US Healthcare Credentialing Professional

7 days ago


Sorsogon, Bicol, Philippines beBeeCredentialing Full time ₱900,000 - ₱1,200,000

We are seeking a seasoned Credentialing Specialist to join our team. In this role, you will be responsible for managing the credentialing needs of our clients, ensuring timely and accurate processing of their applications.

Responsibilities:

  • Collect all required documentation for credentialing, including accreditation, membership, and facility privileges.
  • Assist providers with completing payer forms and ensure compliance with payer expectations.
  • Respond to provider inquiries regarding the credentialing process.
  • Alert clients to new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements.

Maintaining accurate and current client information using an online database is also a key aspect of this role. Additionally, you will drive the implementation of our automated credentialing workflow management system by providing requirements to software developers and reviewing the implementation.

Qualifications
  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.

The ideal candidate will have a high comfort level working on Eastern Time Zone/US shift, good internet access at home, a mobile hotspot, and a laptop/desktop with at least 8 GB of RAM.



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