Process Lead, Provider Services

8 hours ago

Pasay, National Capital Region, Philippines MicroSourcing Full time

Discover your 100% YOU with MicroSourcing
Position: Process Lead, Provider Services

Location: Mall of Asia, Pasay

Work setup & shift: Onsite | Night Shift

Why join MicroSourcing?
You'll Have

  • Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
  • A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
  • Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
  • Career Growth: Take advantage of opportunities for continuous learning and career advancement.
  • Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Your Role
As a
Process Lead, Provider Services
, you will be responsible for ensuring the quality and productivity of the team's file completion process and providing subject matter expertise, while performing high-volume verification tasks yourself.

You Will

  • Oversee and monitor team Key Performance Indicators (KPIs) to ensure the target of 30 completed files per week per examiner is met and submitted for review/approval.
  • Import and manage information within the Credentialing Platform (Medallion).
  • Verify credentialing data using various online resources, including State Licensing Board Websites, National Practitioner Data Bank (NPDB), CAQH Profiles, National Student Clearinghouse, and American Board of Medical Specialties.
  • Assist in the training and onboarding process, providing expertise on verification elements and how to build and close out credentialing records.
  • Follow up with Provider Groups as needed.
  • Uphold high standards of professional communication and customer service in all interactions.

What You Need
Non-negotiables

  • Prior experience in data entry, administrative assistant work, or customer service, ideally in a high-volume environment.
  • Excellent Attention to Detail and proven capability as a Critical Thinker to handle complex verification data.
  • Strong proficiency in navigating the internet for various websites and portal sites required for verification.
  • Knowledgeable with Google Suite and Microsoft Office.

Preferred Skills/expertise

  • Prior experience in Medical Credentialing for Health Plans or Physician Groups.
  • Experience in a Supervisory or Subject Matter Expert (SME) role focusing on KPI oversight and process improvement.
  • Background as a Healthcare CSR or Healthcare Administrator with U.S. experience.
  • Proven ability to manage high-volume productivity while maintaining quality.

–

About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%

For more information, visit

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