Credentialing Specialist

3 days ago


Davao City, Davao, Philippines Connext Full time ₱350,000 - ₱550,000 per year

Connext Global Solutions
is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a
Credentialing Specialist
who will be working with Connext's Client in the United States of America.

What's in it for you?

  • Competitive compensation
  • Perfect Attendance Bonus
  • Life insurance
  • HMO Insurance
  • Great company culture
  • Annual Merit Increase
  • 25% Night Differential
  • Company-provided equipment

What is the job?

As a
Credentialing Specialist
is responsible for supporting all aspects of the provider credentialing and payer enrollment process to ensure compliance with industry standards and organizational requirements.


• Manage and maintain provider credentialing files and records.


• Verify licenses, certifications, and other provider qualifications through primary source verification.


• Prepare, complete, and track payer enrollment and re-enrollment applications.


• Monitor credentialing and enrollment status, ensuring timely updates and renewals.


• Ensure compliance with HIPAA and regulatory standards in all credentialing activities.

Required Qualifications:


• Bachelor's degree in Healthcare Administration, Business, or related field.


• At least two (2) years of experience in provider credentialing, enrollment, or healthcare administration.


• Must have stable employment history.


• Experience using Excel spreadsheets, One Note, Adobe, Outlook and credentialing databases.


• Familiarity with HIPAA guidelines and healthcare compliance.


• Experience handling provider data and documentation with accuracy and confidentiality.



  • Davao City, Davao, Philippines OfficePartners, 360 Inc. Full time ₱600,000 - ₱1,200,000 per year

    We are seeking a detail-oriented Order Processing Specialist to manage customer orders and ensure smooth, accurate, and timely fulfillment. This role involves processing online and emailed purchase orders, creating and validating new accounts, verifying licenses and payments, and ensuring compliance with company policies.As an Order Processing Specialist,...


  • Davao City, Davao, Philippines Global Staff Network Full time ₱400,000 - ₱800,000 per year

    Job Position: Customer Success Specialist Schedule: Monday to Friday | 6:00 AM to 3:00 PM PH Time Setup: Onsite Location: Matina IT Park, Davao City About the Role Were looking for a proactive and technically adept Customer Success Specialist to join our team. In this role, youll be the primary point of contact for new and existing customers,...


  • Davao City, Davao, Philippines Global Staff Network Full time

    Job Position: Customer Success SpecialistSchedule: Monday to Friday | 6:00 AM to 3:00 PM PH TimeSetup: OnsiteLocation: Matina IT Park, Davao CityAbout the RoleWere looking for a proactive and technically adept Customer Success Specialist to join our team. In this role, youll be the primary point of contact for new and existing customers, helping them...


  • Davao City, Davao, Philippines Leslie Corporation Full time ₱250,000 - ₱500,000 per year

    About UsLeslie Corporation is an established food manufacturer and distributor founded in 1960 from the Philippines. We are one of the country's largest leading snack manufacturing companies, operating several modern and fully automated plants. With over 50 years of experience, we continuously strive to deliver quality and value-filled offerings to our...


  • Davao City, Davao, Philippines ibex Full time ₱900,000 - ₱1,200,000 per year

    Soothe, the world's leading, on-demand wellness platform is seeking a Recruiting Specialist to acquire new talent for our rapidly growing network of contract practitioners. We need a team of highly specialized and talented wellness professionals to keep pace with current growth and maintain relationships with our vast client database. Our recruiter must have...


  • Davao City, Davao, Philippines TASQ Staffing Solutions Full time

    About the job Workforce Scheduler (Davao City) | Onsite Work Setup: Onsite  Shift: Graveyard Schedule Requirements: At least 1 year experience as WFM Scheduler in a BPO/Call Center Setup All candidates must be amenable to start ASAP. RESPONSIBILITIES: Service Planning The scheduling and service planning specialist is expected to create short-term to...


  • Davao City, Davao, Philippines TASQ Staffing Solutions Full time

    About the job Workforce Scheduler (Davao) | Onsite Work Setup: Onsite Shift: Graveyard Schedule Requirements:At least 1 year experience as WFM Scheduler in a BPO/Call Center SetupAll candidates must be amenable to start ASAP. RESPONSIBILITIES: Service Planning The scheduling and service planning specialist is expected to create short-term to long-range...


