Night-Shift Credentialing Specialist – Healthcare Enrollment

AMTEC GLOBAL SOLUTIONS INC; Taguig; Presencial; PHP 350.000 - 550.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Attendance incentives and non-taxable;

30 leave credits per year

HMO coverage for you and dependents

Group life insurance

Regular night shift with weekends off

Engaging CSR and in-office activities

Descripción de la vacante

AMTEC GLOBAL SOLUTIONS INC in Taguig City is seeking a Credentialing Specialist to manage credentialing, recredentialing, and provider enrollment for a leading ophthalmology client. The role requires meticulous documentation, timely submissions, and strong collaboration with providers and payers.

The position offers a night shift schedule, competitive benefits including HMO for you and dependents, leave credits, and a supportive culture focused on growth and CSR initiatives.

Formación

• Experience in healthcare credentialing, provider enrollment, medical billing, or healthcare administration.
• Familiarity with CAQH, NPI, PECOS, Medicare, Medicaid, and commercial payers.
• Strong attention to detail and documentation skills.
• Excellent follow-up, organization, and communication skills.

Responsabilidades

• Manage initial credentialing, recredentialing, and provider enrollment with commercial and government payers.
• Collect, verify, and maintain provider credentials, including licenses, certifications, NPI, CAQH, malpractice insurance, and other required documents.
• Complete and submit insurance enrollment and credentialing applications accurately and within required timelines.
• Monitor application status, follow up with insurance payers, and resolve missing information or enrollment issues.
• Communicate with providers and internal teams regarding credentialing requirements, documentation, and application status.
• Maintain accurate and up-to-date provider credentialing records and track expiration dates.
• Coordinate with insurance representatives and payer portals to obtain updates, approvals, and participation information.
• Ensure compliance with payer, regulatory, and organizational credentialing requirements.
• Prepare regular reports on credentialing status, pending applications, expirations, and outstanding requirements.
• Handle calls and email correspondence with providers, insurance companies, and other stakeholders as needed.

Descripción del empleo

AMTEC GLOBAL SOLUTIONS INC in Taguig City is seeking a Credentialing Specialist to manage credentialing, recredentialing, and provider enrollment for a leading ophthalmology client. The role requires meticulous documentation, timely submissions, and strong collaboration with providers and payers.

The position offers a night shift schedule, competitive benefits including HMO for you and dependents, leave credits, and a supportive culture focused on growth and CSR initiatives.