Credentialing Specialist - Philippines

NeoWork; Philippines; Remote; PHP 360,000 - 540,000; Full time

Benefits offered by this job

Comprehensive training

100% home-based

Mental health days

Performance-based incentives

Annual review

Career advancement

Flexible hours

US business hours alignment

Job summary

NeoWork in the Philippines is seeking an experienced Credentialing Specialist to verify provider qualifications and ensure regulatory compliance. You will conduct primary source verification, review applications, and maintain accurate credentialing files in a fast-paced, remote setup.

The ideal candidate has a bachelor's degree in a related field, 2+ years in credentialing, strong analytical skills, and proficiency with credentialing software and EHR systems.

Qualifications

• Bachelor's degree in healthcare/related field.
• At least 2 years of credentialing or related healthcare admin experience.
• Strong knowledge of healthcare regulations and accreditation standards.
• Proficient with credentialing software and EHR systems.
• Excellent analytical and problem-solving abilities.
• Detail-oriented with accuracy in fast-paced environments.
• Strong communication and interpersonal skills.
• Ability to handle confidential information discreetly.
• Own computer or laptop with stable internet.
• Knowledge of Office 365 and Google Apps.

Responsibilities

• Perform primary source verification of credentials via phone, chat, or email.
• Review applications for accuracy and completeness.
• Maintain up-to-date provider credential records.
• Ensure compliance with laws, regulations, and accreditation standards.
• Communicate with healthcare professionals, staff, and regulators.
• Prepare and maintain credentialing files and docs.
• Assist with re-credentialing as needed.
• Stay informed about credentialing laws and practices.
• Support additional administrative tasks as required.

Skills

Analytical skills

Attention to detail

Communication skills

Credentialing software

Electronic health records

Office 365

Google Apps

Education

Bachelor's degree in healthcare administration

Tools

Credentialing software

Electronic Health Records (EHR)

Job description

NeoWork is currently seeking an experienced and detail-oriented Credentialing Specialist to join our team in the Philippines. As a Credentialing Specialist, you will play a vital role in assessing and verifying the qualifications of healthcare providers, ensuring compliance with regulatory standards and organizational policies.

At NeoWork, we are committed to delivering high-quality healthcare services. The Credentialing Specialist will be responsible for the entire credentialing process which includes verifying licenses, certifications, education, and work history of healthcare professionals. This position involves collaboration with various stakeholders to ensure that practitioners meet the necessary qualifications to provide care.

We are looking for someone who possesses strong analytical skills, attention to detail, and excellent communication abilities. The ideal candidate should have a background in healthcare administration or a related field, with experience in processing credentialing applications.

Responsibilities

• Conduct primary source verification of credentials for healthcare providers, through phone, chat, or email
• Review and evaluate applications for accuracy and completeness
• Maintain up-to-date records of provider credentials
• Ensure compliance with relevant laws, regulations, and accreditation standards
• Communicate effectively with healthcare professionals, staff, and regulatory agencies
• Prepare and maintain credentialing files and documentation
• Assist with the re-credentialing process as necessary
• Stay informed about changes in credentialing laws and practices
• Assist with other administrative tasks as required

Requirements

• Bachelor's degree in healthcare administration, business administration, or a related field
• At least 2 years of experience in credentialing or related healthcare administrative roles
• Strong understanding of healthcare regulations and accreditation standards
• Excellent analytical and problem-solving skills
• Attention to detail and ability to maintain accuracy in a fast-paced environment
• Proficiency in using credentialing software and electronic health records
• Strong communication and interpersonal skills
• Ability to handle confidential information with discretion
• Owned computer or laptop and stable internet connectivity.
• Knowledgeable in Office 360, Google Apps, and client-facing communication.

Benefits

• We provide comprehensive training for all candidates, regardless of their background or previous experience as a VA.
• The work hours generally align with standard business hours in the US, with some potential flexibility depending on the client's needs.
• This is a 100% home-based position
• We prioritize the mental health of our team members and offer mental health days to support their well-being.
• In addition to the base salary, performance-based incentives are provided.
• There is an annual review and appraisal process in place.
• There are ample opportunities for professional growth and advancement within the company.