Credentialing Specialist

2 days ago

Pasay, National Capital Region, Philippines Infinit-O Full time

Infinit-O is the trusted, customer-centric, and sustainable leader in Business Process Optimization. We empower finance and healthcare organizations to thrive in a digital-first world by combining specialized industry expertise and innovative technology for 20 years.

We navigate complex industry landscapes to drive transformative outcomes, helping businesses streamline operations, enhance customer experience, and achieve sustainable growth backed by a world-class Net Promoter Score of 75. Our approach combines operational efficiency with a human-centered ethos, ensuring sustainable value creation for our clients and team members.

As a Certified B Corporation, Infinit-O is committed to the highest standards of social and environmental performance, accountability, and transparency. We embed these values into every aspect of our operations—aligning business success with a positive impact on our clients, people, and communities.

Our commitment to Diversity, Equity, and Inclusion (DEI) is integral to our mission. We believe that building inclusive, equitable teams is not only the right thing to do—it is also essential for driving innovation and better business outcomes. We actively promote equal opportunity through inclusive hiring practices, continuous learning programs, and regular equity assessments to ensure a fair and empowering workplace for all.

Position Summary -

We are seeking a highly organized and detail-oriented Credentialing Associate to support the initial and re-credentialing processes for our licensed healthcare providers. This role requires meticulous data management and a commitment to regulatory compliance.

Key Responsibilities


• Application Management: Assist with the full lifecycle of credentialing and re-credentialing applications, ensuring timely and accurate submission.


• Primary Source Verification (PSV): Perform meticulous PSV of licenses, certifications, education, and other required documents using appropriate verification databases (e.g., NPDB, OIG).


• Database Integrity: Accurately input and maintain up-to-date provider data in the credentialing software (e.g., Cactus, Symplr).


• Communication & Follow-Up: Serve as a primary point of contact for providers and external sources to obtain missing or incomplete documentation.


• Compliance: Ensure all activities adhere to internal policies and external standards (e.g., NCQA, The Joint Commission).


• Committee Support: Prepare organized and complete provider files for committee review.

Job Requirements and Credentials:

Required:


• Education: High school diploma or equivalent.


• Skills: Proficiency in Microsoft Office Suite (Word, Excel) and an understanding of Primary Source Verification (PSV) concepts.


• Attributes: Exceptional attention to detail, strong organizational ability, and effective written and verbal communication skills.

Preferred:


• Experience: Minimum of one (1) year of direct experience in healthcare credentialing, provider enrollment, or a highly related compliance/administrative role.


• Experience using a dedicated credentialing software platform (e.g., Cactus, Symplr).


• Knowledge of NCQA or The Joint Commission standards.


• Associate's or Bachelor's degree in a related field.

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