Credentialing Specialist
2 days ago
Credentialing Specialists
Hybrid 1-2x per month night shift.
Pasay City, MOA
Equipment Provided
Salary: 30,000-40,000
Duties and Responsibilities
- Support end-to-end credentialing and re-credentialing application processes
- Conduct Primary Source Verification (PSV) for licenses, certifications, education, and related documents
Maintain accurate and current provider data in credentialing systems
Coordinate with providers and external sources to complete documentation
- Ensure compliance with internal policies and regulatory standards
- Prepare complete provider files for committee review
REQUIRED QUALIFICATIONS:
- Bachelor's Degree in a related field.
- Must have 1 year of end-to-end healthcare credentialing experience
- Experience with enrollment and re-enrollment for the provider side.
- Strong understanding of Primary Source Verification and National Committee for Quality Assurance accreditation.
- Familiarity with CAQH
- Familiarity with Availity and PECOS
Job Types: Full-time, Permanent
Pay: Php30, Php40,000.00 per month
Benefits:
- Additional leave
- Company Christmas gift
- Company events
- Gym membership
- Health insurance
- Life insurance
- Opportunities for promotion
- Work from home
Application Question(s):
- How many years of experience as credentialing specialist?
- How many years of experience in enrollment and re-enrollment for the provider side?
- How many years of experience/knowledge do you have with CAQH?
- Familiarity with Availity and PECOS?
- How many years of experience with Primary Source Verification?
- How many years of experience with National Committee for Quality Assurance Accreditation?
- Are you willing to work hybrid at least 1-2x per month night shift in Pasay City?
- Current/Previous salary?
- Asking salary?
- Availability to start?
- Viber number?
- Birthdate for system validation: MMDDYYYY
Work Location: Remote
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