Credentialing Specialist
3 days ago
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.Requirements Job Requirements and Credentials: Experience Level: Entry to Mid -Level 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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Credentialing Specialist
3 weeks ago
Pasay, Philippines Infinit-O Full timeOverview 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...
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Credentialing Specialist
2 weeks ago
, Pampanga, Philippines CO Careers Full timePosition Title: Credentialing Specialist Work Set Up: Onsite Schedule: 8:00 AM to 5:00 PM PH Time Job Location: Clark Outsourcing - Building 35 Philexcel Business Park, Clark Pampanga We are seeking a detail‑oriented and organized Credentialing Specialist to manage all aspects of the credentialing, re‑credentialing, and privileging processes for all...
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Credentialing Specialist
3 days ago
Philippines Remote VA Full time ₱15,000 - ₱30,000 per yearWe are seeking a detail-oriented and experienced Credentialing Specialist with a strong background in ABA therapy services to manage the credentialing and re-credentialing processes for our clinicians and facilities. The ideal candidate is well-versed in payer enrollment requirements, particularly for ABA providers, and can navigate commercial and Medicaid...
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Credentialing Specialist
2 weeks ago
, Pampanga, Philippines The Lead Tree - Clark Outsourcing Full timePosition Title: Credentialing Specialist Work Set Up: Onsite Schedule: 8:00 AM to 5:00 PM PH Time Job Location: Clark Outsourcing - Building 35 Philexcel Business Park, Clark Pampanga Quick Rundown We are seeking a detail-oriented and organized Credentialing Specialist to manage all aspects of the credentialing, re-credentialing, and privileging processes...
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Credentialing Specialist
1 week ago
, , Philippines Cynet Corp Full timePosition Overview As a Credentialing Specialist for Cynet Health, you will manage the credentialing process for healthcare providers, ensuring that all required documentation and verifications are completed in a timely manner. You will act as the primary liaison between providers, internal teams, and healthcare facilities, ensuring compliance with industry...
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Credentialing Specialist
3 days ago
Makati City, National Capital Region, Philippines MCVO Talent Outsourcing Services Full time $15,000 - $30,000 per yearPurpose - The Junior to Mid Credentialing Specialist supports the accurate and timely credentialing and recredentialing of healthcare providers with insurance networks, clearinghouses, and other credentialing bodies. This role involves assisting the Senior Credentialing Specialist in maintaining compliance, ensuring accurate documentation, and coordinating...
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Credentialing Specialist
1 week ago
Pasay, National Capital Region, Philippines Infinit-O Manila, Inc. Full time ₱300,000 - ₱600,000 per yearJob DescriptionInfinit-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,...
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Credentialing Specialist
3 days ago
Pasay, National Capital Region, Philippines Infinit-O Full timeInfinit-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...
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Credentialing Specialist
1 week ago
Cebu City, Central Visayas, Philippines Hirebiz Med Full time ₱336,000 per yearJob 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...
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Senior Credentialing Specialist
3 days ago
Makati City, National Capital Region, Philippines MCVO Talent Outsourcing Services Full time $15,000 - $30,000 per yearJob Description:Purpose - The Junior to Mid Credentialing Specialist supports the accurate and timely credentialing and recredentialing of healthcare providers with insurance networks, clearinghouses, and other credentialing bodies. This role involves assisting the Senior Credentialing Specialist in maintaining compliance, ensuring accurate documentation,...
