Credentialing and Compliance Officer

2 weeks ago


Manila, National Capital Region, Philippines Theoria Medical Full time

Theoria Medical is seeking a skilled Credentialing Specialist to join its team. In this role, you will be responsible for managing the credentialing process for healthcare providers.

">

Key Responsibilities:

">
  • Manage the credentialing process from initial application to final approval
  • Ensure accuracy and completeness of all credentialing documents
  • Communicate effectively with healthcare providers and administrators
  • Identify areas for process improvement and make recommendations

Requirements and Qualifications:

">
  • 5+ years of experience in healthcare credentialing or related field
  • Strong knowledge of regulatory requirements and industry standards
  • Excellent written and verbal communication skills
  • Ability to work independently and as part of a team

About Theoria Medical:

">

Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum.

Our Mission:

">

To deliver high-quality medical services and technology solutions that improve patient outcomes and enhance the quality of life.

Benefits:

">
  • Competitive compensation package
  • Opportunities for career growth and development
  • A dynamic and supportive work environment


  • Manila, National Capital Region, Philippines CF Solutions Philippines Inc. Full time

    We are seeking a skilled Credentialing Specialist to join our team at CF Solutions Philippines Inc.The ideal candidate will have strong analytical and problem-solving skills, with the ability to work accurately and efficiently in a fast-paced environment.Main Responsibilities:· Initial credentialing and re-credentialing applications for healthcare...

  • Credentialing Manager

    4 weeks ago


    Manila, National Capital Region, Philippines Televisit MD Full time

    Job Title: Credentialing Manager (Remote)Company: Harwood Global LLCJob Type: Full-time, 100% RemoteCompensation: $6/hrJob Description:Harwood Global LLC is looking for a skilled Credentialing Manager to join our remote team. You'll oversee the credentialing process for healthcare providers, ensuring compliance with regulations and maintaining accurate...


  • Manila, National Capital Region, Philippines CF Solutions Philippines Inc. Full time

    Overview:CF Solutions Philippines Inc. is seeking a highly detail-oriented and organized Credentialing Specialist to facilitate the enrollment and re-credentialing process of healthcare providers.This role involves working closely with insurance companies, healthcare providers, and credentialing agencies to ensure compliance with regulatory and...


  • Manila, National Capital Region, Philippines CF Solutions Philippines Inc. Full time

    Job Summary:We are seeking a detail-oriented and organized Credentialing Specialist to join our team. The ideal candidate will be responsible for verifying, maintaining, and completing healthcare provider credentials to ensure compliance with regulatory and organizational standards. This role involves working closely with insurance companies, healthcare...


  • Manila, National Capital Region, Philippines Private Advertiser Full time

    Job DescriptionWe are seeking a highly skilled Medical Credentialing Specialist to join our team at Private Advertiser.About the RoleThis is an exciting opportunity to work in a dynamic environment where you will be responsible for managing the credentialing process for healthcare professionals. Your primary goal will be to ensure that all necessary...


  • Manila, National Capital Region, Philippines Televisit MD Full time

    Overview: As a Credentialing Process Manager at Televisit MD, you will be responsible for overseeing the credentialing process for healthcare providers, ensuring compliance with regulations and maintaining accurate records.Key Responsibilities:Credentialing Process Management: Manage credentialing processes to ensure regulatory compliance and maintain...


  • Manila, National Capital Region, Philippines Theoria Medical Full time

    Theoria Medical is a leading-edge medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care.Job SummaryWe are seeking a highly experienced VP of Credentialing to oversee all aspects of credentialing within Theoria Medical. This includes ensuring that all credentialing...


  • Manila, National Capital Region, Philippines Private Advertiser Full time

    Position:Credentialing / Health Insurance AdvocateLocation:Eastwood Libis Quezon CityWork setup & shift:Onsite | Night ShiftCF Staffing Solutions is a leading Modern Business Process Outsourcing (BPO) company dedicated to helping you achieve unparalleled success. Our primary focus is to harness the power of outsourcing and drive your organization towards...


  • Manila, National Capital Region, Philippines Sustainable Medical Billing Full time

    Senior Credentialing CoordinatorBase Salary Range: 25,000 – 35,000 per monthSustainable Medical Billing, LLC is searching for a talented and experienced credentialing coordinator. We are looking for someone to join our team who works with integrity and exemplifies a "can do" professional attitude. The ideal candidate will also be able to work in a...


