Credentialing Specialist
2 days ago
Job Title: Medical Insurance Billing & Credentialing Specialist
Job 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 Responsibilities:
- Process initial credentialing and re-credentialing for healthcare providers.
- Verify licenses, certifications, education, and other credentials.
- Maintain accurate and up-to-date credentialing and licensing records.
- Ensure compliance with all regulatory and payer requirements.
- Communicate with providers and insurance companies regarding credentialing status.
- Assist with license and DEA applications.
- Perform data entry for billing charges, payments, and claim status updates.
- Support billing projects and identify opportunities for process improvement.
Qualifications:
- At least 2 years of experience in medical credentialing, licensing, or billing.
- Strong knowledge of healthcare compliance and insurance regulations.
- Excellent communication and organizational skills.
- Proficient in Microsoft Office; experience with credentialing systems a plus.
- CPCS or CPMSM certification preferred but not required.
Job Types: Full-time, Permanent
Pay: Php20, Php28,000.00 per month
Benefits:
- On-site parking
Work Location: In person
-
Cebu City, Central Visayas, Philippines HirebizMed Full time ₱300,000 - ₱500,000 per yearCompany DescriptionHirebizMed is a leader in providing highly skilled Medical Virtual Assistants to healthcare professionals. We specialize in helping medical practitioners reduce their administrative workload, allowing them to focus on delivering high-quality patient care. Our services include appointment setting, insurance verifications, medical record...
-
IT Support Specialist
2 days ago
Cebu City, Central Visayas, Philippines St Trinity Property Group Full time ₱450,000 - ₱900,000 per yearAbout the Role:The IT Support Specialist is responsible for supporting the organization's IT landscape from a systems and integrations perspective. Operating remotely, this role focuses on application troubleshooting, API integrations, automation workflows, and user support.Key Responsibilities:Remote Systems Support & MaintenanceResolve support tickets...
-
Accounts Receivable Specialist
7 days ago
Cebu City, Central Visayas, Philippines Emapta Full time ₱180,000 - ₱220,000 per yearKeep Communities Thriving Through Financial Precision Shape a rewarding career in real estate finance while contributing to seamless operations and community success. Your skills in accuracy and detail will make all the difference.Discover a career that values both your professional growth and personal well-being. This role offers a structured schedule with...
-
IT Service Desk Specialist 2
2 weeks ago
Cebu City, Central Visayas, Philippines Dexcom Full time $70,000 - $120,000 per yearMeet the team:The DEXCOM Service Desk is an in-house IT helpdesk team established last 2019 and provides IT services to all Dexcom employees on their IT support needs globally. Responsible for screening, assessment and diagnosing internal IT inquiries and work IT requests as they relate to maintenance of computers and related Production Enterprise...
-
Talent Sourcing Specialist
6 days ago
Angeles City, Central Luzon, Philippines Connext Global Solutions Inc Full time ₱900,000 - ₱1,200,000 per yearJoin Our Team as a Talent Sourcing SpecialistThe Talent Sourcing Specialist (Healthcare) is responsible for building and maintaining high-quality pipelines of healthcare professionals, including physicians (MD/DO) and advanced practice providers (NP, PA, CRNA, CNM, etc.) for both locum tenens and permanent placements. The role partners closely with...
-
BIM Architect
1 week ago
Angeles City, Central Luzon, Philippines MOMA International Design Full time ₱600,000 - ₱720,000 per yearJob Description Summary:We are actively seeking a seasoned Building Information Modeling (BIM) Specialist to join our innovative team in Clark office. The BIM Specialist will be a key player in driving the successful implementation and execution of BIM processes across various architectural and construction projects. In this role, you will collaborate with...
-
Human Resources Specialist
7 days ago
Iloilo City, Western Visayas, Philippines ClearDesk Full time ₱900,000 - ₱1,200,000 per yearDo you thrive in fast-paced recruiting environments where every placement helps provide better care? Are you passionate about finding the right people to care for others? At ClearDesk, you'll get the stability of long-term placement, the flexibility of working from home, and the opportunity to help healthcare organizations build reliable and compassionate...
