Credentialing & Enrollment Specialist (Medallion/CredentialStream)

Access Healthcare Services Manila, Inc.; Taguig; On-site; PHP 350,000 - 520,000; Full time

Benefits offered by this job

Annual Salary Increase

20% Night Differential

HMO on Day 1

Life Insurance on Day 1

Free Shuttle

Job summary

Access Healthcare Services Manila, Inc. is seeking a Provider Enrollment and Credentialing Specialist to join our growing team in Taguig. You will manage enrollment with payers, ensure provider credentials meet regulatory standards, and support efficient operations.

Responsibilities include CAQH enrollment, payer portal access, and credentialing follow-up. On-site night shift experience and US healthcare familiarity are preferred to ensure smooth payer interactions.

Qualifications

• Must have experience in Provider Enrollment and Credentialing for US healthcare customers.
• Experience with Medallion and CredentialStream is required.
• Strong knowledge of payer enrollment and credentialing processes.
• Experience in medical billing software is a plus.

Responsibilities

• Completion of Enrollment Activities including CAQH, online applications, roster completion, and PDFs for payer enrollment.
• Credentialing services include review, documentation and follow-up with payers.
• Continue Enrollment and Credentialing activities for clients after clearance.
• Assist clients in enrolling physician groups with specified payers.
• Credentialing services include follow-up with payers until enrollment is complete.

Skills

Enrollment & Credentialing experience

Payer processes knowledge

Medical billing exposure

Night shift readiness

Tools

Medallion

CredentialStream

Availity

Job description

Access Healthcare Services Manila, Inc. is seeking a Provider Enrollment and Credentialing Specialist to join our growing team in Taguig. You will manage enrollment with payers, ensure provider credentials meet regulatory standards, and support efficient operations.

Responsibilities include CAQH enrollment, payer portal access, and credentialing follow-up. On-site night shift experience and US healthcare familiarity are preferred to ensure smooth payer interactions.