Credentialing Specialist | Hybrid (Angeles, Ortigas, Davao and Cebu)

Connext; Metro Manila; On-site; PHP 240,000 - 360,000; Full time

Benefits offered by this job

Life and HMO Insurance Coverage

20 Leave Credits

Job summary

Connext Global Solutions is seeking a Credentialing Specialist to support US-based clients from our Manila team. You will manage end-to-end credentialing, payer enrollment, and provider records for behavioral health providers, ensuring CAQH/NPPES/NPI accuracy and compliance.

The role requires meticulous organization, strong English communication, and the ability to work independently to meet tight timelines."

Qualifications

• Experience maintaining provider records, credentialing files, and enrollment documentation.
• Knowledge of U.S. healthcare credentialing, payer enrollment, and HIPAA requirements.
• Strong attention to detail when managing multiple tasks and deadlines.
• Excellent organizational and follow-up skills.
• Ability to work independently with minimal supervision.
• Strong written and verbal English communication skills.

Responsibilities

• Manage end-to-end provider credentialing and payer enrollment for behavioral health providers.
• Process new enrollments, revalidations, affiliations, and credentialing updates.
• Maintain accurate provider records, documentation, CAQH, NPPES/NPI, and taxonomy information.
• Complete provider directory attestations and payer roster updates.
• Monitor licenses, malpractice coverage, credentialing timelines, and re-credentialing requirements.
• Track applications, follow up on pending requests, and resolve payer credentialing issues.
• Communicate with U.S.-based clients and payers while maintaining confidentiality and compliance.

Skills

Provider credentialing knowledge

Payer enrollment

HIPAA compliance

Attention to detail

Organization

Independent work

English communication

Job description

Join Our Team as a Credentialing Specialist!

At Connext Global Solutions, we’re not just about outsourcing — we’re about innovating and elevating business processes for world-class companies across diverse industries, including Title and Escrow, Healthcare, Produce Distribution, Retail & Fashion, Design Consulting, and Finance. Now, we’re looking for a dedicated Credentialing Specialist to support our US-based client and grow with us!

Why Connext?

• Life and HMO Insurance Coverage
• 20 Leave Credits

What You’ll Do:

The Credentialing Specialist manages U.S. behavioral health provider credentialing and payer enrollment, ensuring accurate records, active billing eligibility, and compliance with payer requirements. The role involves CAQH, NPPES/NPI, payer systems, and client communication.

Job Description

• Manage end-to-end provider credentialing and payer enrollment for behavioral health providers.
• Process new enrollments, revalidations, affiliations, and credentialing updates.
• Maintain accurate provider records, documentation, and CAQH, NPPES/NPI, and taxonomy information.
• Complete provider directory attestations and payer roster updates.
• Monitor licenses, malpractice coverage, credentialing timelines, and re-credentialing requirements.
• Track applications, follow up on pending requests, and resolve payer credentialing issues.
• Communicate with U.S.-based clients and payers while maintaining confidentiality and compliance.

Qualifications

• Experience maintaining provider records, credentialing files, and enrollment documentation.
• Knowledge of U.S. healthcare credentialing, payer enrollment, and HIPAA requirements.
• Strong attention to detail when managing multiple tasks and deadlines.
• Excellent organizational and follow-up skills.
• Ability to work independently with minimal supervision.
• Strong written and verbal English communication skills.

Be part of a growing global team that values innovation, collaboration, and professional growth.