Medical Credentialing VA: PECOS & Payer Enrollments

QuickTeam; Philippines; A distancia; PHP 430.000 - 612.000; Jornada completa

Descripción de la vacante

QuickTeam in the Philippines seeks a Medical Virtual Assistant (Credentialing) with hands-on Medicare enrollment through PECOS and CAQH. You will own provider enrollment and credentialing from start to finish, including CAQH upkeep and re-credentialing deadlines.

This is a senior role, not entry-level. Responsibilities include managing PECOS enrollments, NPPES records, CMS I&A, and commercial payer applications, while coordinating with billing and ensuring HIPAA compliance.

Formación

• Hands-on Medicare enrollments via PECOS and revalidations.
• Must manage CAQH ProView and NPPES records.
• Experience with commercial payer credentialing (UnitedHealthcare, Aetna, Cigna etc.).
• Strong attention to detail to avoid delays.
• Excellent written and spoken English.
• Reliable home office with stable internet and backup connection.

Responsabilidades

• Prepare, submit and track Medicare enrollments in PECOS (initial enrollments, revalidations, 855 forms).
• Manage NPPES records: update NPIs and taxonomies.
• Handle CMS I&A connections and surrogacy for PECOS access.
• Create and attest CAQH ProView profiles; grant payer access.
• Follow up with payers by phone, email, and portal until approval.
• Track licenses, DEA, board certs, malpractice, renewals.
• Maintain credentialing tracker and provider files; send status reports.
• Handle hospital privileging and facility credentialing paperwork.
• Collaborate with billing to resolve enrollment denial issues.
• Ensure HIPAA compliance and protect provider/patient data.

Conocimientos

Credentialing

PECOS experience

CAQH ProView

NPPES management

US payer communications

Detail-oriented

Herramientas

PECOS system

CAQH ProView

NPPES

CMS I&A

Descripción del empleo

QuickTeam in the Philippines seeks a Medical Virtual Assistant (Credentialing) with hands-on Medicare enrollment through PECOS and CAQH. You will own provider enrollment and credentialing from start to finish, including CAQH upkeep and re-credentialing deadlines.

This is a senior role, not entry-level. Responsibilities include managing PECOS enrollments, NPPES records, CMS I&A, and commercial payer applications, while coordinating with billing and ensuring HIPAA compliance.