Credentialing Specialist

2 weeks ago

Mandaluyong City, National Capital Region, Philippines Vector Outsourcing Solutions Phils. Full time ₱300,000 - ₱500,000 per year


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 required.
  • Understanding of and/or experience in the US Healthcare industry is 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

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