Healthcare Credentialing Professional

1 week ago


Hagonoy, Central Luzon, Philippines beBeeCredentialing Full time ₱2,400,000 - ₱3,600,000
Credentialing Specialist Job Description

We are seeking a highly skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for handling credentialing needs for our clients who are US-based health care providers, diagnostic laboratories and medical facilities.

Responsibilities:

  • Collect required documentation for credentialing such as accreditation, membership and facility privileges.
  • Assist providers with completing payer forms and ensure compliance with payer's 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.

Job Requirements:

  1. At least 2 years experience in US-based Credentialing process.
  2. Familiarity with US medical insurance industry.
  3. Excellent listening, communication, and problem-solving skills.
  4. Self-motivated and able to work autonomously.
  5. Credentialing certification is required.

Working Conditions:

  • High comfort level working on Eastern Time Zone/US Shift.
  • Good internet access at home.
  • Mobile Hotspot.
  • Laptop/Desktop of at least 8 GB.


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