Credentialing Assistant

Silver State Management Inc.; Philippines; Remote; PHP 201,000 - 391,000; Full time

Benefits offered by this job

Remote work

Independent contractor

Flexible schedule

Job summary

Silver State Management Inc. is seeking a highly organized Credentialing Assistant to support credentialing operations in a remote, independent contractor role.

This position focuses on keeping provider applications, payer enrollments, renewals, licenses, and credentialing records well-organized and moving forward. You will maintain trackers, submit enrollments, monitor statuses, and ensure deadlines are met.

Qualifications

• Extremely organized and detail-oriented, able to manage multiple items and deadlines.
• Proficient with spreadsheets and tracking records, with careful documentation.
• Experience or familiarity with credentialing concepts and payer enrollments preferred.

Responsibilities

• Maintain credentialing trackers for providers, payers, licenses, renewals, and applications.
• Prepare and submit provider enrollment and credentialing applications to insurance payers.
• Track status of submitted applications and follow up with payers and credentialing organizations.
• Monitor expiration and renewal dates for licenses, certifications, malpractice insurance, and DEA registrations.
• Request updated documentation from providers and maintain accurate credentialing files.
• Assist with CAQH profiles updates, attestations, and document maintenance.
• Support Medicare/PECOS and commercial payer enrollment activities.
• Follow up on pending information, missing documents, and outstanding credentialing items.
• Document application status, reference numbers, dates, and payer communications.
• Assist with updating provider rosters and payer participation information.
• Support recredentialing and renewal processes.

Skills

Organized

Detail-oriented

Spreadsheet proficiency

Remote work capable

Tools

CAQH

PECOS

NPPES

Medicare enrollment

Job description

Credentialing Assistant – Independent Contractor

**Position Type:** Independent Contractor
**Work Arrangement:** Remote
**Department:** Credentialing / Business Operations

About the Role

We are seeking a highly organized and detail-oriented Credentialing Assistant to support our credentialing operations. This role will work closely with our credentialing team to help keep provider applications, payer enrollments, renewals, licenses, and credentialing records organized and moving forward. This is a great opportunity for someone who enjoys tracking details, following up on pending items, maintaining accurate records, and making sure deadlines do not fall through the cracks.

Key Responsibilities

• Maintaining and updating credentialing trackers for providers, payers, licenses, renewals, and applications
• Preparing and submitting provider enrollment and credentialing applications to insurance payers
• Tracking the status of submitted applications and following up with insurance companies and credentialing organizations
• Monitoring expiration and renewal dates for licenses, certifications, malpractice insurance, DEA registrations, and other provider credentials
• Requesting updated documents and information from providers when needed
• Maintaining accurate provider credentialing files and documentation
• Assisting with CAQH profile updates, attestations, and document maintenance
• Assisting with Medicare/PECOS and commercial payer enrollment activities
• Tracking payer requests for additional information and helping ensure responses are submitted timely
• Following up on pending applications, missing documentation, and outstanding credentialing items
• Documenting application status, reference numbers, effective dates, and payer communications
• Helping maintain provider rosters and payer participation information
• Supporting recredentialing and renewal processes
• Identifying upcoming deadlines or credentialing issues and escalating them to the appropriate team member
• Assisting with other credentialing and administrative projects as needed

What We're Looking For

• Extremely organized and detail-oriented
• Comfortable managing multiple providers, applications, and deadlines at the same time
• Strong with spreadsheets, trackers, and documentation
• Able to follow established processes while identifying items that need follow-up
• Persistent and comfortable contacting insurance companies for application status updates
• Able to communicate professionally with providers, payer representatives, and internal team members
• Self-directed and dependable in a remote work environment
• Comfortable handling confidential healthcare and provider information

Preferred Experience

• Previous healthcare credentialing, provider enrollment, or medical administrative experience preferred
• Familiarity with **CAQH, PECOS, NPPES, Medicare enrollment, and commercial insurance credentialing** is a plus
• Experience working with physician, NP, PA, or other healthcare provider credentialing preferred
• Experience with Google Sheets, Excel, or similar tracking systems
• Knowledge of credentialing terminology, payer enrollment processes, and provider licensing is a plus

What Success Looks Like

Success in this role means our credentialing records are accurate and current, applications are consistently followed up on, renewal deadlines are identified early, and the team always has a clear picture of where each provider and payer application stands. You’ll serve as an important administrative support to our credentialing function, helping keep the many moving pieces of provider credentialing organized and on track.