Credentialing Specialist

4 days ago

Davao City, Davao, Philippines Connext Full time
Overview

Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Credentialing Specialist who will be working with Connext's Client in the United States.

What's in it for you?
  • Competitive compensation
  • Perfect Attendance Bonus
  • Life insurance
  • HMO Insurance
  • Great company culture
  • Annual Merit Increase
  • 25% Night Differential
  • Company-provided equipment
Responsibilities
  • Manage and maintain provider credentialing files and records.
  • Verify licenses, certifications, and other provider qualifications through primary source verification.
  • Prepare, complete, and track payer enrollment and re-enrollment applications.
  • Monitor credentialing and enrollment status, ensuring timely updates and renewals.
  • Ensure compliance with HIPAA and regulatory standards in all credentialing activities.
Required Qualifications
  • Bachelor's degree in Healthcare Administration, Business, or related field.
  • At least two (2) years of experience in provider credentialing, enrollment, or healthcare administration.
  • Must have stable employment history.
  • Experience using Excel spreadsheets, One Note, Adobe, Outlook and credentialing databases.
  • Familiarity with HIPAA guidelines and healthcare compliance.
  • Experience handling provider data and documentation with accuracy and confidentiality.
Senioriry level
  • Entry level
Employment type
  • Full-time
Job function
  • Health Care Provider
Industries
  • Health and Human Services

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