Credentialing Specialist

1 day ago

Mandaluyong City, National Capital Region, Philippines Vector Outsourcing Solutions Phils. Full time ₱300,000 - ₱420,000 per year


Salary: 25,000- 35,000 PHP/ month

Job Description:

  • Enroll our clients who are US based health care providers, diagnostic laboratories and medical facilities as preferred providers in health care networks.
  • Gather required enrollment documents from new clients.
  • Assist in completing enrollment forms.
  • Maintain accurate and current client information using spreadsheets and/or online databases.
  • Respond to general inquires as the in-house knowledge source on clients enrollment particulars.
  • Identify and report issues to appropriate departments and management leadership.
  • Build and improve working relationships with insurance company enrollment staff.
  • Maintain confidentiality of client information by adhering to strict, established regulations.
  • Alert client of new regulations, expiring certificates, reapplications and deficiencies in enrollment requirements.

Minimum Qualifications:

  • Credentialing Experience in a BPO is preferred, but not required
  • Understanding of and/or experience in the US Healthcare industry is preferred, but not required.
  • Adept in both spoken and written English
  • Proficient in MS Word, MS Excel, Windows file navigation
  • Detail-oriented
  • Amenable to work graveyard shift
  • Able to work from home with reliable internet and a backup connection.

Perks and Benefits:

  • Maternity & Paternity Leave
  • Medical / Health Insurance 
  • Paid Holidays 
  • Paid Vacation Leave 
  • Paid Sick Leave
  • Work from Home
  • Equipment/ company computer

Others:

  • Internet Allowance of Php 1,000 per month upon hiring
  • Additional Php 1,000 monthly bonus upon regularization
  • HMO Coverage upon regularization

  • Credentialing Specialist

    1 day ago

    Makati City, National Capital Region, Philippines MCVO Talent Outsourcing Services Full time $15,000 - $30,000 per year

    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, and coordinating...

  • Certified Credentialing Specialist

    1 day ago

    Mandaluyong City, National Capital Region, Philippines ClinicMind Full time ₱450,000 - ₱600,000 per year

    ClinicMind, the nation's leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time Credentialing Specialist. If you're excited to be part of a winning team, ClinicMind is a perfect place to get ahead.  RESPONSIBILITIESHandle credentialing needs for our clients (Group and/or...

  • Senior Credentialing Specialist

    1 day ago

    Makati City, National Capital Region, Philippines MCVO Talent Outsourcing Services Full time $15,000 - $30,000 per year

    Job 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,...

  • Senior Credentialing Specialist

    1 day ago

    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...

  • Healthcare Credentialing Specialist

    1 day ago

    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...

  • US Healthcare Credentialing Specialist

    2 weeks ago

    Makati City, National Capital Region, Philippines PENBROTHERS Full time ₱900,000 - ₱1,200,000 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 multi-state ambulatory surgery center specializing in...

  • US Healthcare Credentialing Specialist

    5 days ago

    Makati City, National Capital Region, Philippines Penbrothers Full time $30,000 - $60,000 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 multi-state ambulatory surgery center specializing in...

  • Credentialing/ Insurance Contracting Specialist

    1 day ago

    Makati City, National Capital Region, Philippines Neolytix Full time ₱30,000 - ₱60,000 per year

    Job DescriptionThe Credentialing and Insurance contracting Specialist is responsible for maintaining active status for providers and groups with Insurance plans by successfully completing initial and subsequent credentialing and contracting applications as required by commercial payers, Medicare and Medicaid in different states of USA. Job...

  • Medical Provider Licensing and Credentialing Specialist

    1 week ago

    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...

  • IT Creative Specialist

    2 weeks ago

    Mandaluyong City, National Capital Region, Philippines Hydron Corporation Full time ₱228,000 - ₱252,000 per year

    We are seeking a Creative IT Specialist to join our team at Hydron Corporation. This dynamic role combines technical expertise with creative problem-solving to support various aspects of our IT and marketing operations. The ideal candidate will be responsible for managing networks, servers, accounts, and databases, while also providing hands-on support for...