Healthcare Credentials Manager

6 days ago

Manila, National Capital Region, Philippines beBeeCredentialing Full time ₱800,000 - ₱1,200,000

We are seeking a skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for handling credentialing needs for our clients, including collecting documentation, assisting providers with payer forms, and maintaining accurate client information.

Responsibilities:

  • Perform credentialing work:
    • Collect all required documentation for credentialing such as accreditation, membership, and facility privileges.
    • Assist providers with completing payer forms and ensure compliance with payer expectations.
    • Respond to provider inquiries regarding credentialing process progress.
    • Alert clients of new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements.
  • Maintain accurate and current client information using an online database.
  • Drive the implementation of automated workflow management systems.

Requirements:

  1. At least 2 years experience in US-based credentialing processes.
  2. Familiarity with the US medical insurance industry.
  3. Excellent listening, communication, and problem-solving skills.
  4. Self-motivation and ability to work independently.
  5. Credentialing certification is required.

Additional Requirements:

  1. High comfort level working on Eastern Time Zone/US Shift.
  2. Good internet access at home.
  3. Mobile Hotspot.
  4. Laptop/Desktop with at least 8 GB RAM.

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