Credentialling Coordinator

Cardinal Health International Philippines Inc.; Taguig; Hybrid; PHP 300,000 - 600,000; Full time

Job summary

Cardinal Health International Philippines Inc. seeks a Managed Care specialist to support credentialing and payer enrollment activities within our practice operations framework in Metro Manila.

You will apply your knowledge of policies, work independently, and resolve complex issues related to provider enrollment and contract management. The ideal candidate has 2-3 years of relevant experience, a Bachelor's degree, and familiarity with CredentialStream, Intellicred or Cactus.

Qualifications

• 2-3 years of experience required.
• Bachelor's Degree.
• Experience in Credentialing and Payer Enrollment.
• Experience using CredentialStream, Intellicred or Cactus preferred.

Responsibilities

• Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments.
• In-depth knowledge in technical or specialty area.
• Applies advanced skills to resolve complex problems independently.
• May modify process to resolve situations.
• Works independently within established procedures; may receive general guidance on new assignments.
• May provide general guidance or technical assistance to less experienced team members.

Skills

Credentialing & Payer Enrollment

Education

Bachelor's Degree

Tools

CredentialStream

Intellicred

Cactus

Job description

What Managed Care contributes to Cardinal Health

Practice Operations Management oversees the business and administrative operations of a medical practice.

Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and any other activity as it relates to payer interaction.

Qualifications

• 2-3 years of experience required
• Bachelor's Degree
• Experience in Credentialling and Payer Enrollment
• Experience using CredentialStream, Intellicred or Cactus preferred.

What is expected of you and others at this level

• Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
• In-depth knowledge in technical or specialty area
• Applies advanced skills to resolve complex problems independently
• May modify process to resolve situations
• Works independently within established procedures; may receive general guidance on new assignments
• May provide general guidance or technical assistance to less experienced team members