  • Manila, National Capital Region, Philippines CF Solutions Philippines Inc. Full time

    Credentialing Specialist Job Summary:CF Solutions Philippines Inc. is looking for a detail-oriented and organized Credentialing Specialist to support the enrollment and re-credentialing process of healthcare providers.The successful candidate will have excellent communication and problem-solving skills, with the ability to work accurately and efficiently in...


  • Manila, National Capital Region, Philippines Theoria Medical Full time

    Theoria Medical is a leading medical group and technology company dedicated to delivering exceptional patient care across the continuum. We are seeking a highly motivated Senior Credentialing Director to lead our credentialing efforts and drive excellence in our organization.About the Role:Develop and implement strategic plans to ensure compliance with...


  • Manila, National Capital Region, Philippines Theoria Medical Full time

    Theoria Medical seeks a seasoned Credentialing Leader to drive excellence in our credentialing processes. In this role, you will be responsible for developing and implementing strategic plans to ensure compliance with regulatory requirements and industry standards.About The Job:Collaborate with internal teams to ensure seamless communication of credentialing...


  • Manila, National Capital Region, Philippines AG GLOBE SERVICES (PHILS.) INC. Full time

    **Company Overview:** AG GLOBE SERVICES (PHILS.) INC. is committed to delivering exceptional staffing solutions in the healthcare industry.**Job Title:** Credentialing Director IIn this role, you will:Oversee the credentialing process, ensuring compliance with regulations and standards.Evaluate application and verification information to identify potential...


  • Manila, National Capital Region, Philippines The Auctus Group Full time

    Job OverviewWe're looking for a highly skilled Contracting & Credentialing Team Lead to join our team at The Auctus Group. As a key member of our operations team, you'll play a vital role in ensuring the smooth functioning of our contracting and credentialing processes.About the RoleThis is a challenging yet rewarding position that requires strong...


  • Manila, National Capital Region, Philippines The Auctus Group Full time

    About The Auctus GroupWe're big on people and culture at The Auctus Group. Our most important role as a company is to provide an amazing working environment for our team. We've been work-from-home-warriors since before it was cool. We support continuing education, charitable donations, and offer remote happy hours and a book club. Our whole goal is to...


  • Manila, National Capital Region, Philippines Private Advertiser Full time

    RequirementsBachelor's Degree in any field.Knowledge of medical provider credentialing, accreditation, regulations, and state licensing requirements.Familiarity with CAQH, Medicare, Medicaid, Tricare, third-party payers, and various physician specialties.Excellent communication skills, proficiency in MS Office, and strong organizational and time management...


  • Manila, National Capital Region, Philippines Theoria Medical Full time

    2 days ago Be among the first 25 applicantsCompensation: Php 300,000 (All-in salary package)Job Location: Remote (Philippines)Job Highlights:Paid Time Off: Relax and recharge with paid vacation and sick leaves.Bonus Boost: Enjoy an extra bonus with our 13th-month pay.Weekends Free: Say goodbye to work on weekends and embrace personal time.Extra Earnings:...


  • Manila, National Capital Region, Philippines Theoria Medical Full time

    Get AI-powered advice on this job and more exclusive features.Compensation: Php 300,000 (All-in salary package)Job Location: Remote (Philippines)Job Highlights:Paid Time Off: Relax and recharge with paid vacation and sick leaves.Bonus Boost: Enjoy an extra bonus with our 13th-month pay.Weekends Free: Say goodbye to work on weekends and embrace personal...


  • Manila, National Capital Region, Philippines Theoria Medical Full time

    Get AI-powered advice on this job and more exclusive features.Position Type: Full-time, Non-exemptCompensation: Php 300,000 (All-in salary package)Job Location: Remote (Philippines)Job Highlights:Paid Time Off: Relax and recharge with paid vacation and sick leaves.Bonus Boost: Enjoy an extra bonus with our 13th-month pay.Weekends Free: Say goodbye to work on...


  • Manila, National Capital Region, Philippines Theoria Medical Full time

    2 days ago Be among the first 25 applicantsCompensation: Php 300,000 (All-in salary package)Job Location: Remote (Philippines)Job Highlights:Paid Time Off: Relax and recharge with paid vacation and sick leaves.Bonus Boost: Enjoy an extra bonus with our 13th-month pay.Weekends Free: Say goodbye to work on weekends and embrace personal time.Extra Earnings:...