Medical Virtual Assistant (Credentialing)

QuickTeam; Philippines; Remote; PHP 430,000 - 612,000; Full time

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Credentialing

PECOS experience

CAQH ProView

NPPES management

US payer communications

Detail-oriented

Tools

PECOS system

CAQH ProView

NPPES

CMS I&A

Job description

PLEASE NOTE: This job is open to applicants in the Philippines only.

Full-time, 30 to 40 Hours/Week (US business hours)

Salary: $6/Hour

Job Title: Medical Virtual Assistant (Credentialing)

We are hiring a Medical Virtual Assistant with hands‑on credentialing experience. You will own provider enrollment and credentialing from start to finish: Medicare enrollment through PECOS, commercial payer applications, CAQH upkeep and re‑credentialing deadlines. This role is for an experienced credentialing specialist. It is not an entry‑level Medical VA role.

Responsibilities:

• Prepare, submit and track Medicare enrollments in PECOS: initial enrollments, revalidations, reassignments (CMS-855I, 855B, 855R), changes of information and practice location updates.
• Manage NPPES records: apply for and update NPIs (Type 1 and Type 2), and keep taxonomy codes and addresses accurate.
• Manage CMS Identity & Access (I&A) connections and surrogacy so providers and staff have the right PECOS access.
• Complete commercial payer credentialing and contracting applications (e.g., UnitedHealthcare, Aetna, Cigna, BCBS, Humana) and state Medicaid enrollments.
• Create, update and re-attest CAQH ProView profiles, and authorize payer access.
• Follow up with payers by phone, email and portal until each application is approved, then record effective dates and provider IDs.
• Track licenses, DEA, board certifications, malpractice insurance and other expiring documents, and start renewals and re-credentialing before deadlines.
• Keep a credentialing tracker and provider files current, and send regular status reports to the client.
• Handle hospital privileging and facility credentialing paperwork when needed.
• Work with billing teams to resolve enrollment‑related claim denials.
• Protect provider and patient information and follow HIPAA rules at all times.

• Experience as a Credentialing Specialist or Provider Enrollment Specialist for US healthcare providers.
• Hands‑on PECOS experience: you have submitted Medicare enrollments and revalidations yourself.
• Working knowledge of CAQH ProView, NPPES and CMS I&A.
• Experience with commercial payer credentialing and at least one state Medicaid enrollment.
• Strong attention to detail. One wrong date or missing document can delay an approval by weeks.
• Organized, persistent follow‑up habits, with comfort calling US payers.
• Excellent written and spoken English.
• Reliable home office setup: a stable internet connection, a backup connection and a quiet workspace.
• Willing to work US business hours.