MD Healthcare Specialist

1 day ago

Lipa City, Calabarzon, Philippines beBeeCredentialing Full time $60,000 - $70,000
Healthcare Credentialing Professional Role Overview

This position involves overseeing credentialing and enrollment processes for healthcare providers practicing in Maryland.

  • Manage the credentialing process for healthcare providers, ensuring compliance with Maryland state regulations, insurance guidelines, and national accreditation standards.
  • Verify provider information to guarantee accuracy and consistency across systems.
  • Submit credentialing applications and enrollment forms to commercial payers, Medicaid, and Medicare (via PECOS).
  • Maintain and update provider data in credentialing systems such as CAQH, NPPES, and internal databases.
  • Track and monitor expirable items such as licenses, certifications, and recredentialing deadlines.
  • Communicate effectively with insurance companies, government agencies, and internal departments to resolve credentialing-related issues.
  • Stay current with Maryland payer requirements, credentialing laws, and healthcare regulations.
Key Qualifications
  • Previous experience in healthcare credentialing or provider enrollment, preferably with Maryland-based providers.
  • Familiarity with Maryland-specific credentialing standards, including Maryland Medicaid and regional payers.
  • Proficiency with credentialing platforms such as CAQH, PECOS, and NPPES.
  • Exceptional attention to detail and ability to manage multiple deadlines effectively.
  • Strong written and verbal communication skills; professional in interactions with both internal and external stakeholders.

  • Healthcare Consultant

    1 day ago

    Lipa City, Calabarzon, Philippines beBeehealthcare Full time ₱18,000 - ₱25,000

    Job Title: Healthcare SpecialistWe are seeking a highly skilled and experienced Healthcare Specialist to join our team. In this role, you will be responsible for making outbound calls to and accepting inbound calls from healthcare providers to answer questions about participation requirements, assistance with registration and login, assessment completion,...

  • Healthcare Professional

    1 day ago

    Lipa City, Calabarzon, Philippines beBeeCare Full time ₱300,000 - ₱500,000

    Healthcare Specialist Job SummaryWe are seeking a skilled and compassionate professional to deliver exceptional care to patients and clients as a vital member of our healthcare services team.Key Responsibilities:Make outbound calls and accept inbound calls from healthcare providers regarding registration, login, assessment completion, and scoring...

  • Clinical Operations Specialist

    1 day ago

    Lipa City, Calabarzon, Philippines beBeeHealthcare Full time $12,960

    Home Healthcare Operations SpecialistWe are seeking a skilled Home Healthcare Operations Specialist to oversee intake coordination, compliance, and clinical documentation in a fast-paced environment. This is an ideal opportunity for a clinical rockstar who thrives in a high-touch setting.Key Responsibilities:Manage the intake process for new patients,...

  • Healthcare Accounts Receivable Specialist

    1 day ago

    Lipa City, Calabarzon, Philippines beBeeAccounting Full time $40,000 - $62,000

    Job Title: Healthcare Accounts Receivable SpecialistWe are seeking a skilled Medical Billing Specialist to manage our client's revenue cycle. As a key member of our team, you will be responsible for the entire accounts receivable process.Key Responsibilities:Manage Accounts Receivables: Oversee the collection and processing of patient payments in a timely...

  • Expert Healthcare Recruitment Professional

    1 day ago

    Lipa City, Calabarzon, Philippines beBeeHealthcare Full time ₱38,000 - ₱50,000

    Healthcare Talent Acquisition SpecialistJob Role:Partner directly with healthcare leadership to understand staffing needs and requirements.Source, screen, and present qualified healthcare professionals for various positions across multiple specialties.Conduct comprehensive candidate interviews and assessments to ensure cultural and technical fit.Manage the...

  • Healthcare Support Specialist

    1 day ago

    Lipa City, Calabarzon, Philippines beBeeSpecialist Full time ₱660,000 - ₱840,000

    About CardaRehabilitation can be a challenging process for many patients. At Carda Health, we've reimagined the way rehabilitation is delivered. Our program allows patients to complete life-saving therapy remotely, making it more convenient and accessible.We're a team of dedicated professionals working together to make a difference in people's lives. Our...

  • Senior Healthcare Record Specialist

    1 day ago

    Lipa City, Calabarzon, Philippines beBeeRecord Full time ₱2,000,000 - ₱4,000,000

    Healthcare Record SpecialistWe are seeking a meticulous and detail-oriented Healthcare Record Specialist to join our team. The ideal candidate will have prior experience requesting health records from providers on behalf of law firms.Responsibilities:Provider Research & Identification:Research and locate billing providers and related entities using available...

  • Healthcare Records Coordinator

    1 day ago

    Lipa City, Calabarzon, Philippines beBeeDocument Full time $42,000 - $60,000

    Medical Document Retrieval Specialist RoleThe Medical Document Retrieval Specialist is a pivotal figure in the healthcare medical records retrieval process. Ensuring all requests are complete, accurate, and prepared for downstream processing is their primary responsibility.Key Responsibilities:Provider Research & IdentificationDetermine all relevant...

  • Healthcare Records Coordinator

    1 day ago

    Lipa City, Calabarzon, Philippines beBeeExpertise Full time ₱2,723,200 - ₱3,998,400

    Job Title: Healthcare Records CoordinatorThe Medical Document Retrieval Specialist plays a pivotal role in the healthcare medical records retrieval process. This position ensures all requests are complete, accurate, and prepared for downstream processing.Key Responsibilities:Determine all relevant healthcare providers associated with a client's treatment,...

  • Healthcare Documentation Specialist

    1 day ago

    Lipa City, Calabarzon, Philippines beBeeCare Full time $22,400 - $29,200

    Are you looking for a challenging and rewarding career in the medical field?Job DescriptionWe are seeking a highly skilled Medical Scribe to join our team. As a Medical Scribe, you will play a vital role in supporting clinicians in their daily tasks, focusing on patient care and hands-on treatment.Your key responsibilities will include:Accurately documenting...