Professional Credential Manager

2 days ago


Cabuyao, Calabarzon, Philippines beBeeCredentialing Full time $7,200 - $7,800
Credentialing Specialist Career Overview

Credentialing specialists play a pivotal role in ensuring clinicians and facilities maintain proper credentials and compliance within healthcare settings. To excel in this position, individuals should possess strong attention to detail, a solid understanding of ABA therapy services, and excellent communication skills.

Key Responsibilities:
  • Manage credentialing and re-credentialing applications for licensed professionals and other healthcare personnel
  • Submit accurate and timely applications to insurance payers via various portals
  • Monitor application statuses, address delays, and maintain ongoing communication with insurance companies
  • Maintain up-to-date records of professional licensure, certifications, background checks, liability insurance, and other essential documentation
  • Coordinate start dates with HR and scheduling teams to ensure seamless onboarding
  • Verify and submit demographic updates, benefit reassignments, and provider terminations in a timely manner
  • Initiate renewal processes in advance to avoid expiration deadlines
  • Collaborate with the billing team to resolve credentialing-related claim denials and payer issues




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