Credentialing Specialist

2 days ago


Manila, National Capital Region, Philippines ACCPRO INTERNATIONAL Full time

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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