Credentialing Specialist

Scriberunner Philippines Inc.; Laguna; On-site; PHP 300,000 - 450,000; Full time

Benefits offered by this job

Paid time off

Health considerations

Standard benefits

Job summary

Scriberunner Philippines Inc. is seeking a Credentialing Specialist to join our healthcare operations team in Biñan, Laguna.

This on-site, full-time role supports our medical network by managing credentialing and privileging processes for healthcare providers, ensuring regulatory compliance and accurate documentation. You will verify licenses, gather materials, coordinate with regulatory bodies, maintain meticulous files, and generate periodic reports for committees.

Qualifications

• High school diploma or equivalent; Bachelor's degree in healthcare administration, business or related field preferred.
• 2–3 years of experience in healthcare credentialing or related administrative role.
• Strong knowledge of credentialing standards, regulatory requirements and compliance procedures.
• Excellent organisational and time management skills with ability to manage multiple credentialing files.
• Proficiency in Microsoft Office and healthcare information systems.
• Attention to detail and accuracy in document review and data entry.
• Strong communication skills with healthcare providers and regulatory agencies.
• Ability to work independently and in a collaborative team.
• Knowledge of regulations and credentialing best practices; CPPS certification a plus.

Responsibilities

• Manage the complete credentialing and privileging process for medical specialists and healthcare providers.
• Verify and validate professional credentials, licenses, certifications and qualifications.
• Coordinate with healthcare providers to gather required documentation and materials.
• Conduct thorough background checks and verify employment history and education.
• Maintain detailed credentialing records and keep documentation organized.
• Communicate with medical boards and licensing agencies to confirm credentials.
• Monitor credentialing timelines and ensure timely processing of applications.
• Identify discrepancies and escalate to management as needed.
• Prepare credentialing reports and recommendations for committee review.
• Ensure compliance with Joint Commission, CMS and other regulatory requirements.
• Support ongoing monitoring and recredentialing of active providers.
• Liaise with insurance companies and managed care organizations regarding provider networks.

Skills

Credentialing experience

Regulatory knowledge

Attention to detail

Communication skills

Time management

Teamwork

Independent work

Education

Bachelor's degree in healthcare administration

High school diploma

Tools

Microsoft Office

Credentialing software

Job description

About the role

Scriberunner Philippines Inc. is seeking a Credentialing Specialist to join our healthcare operations team in Biñan, Laguna. This is a full-time position based on-site at our Biñan location. As a Credentialing Specialist, you will play a crucial role in ensuring that healthcare providers meet all necessary regulatory, professional and institutional requirements. This position is essential to maintaining the integrity of our healthcare network and supporting our medical specialists in delivering quality patient care. You will be responsible for managing the credentialing and privileging processes for medical professionals, ensuring compliance with industry standards and regulatory bodies.

Key responsibilities

• Manage the complete credentialing and privileging process for medical specialists and healthcare providers
• Verify and validate professional credentials, licenses, certifications and qualifications
• Coordinate with healthcare providers to gather required documentation and application materials
• Conduct thorough background checks and verify employment history, education and professional references
• Maintain detailed records of all credentialing files and ensure documentation is organised and up-to-date
• Communicate with medical boards, licensing agencies and other regulatory bodies to confirm credentials
• Monitor credentialing timelines and ensure all applications are processed efficiently
• Identify discrepancies or issues in provider credentials and elevate to management as needed
• Prepare credentialing reports and recommendations for committee review
• Ensure compliance with Joint Commission, CMS and other relevant regulatory requirements
• Support the ongoing monitoring and recredentialing of active providers
• Liaise with insurance companies and managed care organisations regarding provider networks

What we’re looking for

• High school diploma or equivalent; Bachelor's degree in healthcare administration, business or related field is preferred
• 2–3 years of experience in healthcare credentialing, provider relations or similar healthcare administrative role
• Strong knowledge of credentialing standards, regulatory requirements and compliance procedures in the healthcare industry
• Excellent organisational and time management skills with ability to manage multiple credentialing files simultaneously
• Proficiency in Microsoft Office suite (Word, Excel, Outlook) and healthcare information systems
• Exceptional attention to detail and accuracy in document review and data entry
• Strong communication skills, both written and verbal, with ability to interact professionally with healthcare providers and regulatory agencies
• Ability to work independently and as part of a collaborative team
• Knowledge of healthcare regulations, licensing requirements and credentialing best practices
• Professional certification in healthcare credentialing (such as CPPS – Certified Professional in Provider Credentialing) is a plus
• Familiarity with provider credentialing software systems is advantageous

What we offer

At Scriberunner Philippines Inc., we are committed to supporting our employees' professional growth and wellbeing. We offer competitive compensation packages, opportunities for career advancement within the healthcare sector, and a collaborative work environment. Our team values continuous learning and professional development, providing access to training and certification programmes relevant to healthcare administration and credentialing. We maintain a supportive workplace culture that emphasises excellence, integrity and patient-centred care. We also provide standard benefits including paid time off and health considerations for our full-time employees.

About us

Scriberunner Philippines Inc. is a dedicated healthcare solutions provider committed to supporting medical specialists and healthcare organisations in delivering exceptional patient care. We specialise in healthcare administrative services, streamlining operations for medical professionals across the Philippines. Our mission is to enhance healthcare delivery by ensuring that providers are properly credentialed, compliant with regulatory standards and empowered to focus on patient care. We work collaboratively with medical specialists, healthcare facilities and regulatory bodies to maintain the highest standards of professional practice and integrity within the healthcare industry.

Requirements

Please refer to job description.

• Communication
• Problem Solving
• Adaptability
• Time Management
• Teamwork
• Attention To Detail
• Critical Thinking
• Organization
• Creativity
• Customer Service

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