Healthcare Credentialing

1 day ago

Manila, National Capital Region, Philippines Global Finance Teams Full time $40,000 - $60,000 per year

Summary:
Responsible for verifying provider credentials, managing payer enrollment, and ensuring compliance with healthcare standards. Supports timely credentialing and re-credentialing for providers.

Responsibilities:

  • Collect and verify provider documents (licenses, education, certifications, malpractice, etc.).
  • Process credentialing and re-credentialing applications with payers (Medicare, Medicaid, commercial plans).
  • Maintain provider files, databases, and systems (e.g., CAQH, NPPES, PECOS).
  • Track expirations and ensure timely renewals.
  • Communicate application status and requirements to providers and internal teams.
  • Ensure compliance with HIPAA, NCQA, Joint Commission, and other regulations.

Qualifications:

  • Experience in healthcare credentialing or provider enrollment preferred.
  • Knowledge of CAQH, PECOS, and payer requirements is an advantage.
  • Strong attention to detail, organization, and communication skills.
  • Proficient with Microsoft Office and credentialing systems.

Qualifications

  • Bachelor's degree in Business, Healthcare Administration, or related field.
  • Proven experience in revenue cycle management, preferably in the healthcare industry.
  • Strong knowledge of billing and collections processes.
  • Excellent analytical skills and attention to detail.
  • Effective leadership and communication skills.
  • Familiarity with revenue cycle software and tools.
  • Willing to work remotely.
  • Ability to work US hours (PST or EST) from Monday to Friday.

Why join us as?

You'll see dozens of marketing analysis set-ups, you'll learn how marketing strategies are built, what matters, and why. You'll have the opportunity of solving real customer problems on an everyday basis.

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