Medical Credentialing Specialist

3 days ago


Manila, National Capital Region, Philippines ADEC INNOVATIONS HEALTHCARE, INC Full time

Job Summary

The Credentialing Specialist plays a crucial role in ensuring timely processing of credentialing activities. Collaborating with the team, this specialist verifies healthcare providers' qualifications and certifications, guaranteeing they meet regulatory standards and requirements.

Responsibilities:

  1. Credential Verification: Ensure healthcare providers meet necessary qualifications and credentials through thorough verification processes.
  2. Documentation Management: Maintain accurate records of provider credentials, licenses, certifications, and other pertinent information while adhering to document retention regulations.
  3. Communication: Establish effective communication with healthcare providers to collect necessary documents and resolve any credentialing-related issues.
  4. Compliance Monitoring: Stay updated on regulatory changes and ensure healthcare providers adhere to these requirements.
  5. Cross-Functional Collaboration: Work closely with various departments to integrate provider credentialing processes within the organization.

Requirements:

  • At least 1 year of experience in Healthcare BPO settings; prior experience in provider credentialing and enrollments preferred.
  • Excellent attention to detail and accuracy in record-keeping.
  • Effective communication and interpersonal skills.
  • Understanding of medical terminology and healthcare provider specialties.

Perks:

  • Competitive salary
  • Onsite training and nesting period (Alabang)
  • HMO DAY1 with dependent coverage
  • Night Differential
  • Internet Allowance
  • Rice Allowance
  • Clothing Allowance
  • Laundry Allowance
  • Meal Allowance
  • Healthy working environment
  • Internal trainings and events

ADEC INNOVATIONS HEALTHCARE, INC is committed to creating a healthy work environment that supports our employees' growth and well-being.



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