  • Davao City, Davao, Philippines TASQ Staffing Solutions Full time

    About the job Workforce Scheduler (Davao City) | OnsiteRequirements:At least 1 year experience as WFM Scheduler in a BPO/Call Center Setup We need people who can start immediately or who are on their final few days of rendering their resignation. Work Setup: Onsite Shift: Graveyard Schedule The workforce scheduler is expected to understand and may forecast...


  • Cebu City, Central Visayas, Philippines Hirebiz Med Full time ₱336,000 per year

    Job Title: Medical Insurance Billing & Credentialing SpecialistJob Summary:We're seeking a detail-oriented and organized professional to manage healthcare provider credentialing, re-credentialing, and billing functions. This role ensures providers are properly enrolled with insurance networks and maintains compliance with regulatory standards.Key...


  • Makati City, National Capital Region, Philippines MCVO Talent Outsourcing Services Full time ₱288,000 - ₱600,000 per year

    Job Description:Purpose - Credentialing Specialist supports the accurate and timely credentialing and recredentialingof healthcare providers with insurance networks, clearinghouses, and other credentialing bodies. This role involvesassisting the Senior Credentialing Specialist in maintaining compliance, ensuring accurate documentation, andcoordinating with...


  • Cebu City, Philippines Hirebiz Inc. Full time

    Medical Insurance Billing & Credentialing Specialist Job Summary We’re seeking a detail-oriented and organized professional to manage healthcare provider credentialing, re-credentialing, and billing functions . This role ensures providers are properly enrolled with insurance networks and maintains compliance with regulatory standards. Key Responsibilities...


  • Cebu City, Philippines Elevate Calls Inc. Full time

    Overview Elevate Calls Inc. is seeking a Credentialing Specialist with experience in Maryland healthcare credentialing to join our growing remote team. In this role, you will oversee the credentialing and enrollment processes for healthcare providers practicing in Maryland. Your work will be essential in ensuring compliance with state and federal...


  • Cebu City, Philippines Hirebiz Inc Full time

    Overview We are looking for a reliable, detail-oriented Medical Insurance Billing and Credentialing Specialist to work onsite and directly with healthcare providers . You will manage credentialing, licensing, and billing tasks to ensure provider readiness, regulatory compliance, and smooth billing operations. This role requires strong communication skills,...


  • Makati City, National Capital Region, Philippines Penbrothers Full time ₱350,000 - ₱700,000 per year

    About PenbrothersPenbrothers is an HR & remote talent management partner and one of the fastest growing companies in the Philippines. We provide talented Filipinos with global opportunities in high-growth startups and dynamic companies, from the comfort of their own homes.About the ClientOur client is a fast-growing healthcare staffing agency dedicated to...


  • Quezon City, Philippines MicroSourcing Full time

    Overview Position: Medical Provider Licensing and Credentialing Specialist (Intermediate) Work setup & shift: Onsite and Nightshift Site: 1880 Building, Eastwood, Libis, Quezon City Join to apply for the Medical Provider Licensing and Credentialing Specialist (Intermediate) role at MicroSourcing Responsibilities Assist healthcare providers in obtaining and...


  • Quezon City, Philippines MicroSourcing Full time

    Medical Provider Licensing and Credentialing Specialist (Senior) Position: Sr. Medical Provider Licensing and Credentialing Specialist Work setup & shift: Onsite and Nightshift Site: 1880 Building, Eastwood, Libis, Quezon City What you will do Assist healthcare providers in obtaining and maintaining medical licenses across multiple states. Manage the...


  • Quezon City, National Capital Region, Philippines MicroSourcing Full time ₱900,000 - ₱1,200,000 per year

    Position: Medical Provider Licensing and Credentialing Specialist (Intermediate)Work setup & shift: Onsite and NightshiftSite: 1880 Building, Eastwood, Libis, Quezon CityWhy join MicroSourcing?You'll HaveCompetitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group...


  • Iloilo City, Philippines CallTek Full time

    Outsource Healthcare Compliance Specialist We are looking to add a compliance person to our team. This person needs to be in a specialist level (2-4 years of experience) BUT they need experience within Healthcare staffing specifically working in VMS system, compliance and credentialing for travel nurses, RN's, LPN's and any allied experience is a must....