Data Entry Specialist (Healthcare Credentialing Background)

CF Solutions Philippines Inc.; Quezon City; On-site; PHP 223,000 - 335,000; Full time

Job summary

CF Solutions Philippines Inc. is seeking a Data Entry Specialist with healthcare credentialing experience to support our credentialing operations. You will enter, update, and maintain provider data across internal databases and payer portals.

You will review documents for completeness, verify information, support submissions to insurers, and generate reports to ensure data accuracy and regulatory compliance. Strong attention to detail and Excel skills are essential.

Qualifications

• Background in healthcare credentialing, provider enrollment, or related healthcare administration.
• Strong data entry experience with high accuracy.
• Proficiency in Excel and Outlook; familiarity with credentialing software.
• Excellent organizational and time management skills.

Responsibilities

• Accurately enter, update, and maintain provider information in databases and credentialing systems.
• Review credentialing documents for completeness and accuracy.
• Assist with preparation and submission of credentialing applications to payers.
• Maintain electronic records and track document expirations.
• Verify provider information through source verification when needed.
• Monitor credentialing status and follow up on missing documentation.
• Generate reports and conduct audits to ensure data accuracy and compliance.
• Coordinate with providers, clinics, payers, and internal teams on credentialing requirements.

Skills

Data entry

Attention to detail

Excel

Outlook

Credentialing software

Education

Healthcare credentialing

Tools

Microsoft Excel

Payer portals

Healthcare databases

Job description

About the role

We are seeking a detail-oriented and organized Data Entry Specialist with experience in healthcare provider credentialing to support our credentialing operations. The ideal candidate will be responsible for accurately entering, updating, and maintaining provider information across multiple databases and credentialing platforms while ensuring data integrity and compliance with payer and regulatory requirements.

Key responsibilities

• Accurately enter, update, and maintain provider demographic, licensure, certification, and credentialing information in internal databases and credentialing systems.

• Review credentialing documents for completeness and accuracy, including certifications, malpractice insurance, DEA registrations, and other required documentation.

• Assist with the preparation and submission of credentialing and recredentialing applications to insurance payers and healthcare organizations.

• Maintain organized electronic records and track document expiration dates.

• Verify provider information through primary and secondary source verification when needed.

• Monitor credentialing status and follow up on pending applications and missing documentation.

• Generate reports and perform regular audits to ensure data accuracy and compliance.

• Coordinate with providers, clinics, payers, and internal departments regarding credentialing requirements and updates.

About you

• At least background in healthcare credentialing, provider enrollment, or related healthcare administration roles.

• Strong data entry experience with high attention to detail and accuracy.

• Proficiency in Microsoft Office applications, particularly Excel and Outlook.

• Experience working with credentialing software, payer portals, and healthcare databases.

• Excellent organizational and time management skills.

• Strong written and verbal communication skills.