Healthcare Credentialing Specialist

Winning Assistants LLC; Philippines; Remote; PHP 441,000 - 529,000; Full time

Benefits offered by this job

Support Team

VPN Access

HIPAA Training

Performance Training

US Holidays

Paid Time Off

Tools & Resources

Job summary

Winning Assistants LLC is hiring a Healthcare Credentialing Specialist to verify physician licenses for US clients in a remote setting. You will research state boards, confirm license status, and ensure compliance with HIPAA and security standards.

The role requires at least 1 year in credentialing or related healthcare work, strong attention to detail, and the ability to meet a 1-hour turnaround during business hours. VPN access may be provided as needed.

Qualifications

• At least 1 year of experience in medical credentialing or related healthcare admin roles.
• Experience researching information through state medical boards, government websites, or regulatory databases.
• Familiarity with physician license status, expiration dates, restrictions, disciplinary actions, and prescribing eligibility.
• Strong understanding of HIPAA, patient confidentiality, and secure handling of sensitive information.
• Excellent attention to detail and ability to identify inconsistencies across multiple sources.
• Ability to meet a 1-hour turnaround time during working hours.
• Reliable access to U.S. government and state regulatory websites.
• Willing to use VPN or secure-access tools when required.
• Ability to work independently with minimal supervision while maintaining high productivity and accuracy.

Responsibilities

• Manually verify physician licenses using official state medical board websites.
• Cross-reference physician data in national license index databases and regulatory databases.
• Confirm licenses are active, valid, unrestricted, and appropriate for the state of practice.
• Verify prescribing eligibility in states claimed.
• Review onboarding information for discrepancies, restrictions, or missing details.
• Document verification results in the company’s digital prescribing platform.
• Provide feedback within one hour during business hours.
• Escalate questionable credentials to the compliance team.
• Maintain audit trails of all verification activities.
• Protect physician and organizational data per HIPAA and confidentiality rules.
• Work independently in a remote asynchronous environment.

Skills

Medical credentialing

Research

HIPAA compliance

Attention to detail

Turnaround time

Remote work

VPN usage

Tools

Official state medical boards

Regulatory databases

VPN access

Job description

Job Title: Healthcare Credentialing Specialist

Position Type: Full-time

Working Hours:

Monday to Friday: 12:00 PM-6:00 PM Pacific Daylight Time

Saturday and Sunday: 8:00 AM-10:00 AM and 2:00 PM-5:00 PM

Salary rate: $5-$6

Job Responsibilities:

• Manually verify physician licenses using official state medical board and government regulatory websites.
• Access national license index databases and relevant authority databases to cross-reference physician information.
• Confirm that each physician's license is active, valid, unrestricted, and appropriate for the state in which they intend to practice.
• Verify whether physicians are authorized to prescribe in the states they claim to serve.
• Review physician information submitted during onboarding and identify discrepancies, restrictions, disciplinary actions, expirations, or missing details.
• Document verification results accurately within the company's digital prescribing platform.
• Provide physicians and internal teams with verification feedback within one hour during designated business hours.
• Escalate questionable, incomplete, or potentially invalid credentials to the appropriate compliance team.
• Maintain accurate records and audit trails of all verification activities.
• Protect physician and organizational information in accordance with HIPAA and company confidentiality requirements.
• Work independently and communicate effectively in an asynchronous remote environment.

Requirements

• At least one year of experience in medical credentialing, provider enrollment, physician licensing, healthcare compliance, or a related healthcare administrative role.
• Experience researching and verifying information through state medical boards, government websites, or regulatory databases.
• Familiarity with physician license status, expiration dates, restrictions, disciplinary actions, and prescribing eligibility.
• Strong understanding of HIPAA, patient confidentiality, and secure handling of sensitive information.
• Excellent attention to detail and ability to identify inconsistencies across multiple sources.
• Ability to meet a one-hour turnaround time during working hours.
• Reliable computer, stable internet connection, and ability to access U.S. government and state regulatory websites.
• Comfortable using VPN or other approved secure-access tools when required.
• Ability to work independently with minimal supervision while maintaining high productivity and accuracy.

Basic Requirements

• Must speak and write English clearly and professionally.
• Must have relevant work experience.
• Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
• Must be available to attend video meetings with camera on when required.

Technical Requirements

• Internet: Stable high-speed internet connection (minimum 25 Mbps).
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and professional work environment.
• Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
• Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
• Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client's needs and schedule.
• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.