Credentialing Assistant - Remote Work

MCVO Talent Outsourcing Services; Makati; Remote; PHP 2,029,000 - 3,297,000; Full time

Job summary

MCVO Talent Outsourcing Services is seeking an experienced Credentialing Assistant to manage healthcare provider credentialing, recredentialing, and enrollment processes in a fully remote role. The ideal candidate will have hands-on U.S.

credentialing experience, CAQH ProView and PECOS knowledge, and strong organizational and communication skills to coordinate with payers and providers. This full-time position offers ongoing growth, competitive compensation, and the flexibility to work from a

Qualifications

• 1+ year experience in healthcare credentialing, provider enrollment, or a related role.
• Hands-on experience with provider credentialing and recredentialing.
• Knowledge of provider enrollment with Medicare, Medicaid, and commercial insurance payers.
• Familiarity with facility enrollment and group practice enrollment.
• Proficiency in CAQH ProView and working knowledge of PECOS.
• Understanding of U.S. healthcare credentialing and enrollment processes.
• Strong organizational skills, attention to detail, and ability to meet deadlines.
• Excellent written and verbal communication skills.
• Ability to work independently in a remote work environment.

Responsibilities

• Manage initial provider credentialing and recredentialing, ensuring all required documents and credentials are complete and up to date.
• Process provider enrollment applications with Medicare, Medicaid, and commercial insurance payers.
• Assist with facility and group practice enrollment, including new applications, updates, and renewals.
• Maintain and update provider profiles in CAQH ProView and assist with reattestation requirements.
• Process and monitor Medicare enrollment applications and updates through PECOS.
• Verify provider licenses, certifications, malpractice insurance, and other required credentials.
• Track application statuses, expiration dates, revalidation deadlines, and pending documentation.
• Follow up with insurance payers and providers regarding application progress and missing requirements.
• Maintain accurate credentialing records and ensure compliance with payer requirements.
• Coordinate with healthcare providers and internal teams to resolve enrollment issues.

Skills

Credentialing experience

CAQH ProView

PECOS

Healthcare enrollment

Attention to detail

Communication skills

Tools

CAQH ProView

PECOS

Job description

Credentialing Assistant

Work Setup: Permanent Work From Home
Employment Type: Full-Time

About the Role

We are looking for an experienced and detail-oriented Credentialing Assistant to manage healthcare provider credentialing, recredentialing, and enrollment processes. The ideal candidate must have hands-on experience with U.S. healthcare credentialing, insurance payer enrollment, and facility enrollment, with working knowledge of CAQH and PECOS.

Key Responsibilities

• Manage initial provider credentialing and recredentialing, ensuring all required documents and credentials are complete and up to date.




• Process provider enrollment applications with Medicare, Medicaid, and commercial insurance payers.




• Assist with facility and group practice enrollment, including new applications, updates, and renewals.




• Maintain and update provider profiles in CAQH ProView and assist with reattestation requirements.




• Process and monitor Medicare enrollment applications and updates through PECOS.




• Verify provider licenses, certifications, malpractice insurance, and other required credentials.




• Track application statuses, expiration dates, revalidation deadlines, and pending documentation.




• Follow up with insurance payers and providers regarding application progress and missing requirements.




• Maintain accurate credentialing records and ensure compliance with payer requirements.




• Coordinate with healthcare providers and internal teams to resolve enrollment issues.

Qualifications

• At least 1 year of experience in healthcare credentialing, provider enrollment, or a related role.




• Hands-on experience with provider credentialing and recredentialing.




• Knowledge of provider enrollment with Medicare, Medicaid, and commercial insurance payers.




• Familiarity with facility enrollment and group practice enrollment.




• Proficiency in CAQH ProView and working knowledge of PECOS.




• Understanding of U.S. healthcare credentialing and enrollment processes.




• Strong organizational skills, attention to detail, and ability to meet deadlines.




• Excellent written and verbal communication skills.




• Ability to work independently in a remote work environment.