Credentialing & Enrollment Pro - Medallion/CredentialStream

Access Healthcare Services Manila, Inc.; Taguig; On-site; PHP 240,000 - 420,000; Full time

Job summary

Access Healthcare Services Manila, Inc. is seeking a Provider Enrollment and Credentialing specialist to join our growing team in Taguig.

The role focuses on enrolling healthcare providers into insurance networks and ensuring credentials meet industry standards for US providers, supporting regulatory and payer requirements. Responsibilities include completing enrollment activities, CAQH, payer portals, and credentialing follow-ups.

Qualifications

• Experience in Provider Enrollment and Credentialing for US healthcare customers.
• Experience with Medallion and CredentialStream.
• Solid knowledge of payer processes and credentialing.
• Experience in a medical billing company and with billing software is advantageous.
• Willingness to work on-site at McKinley, Taguig.

Responsibilities

• Manage enrollment activities including CAQH, payer portals, and enrollment documents.
• Perform credentialing reviews, documentation, and payer follow-ups.
• Continue enrollment and credentialing activities after clearance for clients.
• Assist clients in enrolling physician groups with specified payers.
• Ensure payers receive all required information to complete enrollment.

Skills

Provider Enrollment

Credentialing

Payer processes

Medical billing software

On-site work

Tools

Medallion

CredentialStream

Medical billing software

Job description

Access Healthcare Services Manila, Inc. is seeking a Provider Enrollment and Credentialing specialist to join our growing team in Taguig.

The role focuses on enrolling healthcare providers into insurance networks and ensuring credentials meet industry standards for US providers, supporting regulatory and payer requirements. Responsibilities include completing enrollment activities, CAQH, payer portals, and credentialing follow-ups.