Healthcare CSR

14 hours ago

Fort Bonifacio, National Capital Region, Philippines Top Source Executive Search Inc. Full time ₱450,000 - ₱600,000 per year

Location: BGC, Taguig City

Work setup: Onsite | Graveyard shift

Salary: Depending on your skills and experience

We are seeking a diligent and detail-oriented Provider Enrollment and Credentialing Specialist to join our team. The ideal candidate will be responsible for the timely and accurate completion of enrollment tasks, demonstrating a strong commitment to quality, efficiency, and meeting key performance goals within a fast-paced environment.

Responsibilities:

Task Execution & Quality Assurance:

  • Ensure the accurate and high-quality execution of Payor Enrollment tasks and application processes.
  • Focus on Medicaid/Medicare and Commercial (Medical or Behavioral Health) enrollments.
  • Submit enrollment applications for groups and/or providers to meet client deadlines.

Performance & Productivity:

  • Consistently meet daily and weekly objectives, ensuring timely task completion while effectively managing an increasing workload.
  • Be accountable for achieving core performance metrics related to the speed, quality, and efficiency of file processing.
  • Ensure all managed files comply with client Service Level Agreements (SLAs) and exceed quality standards.

Collaboration and Support:

  • Regularly identify and suggest opportunities to enhance operational efficiency.

Essential Skills & Qualifications:

  • Detail-Oriented: A strong commitment to accuracy and driving improvements through detailed process analysis.
  • Proactive Approach: A hands-on mentality is essential, requiring tactical execution for short-term goals as well as strategic thinking for long-term improvements.
  • Collaborative Spirit: You thrive in a team environment and excel at working with others to achieve shared objectives.

Qualifications:

  • At least Senior High School Graduate or High School Graduate (old curriculum)
  • Excellent Verbal & Written Skill Communication Skills
  • At least 1 year of wide experience with commercial payers (e.g. Cigna, Aetna, United, BCBS, etc.), Medicaid with various states, varying provider types, and any management experience.
  • Also known as: Provider Enrollment Specialist, Provider Credentialing Specialist, Payor Enrollment Specialist, Medical Licensing Specialist, Provider Licensing Specialist

Job Type: Full-time

Pay: Php30, Php50,000.00 per month

Application Question(s):

  • Are you amenable to work full onsite in BGC?
  • Are you amenable to work nightshift schedule?

Experience:

  • Payor enrollment: 1 year (Required)
  • Provider credentialing: 1 year (Required)

Work Location: In person

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