Professional Credentialing Expert

2 days ago


Baguio City, Cordillera, Philippines beBeeCredentialing Full time ₱3,500,000 - ₱6,500,000
Credentialing Specialist

We are seeking a Credentialing Specialist to join our team. As a leading provider of Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, we understand the importance of timely and accurate credentialing for healthcare providers.

Responsibilities:
  • Handle credentialing needs for US-based health care providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare networks.
  1. 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 about 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 credentialing workflow management systems.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-motivated and able to work autonomously.
  5. Credentialing certification is required.


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