Healthcare Credentialing Specialist

20 hours ago


Batangas, Calabarzon, Philippines beBeeCredentialing Full time ₱400,000 - ₱600,000

As a credentialing professional, you will play a vital role in ensuring the smooth operation of our clients' healthcare facilities.

Key Responsibilities:
  • Credentialing Management:
    • Manage the credentialing process for healthcare providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare networks.
    • Collect 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 credentialing process progress.
    • Alert clients of new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements.
  • Client Information Management:
    • Maintain accurate and current client information using an online database.
  • Automated Workflow Implementation:
    • Drive the implementation of the automated credentialing workflow management system.
    • Provide requirements to software developers.
    • Review implementation.
    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-motivated and able to work autonomously.
  5. Credentialing certification is required.
Must-Haves:
  1. High comfort level working on Eastern Time Zone/US Shift.
  2. Good internet access at home.
  3. Mobile Hotspot.
  4. Laptop/Desktop of at least 8 GB.

This opportunity will enable you to utilize your expertise and passion for credentialing to drive success in a dynamic company.



  • Batangas, Calabarzon, Philippines beBeeCredentialing Full time ₱360,000 - ₱540,000

    Job OverviewThis role involves providing comprehensive support for credentialing and re-credentialing processes for healthcare providers. The successful candidate will manage applications, conduct primary source verification, and maintain the credentialing database with accuracy and attention to detail.Key Responsibilities:Comprehensive Credentialing...


  • Batangas, Calabarzon, Philippines beBeeCredentialing Full time $75,000 - $94,000

    Credentialing Specialist Job DescriptionAs a Credentialing Specialist, you will play a crucial role in ensuring compliance with state and federal regulations. This remote position offers an opportunity to work independently while contributing to the growth of our company.Key Responsibilities:Manage credentialing and recredentialing processes for healthcare...


  • Batangas, Calabarzon, Philippines beBeeCredentialing Full time ₱420,000 - ₱540,000

    Finni Health empowers autism care providers to start, run and grow their own practices.Our VisionWe democratize autism care by providing access to our insurance network and purpose-built EHR software, HR solutions and clinical support.About the RoleProvide comprehensive support for all aspects of credentialing and re-credentialing processes for Finni Health...


  • Batangas, Calabarzon, Philippines beBeeCredentialing Full time $7,200 - $7,800

    Our organization is seeking a skilled professional to fill the role of Clinical Credentialing Specialist.The ideal candidate will have experience in credentialing and re-credentialing processes, particularly for professionals working in ABA therapy services.This position involves managing the credentialing and re-credentialing applications for BCBAs, RBTs,...


  • Batangas, Calabarzon, Philippines beBeeCredentialing Full time $7,200 - $7,800

    Credentialing SpecialistThis role involves managing the credentialing and re-credentialing processes for our clinicians and facilities. The ideal candidate has a strong background in ABA therapy services, is well-versed in payer enrollment requirements, particularly for ABA providers, and can navigate commercial and Medicaid insurance portals with...


  • Batangas, Calabarzon, Philippines beBeeCredentialing Full time $12,000 - $15,600

    About Our Credentialing RoleThis job opening is perfect for meticulous professionals who excel in precision, organization, and responsibility. You will coordinate directly with healthcare providers, insurance companies, and facilities to secure approvals, manage sensitive documentation, and maintain audit-ready credentialing records.Key ResponsibilitiesWe're...


  • Batangas, Calabarzon, Philippines beBeeUtilizationManagement Full time ₱55,000 - ₱155,000

    Healthcare Optimization SpecialistWe are seeking a highly skilled professional to join our team as a Healthcare Optimization Specialist.Main Responsibilities:Assess and interpret customer needs, requirements, and medical records for the purpose of optimizing healthcare outcomes.Evaluate medical claims for medical necessity and make recommendations for...


  • Batangas, Calabarzon, Philippines beBeeSupport Full time ₱3,000,000 - ₱5,000,000

    Healthcare Support SpecialistWe are seeking a skilled and organized individual to join our team as a Healthcare Support Specialist. This is an exciting opportunity for someone who is passionate about delivering exceptional patient care and support in a fast-paced healthcare environment.Key Responsibilities:Process internal referrals and ensure they are...


  • Batangas, Calabarzon, Philippines beBeeHealthcare Full time ₱60,000 - ₱85,000

    We are seeking a dedicated professional to fill the role of Healthcare Support Specialist.Job DescriptionThe primary function of this position is to provide exceptional support services to healthcare providers through various means, including outbound and inbound calls.This individual will play a vital role in ensuring that our clients receive the highest...


  • Batangas, Calabarzon, Philippines beBeeAdministrative Full time ₱12,000 - ₱18,000

    Medical Support Specialist JobThis role involves providing administrative support to healthcare providers, ensuring seamless patient care.Manage patient scheduling and confirmations for smooth operations.Maintain accurate patient records and process documents efficiently.Handle billing inquiries and facilitate insurance verification for timely...