International Payor Contracting and Credentialing Associate

1 week ago

Work from Home, Philippines Single Thread Health Full time ₱1,000,000 - ₱3,000,000 per year

We are seeking a proactive and detail-oriented individual based in Philippines who has experience working with U.S. healthcare companies or BPOs supporting American healthcare clients. This role will focus primarily on payor contracting and credentialing support, with opportunities to expand into other areas such as claims submission and payor communication.

About International Quality Indicator Project

We are a growing Healthcare Management Services Organization (MSO) that partners with U.S.-based healthcare providers to streamline and manage their administrative operations. Our mission is to reduce the operational burden for our providers so they can focus on delivering high-quality patient care.

Description

Key Responsibilities:

Credentialing and Enrollment

  • Prepare, submit, and track provider enrollment applications with payors
  • and government programs (e.g., Medicaid/Medicare/PhilHealth,
  • commercial insurers).
  • Ensure timely completion and accuracy of credentialing and re-
  • credentialing applications.
  • Maintain credentialing database and documentation for compliance.

Contracting

  • Review, negotiate, and process provider contracts in coordination with
  • leadership.
  • Track contract status and follow up with payors to ensure completion and
  • execution.
  • Assist in analyzing contract terms to ensure alignment with company
  • standards.

Compliance and Documentation

  • Maintain updated records of licenses, certifications, and other
  • credentialing requirements.
  • Ensure compliance with all regulatory and payor standards.
  • Generate reports related to credentialing and contracting activities.

Communication and Support

  • Act as liaison between providers, payors, and internal departments
  • regarding credentialing and contracting status.
  • Provide updates and resolve issues promptly to minimize delays in
  • enrollment or claims processing.
  • Perform any other duties as assigned.

Qualifications:

  • Bachelor's degree in Business Administration, Healthcare Management, or a
  • related field (preferred).
  • Minimum 2 years of experience in healthcare contracting, credentialing, or
  • provider enrollment.
  • Preferably with prior experience working under a provider or medical group.
  • Strong knowledge of payor enrollment and credentialing processes.
  • Excellent organizational skills and strong attention to detail.
  • Strong written and verbal communication skills.
  • Proficiency in MS Office (Word, Excel, Outlook).
  • Ability to manage multiple tasks and meet deadlines.
  • Must currently reside within Metro Manila.

Pay: ₹80,000.00 per hour

What We Offer:

  • Competitive compensation based on experience and skills.
  • Remote working opportunity.
  • Chance to work with a U.S.-based team.
  • Training and support in healthcare contracting and credentialing.
  • Growth potential within a rapidly expanding company.

  • Credentialing Specialist

    4 days ago

    Work from Home, Philippines Staff4Me Full time ₱600,000 - ₱1,200,000 per year

    We are seeking a detail-oriented and experienced Credentialing Specialist to join our growing medical billing team. The Credentialing Specialist will be responsible for managing all aspects of provider credentialing and re-credentialing processes with insurance payers, hospitals, and medical groups. This role requires strong organizational skills, a deep...

  • Credentialing Specialist

    4 days ago

    Work from Home, Philippines MCVO Full time ₱400,000 - ₱600,000 per year

    Purpose - The Credentialing Specialist supports the accurate and timely credentialing and recredentialing of healthcare providers with insurance networks, clearinghouses, and other credentialing bodies. This role involves maintaining compliance, ensuring accurate documentation, and coordinating with insurance networks and other credentialing entities.Key...

  • Credentialing Assistant

    4 days ago

    Work from Home, Philippines Staff4Me Full time ₱400,000 - ₱600,000 per year

    The credentialing assistant will be a skilled professional with expertise in insurance follow-up. This role entails conducting weekly follow-ups for all commercial insurances selected by the client, ensuring comprehensive documentation is provided, and collaborating closely with insurance providers to facilitate the completion of enrollment (achieving...

  • Credentialing Liaison/Officer

    4 days ago

    Work from Home, Philippines Staff4Me Full time $40,000 - $60,000 per year

    Job Description:Overview:To be the client Credentialing Coordinator, one must be well-versed in insurance carriers' procedures to get companies and individual providers in-network with said carriers. This role is also responsible for communicating with owners and providers regarding the needs of the company and progress of credentialing. Organization and...

  • Senior Credentialing Specialist

    4 days ago

    Work from Home, Philippines MCVO Full time $40,000 - $60,000 per year

    The Senior Credentialing Specialist supports the accurate and timely credentialing and recredentialing of healthcare providers with insurance networks, clearinghouses, and other credentialing bodies. This role involves ability in handling a team, maintaining compliance, ensuring accurate documentation, and coordinating with insurance networks and other...

  • Business Contract Specialist

    4 days ago

    Work from Home, Philippines WRS Health Full time ₱1,200,000 - ₱3,600,000 per year

    Company OverviewVoted #1 EHR by PC Mag, WRS Health delivers a fully integrated cloud based EMR and practice management solutions to its clients. We bring solutions to physicians by providing constant enhancement of our products and services including EHR, practice management, marketing, patient coordination and billing.Job Purpose and RoleWRS Health is...

  • Customer Support Coordinator

    4 days ago

    Work from Home, Philippines Doxa7 Solutions, Inc. Full time ₱1,200,000 - ₱2,400,000 per year

    ROLE SUMMARYOur client is seeking an experienced Customer Support Coordinator to join their dynamic team. In this role, you will be responsible for managing the full onboarding lifecycle for their temporary education professionals, including credentialing, background checks, documentation, and compliance with district and state requirements. The ideal...

  • HR Administrator for Interns

    2 weeks ago

    Work from Home, Philippines Kings Medical Family Practice Full time ₱9,120 per year

    At AG Care our Mission is to serve our community with the highest compassionate and innovative care We are committed to building a Team of dedicated, caring, and responsible professionals, who prioritize patients' well-being and exceptional care services. It is essential that our team members embrace and promote this mission every day in every way possible....

  • Towing contracts hunters

    4 days ago

    Work from Home, Philippines GLOBAL PACIFIC SUPPORT Full time ₱600,000 - ₱1,200,000 per year

    ROADWAY RESCUES LLC is looking for proactive and driven Towing Contracts Hunters to join our team. In this role, you will be responsible for identifying and pursuing new contract opportunities in the towing industry. Your primary goal will be to expand our portfolio of service contracts, creating mutually beneficial partnerships with businesses and...

  • Contracting Specialist

    2 days ago

    Work from Home, Philippines Road Rebel Global Full time ₱20,000 - ₱25,000 per year

    About Road Rebel GlobalRoad Rebel Global is the premier travel management company. We possess a long and proud history of serving the biggest names in the sports, entertainment, and corporate events industries. Our team of travel experts facilitate housing, freight, air, and ground transportation services. We provide the highest level of support to each...