliance Analyst
2 weeks ago
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. health and safety sector, recognized for its focus on innovation, high-quality patient care, and operational excellence. Its expanding global...
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Credentialing Analyst
2 weeks ago
Taguig, Philippines Michael Page Full timeCareer Growth in a Regulated and High-Impact Field Night Shift opportunity with a Hybrid set up About Our Client Our client is a respected leader in the healthcare industry, known for its mission-driven culture, commitment to excellence, and supportive work environment. Job Description Assist in processing initial and re-credentialing applications for...
