Medical Biller

Portiva started in 2009 with our mission to help Doctors and Medical Practitioners manage their practices better. Since then, Portiva has grown from a 3-person operation to one of the largest and most successful Medical and Dental Staff Providing Companies in the United States.

We are seeking a detail-oriented and organized Credentialing Specialist with experience in US Healthcare to manage the credentialing and re-credentialing processes for healthcare providers. The ideal candidate will ensure providers are enrolled with insurance payers, maintain up-to-date documentation, and comply with all regulatory and payer requirements.

This is a Work-from-home opportunity.

This is a full-time position, 30/40 hrs a week

The rate is $7 an hour or Php 45,000 to Php 61,000+ per month

A Credentialing Specialist plays a vital role in ensuring that healthcare providers are properly credentialed and enrolled with insurance payers, enabling timely reimbursements and regulatory compliance. Their responsibilities often include but not limited to:

• Prepare and submit credentialing and re-credentialing applications for physicians and other healthcare providers to insurance companies, including Medicare, Medicaid, and commercial payers.
• Monitor application status and follow up with payers to ensure timely completion.
• Maintain accurate and up-to-date records of provider credentials in internal databases and credentialing software.
• Track license expirations, DEA registrations, malpractice insurance, CAQH updates, and other required credentials.
• Verify provider information such as NPI, state licenses, and board certifications.
• Respond promptly to requests for credentialing-related documentation or updates from providers, payers, or internal teams.
• Work collaboratively with billing, HR, and provider onboarding teams to ensure smooth integration and billing readiness.
• Stay up to date with federal, state, and payer regulations related to credentialing.

Requirements and skills

• Minimum 2 years of experience in credentialing, preferably in a US medical billing or revenue cycle management setting
• Familiarity with CAQH, NPPES, PECOS, Availity, and major commercial payer portals
• Familiarity with payer-specific requirements for credentialing and enrollment.
• Excellent English speaking skills (both oral and written proficiency)
• Proficient computer skills, including Microsoft Office Suite and/or G Suite and other technology tools
• Able to manage time effectively and efficiently
• Able to organize and manage large amounts of files, tasks, schedules, and information

If this sounds like you, please complete this form:

We will ONLY accept applications via the Google form above.

We will contact you within 3-7 days if you fit the requirements.

*Important Note*: Please make sure to check your spam or junk folders for the initial assessment invite. Sometimes, our emails may get filtered, and we wouldn't want you to miss this important step in the hiring process If you find our email there, be sure to move it to your inbox and mark it as "Not Spam" to ensure you receive all future emails from us directly in your inbox

Good luck

Job Type: Full-time

Pay: Php60, Php65,000.00 per hour

Expected hours: 30 – 40 per week

Benefits:

• Paid training
• Work from home

Experience:

• Credentialing: 2 years (Required)
• RCM: 1 year (Required)
• Medical Virtual Assistant: 1 year (Required)

Work Location: Remote