-
Customer Support/Ops Coordinator I
2 weeks ago
Iloilo City, Western Visayas, Philippines Remitly Full time ₱250,000 - ₱400,000 per yearJob Responsibilities:Tasks involved the documentation of the conversation between CSR I and the customer. Customer data, summary of the query and the resolution provided should be accurately documented through RightNow tool.In line with the responsibility of keeping with Reed Elsevier Philippines core values and competencies, the CSR I develops and maintains...
-
Credentialing Specialist
3 weeks ago
Cebu City, Philippines Hirebiz Inc. Full timeMedical Insurance Billing & Credentialing Specialist Job 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 Responsibilities...
-
Credentialing -HealthCare
4 weeks ago
Cebu City, Philippines Elevate Calls Inc. Full timeOverview Elevate Calls Inc. is seeking a Credentialing Specialist with experience in Maryland healthcare credentialing to join our growing remote team. In this role, you will oversee the credentialing and enrollment processes for healthcare providers practicing in Maryland. Your work will be essential in ensuring compliance with state and federal...
-
Medical Billing Specialist
3 weeks ago
Cebu City, Philippines Hirebiz Inc Full timeOverview We are looking for a reliable, detail-oriented Medical Insurance Billing and Credentialing Specialist to work onsite and directly with healthcare providers . You will manage credentialing, licensing, and billing tasks to ensure provider readiness, regulatory compliance, and smooth billing operations. This role requires strong communication skills,...
-
Medical Billing Specialist
3 days ago
Cebu City, Philippines HirebizMed Full timeWe are looking for a reliable, detail-oriented Medical Insurance Billing and Credentialing Specialist to work onsite and directly with healthcare providers . You will manage credentialing, licensing, and billing tasks to ensure provider readiness, regulatory compliance, and smooth billing operations. This role requires strong communication skills, as youll...
-
Medical Credentialing Specialist- on site in Cebu
18 hours ago
Cebu City, Philippines HirebizMed Full timeMedical Credentialing Specialist- on site in Cebu HirebizMed is a reputable provider of highly skilled Medical Virtual Assistants to healthcare professionals. We specialize in helping medical practitioners reduce their administrative workload, allowing them to focus on delivering high‑quality patient care. Our services include appointment setting,...
-
Credentialing and Call Support Specialist
3 days ago
Cebu City, Philippines West Point Communication Center Full timeAbout the role We are seeking a detail-oriented and proactive Credentialing and Call Support Specialist to join our growing team. This role is responsible for managing the credentialing process for medical providers and clinics, as well as assisting with inbound and outbound calls related to patient coordination and provider support. What you’ll be doing...
-
Healthcare Credentialing Specialist
1 week ago
Makati City, National Capital Region, Philippines Penbrothers Full time ₱900,000 - ₱1,200,000 per yearAbout 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...
-
Sr Credentialing Specialist
1 week ago
Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time ₱900,000 - ₱1,200,000 per yearPosition SummarySenior Credentialing Specialist have a critical role within the Provider Management team. This role is responsible for the creation of new sites as well as entering contractual pricing. This team is responsible for a variety of tasks that goes from initial credentialing to manage demographic information for all our network, including our...
-
US Facility Credentialing Specialist
7 days ago
Makati City, National Capital Region, Philippines PENBROTHERS Full time $40,000 - $80,000 per yearAbout PenbrothersPenbrothers is an HR and remote talent management partner and one of the fastest-growing companies in the Philippines. We connect talented Filipinos to global opportunities with high-growth startups and dynamic companies, enabling them to build careers from the comfort of their own homes. We provide end-to-end support in recruitment, HR,...
-
Quezon City, Philippines Sourcefit Full timeJob Summary The Medical Insurance Billing and Credentialing Specialist is responsible for ensuring that healthcare providers are properly credentialed with insurance companies, hospitals, and other healthcare organizations. This role involves managing the credentialing and re-credentialing process for medical practitioners, maintaining up-to-date and...