Healthcare Credentialing Specialist

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

Benefits offered by this job

HR & Contractor Support

VPN Access

HIPAA Training

VA Performance Training

US Holidays

Paid Time Off

Tools & SOP Support

Performance Incentives

Job summary

Winning Assistants, Inc. is seeking a Healthcare Credentialing Specialist to verify physician licenses and ensure regulatory compliance for U.S. clients. The role operates remotely with asynchronous communication and requires attention to detail.

You will work with HIPAA guidelines, access state boards and regulatory databases, and deliver timely credentialing feedback to internal teams while maintaining data integrity.

Qualifications

• Minimum 1 year in medical credentialing, provider enrollment, or related healthcare admin role.
• Experience researching and verifying information via state medical boards or regulatory databases.
• Strong HIPAA knowledge and data handling.
• Excellent written English communication.

Responsibilities

• Manually verify physician licenses via state boards and official websites.
• Cross-reference physician information with national license indexes.
• Confirm license status, validity, and state-specific prescribing eligibility.
• Review onboarding submissions for discrepancies and missing details.
• Document results accurately in the prescribing platform and audit trails.
• Provide feedback to physicians and internal teams within 1 hour during business hours.
• Escalate questionable credentials to compliance.
• Maintain records and ensure data security per HIPAA rules.

Skills

Medical credentialing

Provider enrollment

HIPAA compliance

English communication

Research skills

Regulatory databases

Tools

Regulatory databases

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.
• Strong written English communication skills.
• 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

• Computer: Reliable laptop or desktop computer.
• Internet: Stable high-speed internet connection (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and professional work environment.

Benefits

• 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.