Credentialing Specialist | Work from Home

Vector Outsourcing Solutions Phils.; Mandaluyong; Remote; PHP 201,000 - 312,000; Full time

Benefits offered by this job

Maternity & Paternity Leave

Government Contribution (SSS, Pag-ibig

Philhealth

13th Month Pay

Paid Holidays

Bereavement Leave

Paid Vacation Leave

Paid Sick Leave

Work from Home

Night shift differential pay

Php 1,000 De Minimis

Php 1,000 monthly bonus upon regulariz

HMO upon regularization

Equipment/ company computer provided

Job summary

Vector Outsourcing Solutions Phils. is seeking a Credentialing/Enrollment Coordinator to gather enrollment documents from new clients, assist in form completion, and maintain accurate client records in spreadsheets or databases.

The role requires strong English, attention to detail, and the ability to work from home with a reliable internet connection. Responsibilities include responding to inquiries, reporting issues, coordinating with insurance enrollment staff, and ensuring confidentiality.

Qualifications

• Experience in credentialing within a BPO is preferred.
• Understanding of US Healthcare industry is preferred.
• Proficient in spoken and written English.
• Proficient in MS Word and MS Excel; Windows navigation.
• Detail-oriented and able to work graveyard or shift schedules.
• Able to work from home with reliable internet.

Responsibilities

• Gather required enrollment documents from new clients.
• Assist in completing enrollment forms.
• Maintain accurate client information using spreadsheets or online databases.
• Respond to general inquiries as the in-house knowledge source on enrollment details.
• Identify and report issues to appropriate departments and leadership.
• Build and improve relationships with insurance company enrollment staff.
• Maintain confidentiality of client information per regulations.
• Follow team or client procedures, policies, and methodologies as instructed.
• Alert client of new regulations, expiring certificates, reapplications and deficiencies in enrollment requirements.
• Conduct presentations and engage in occasional client interactions.
• Follow team and/or client’s procedures and policies as instructed.
• Performs other related duties as necessary or assigned

Skills

English proficiency

Detail-oriented

US Healthcare knowledge

Graveyard shift capable

WFH capable

Tools

MS Word

MS Excel

Job description

Job Description:

• Gather required enrollment documents from new clients.

• Assist in completing enrollment forms.

• Maintain accurate and current client information using spreadsheets and/or online databases.

• Respond to general inquires as the in-house knowledge source on client’s enrollment particulars.

• Identify and report issues to appropriate departments and management leadership.

• Build and improve working relationships with insurance company enrollment staff.

• Maintain confidentiality of client information by adhering to strict, established regulations.

• Follow teams and/or client’s proper procedures, policies, and methodologies as instructed.

• Alert client of new regulations, expiring certificates, reapplications and deficiencies in enrollment requirements.

• Conduct presentations and engage in occasional client interactions, as needed.

• Follow team and/or client’s proper procedures, policies, and methodologies as instructed.

• Performs other related duties as necessary or assigned

Minimum Qualifications:

• Credentialing Experience in a BPO is preferred, but not required
• Understanding of and/or experience in the US Healthcare industry is preferred, but not required
• Adept in both spoken and written English
• Proficient in MS Word, MS Excel, Windows file navigation
• Detail-oriented
• Amenable to work graveyard or shifting schedules
• Able to Work From Home, must have a reliable internet connection

Perks and Benefits:

• Maternity & Paternity Leave
• Government Contribution (SSS, Pag-ibig, Philhealth)
• 13th Month Pay
• Paid Holidays
• Bereavement Leave
• Paid Vacation Leave
• Paid Sick Leave
• Work from Home

Others:

• Equipment/ company computer is provided
• Night shift differential pay
• Php 1,000 De Minimis
• Php 1,000 monthly bonus upon regularization
• HMO upon regularization