On-Site Credentialing Specialist — Healthcare Compliance

Scriberunner Philippines Inc.; Laguna; Presencial; PHP 300 000 - 450 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Paid time off

Health considerations

Standard benefits

Resumo da oferta

Scriberunner Philippines Inc. is seeking a Credentialing Specialist to join our healthcare operations team in Biñan, Laguna.

This on-site, full-time role supports our medical network by managing credentialing and privileging processes for healthcare providers, ensuring regulatory compliance and accurate documentation. You will verify licenses, gather materials, coordinate with regulatory bodies, maintain meticulous files, and generate periodic reports for committees.

Qualificações

• High school diploma or equivalent; Bachelor's degree in healthcare administration, business or related field preferred.
• 2–3 years of experience in healthcare credentialing or related administrative role.
• Strong knowledge of credentialing standards, regulatory requirements and compliance procedures.
• Excellent organisational and time management skills with ability to manage multiple credentialing files.
• Proficiency in Microsoft Office and healthcare information systems.
• Attention to detail and accuracy in document review and data entry.
• Strong communication skills with healthcare providers and regulatory agencies.
• Ability to work independently and in a collaborative team.
• Knowledge of regulations and credentialing best practices; CPPS certification a plus.

Responsabilidades

• Manage the complete credentialing and privileging process for medical specialists and healthcare providers.
• Verify and validate professional credentials, licenses, certifications and qualifications.
• Coordinate with healthcare providers to gather required documentation and materials.
• Conduct thorough background checks and verify employment history and education.
• Maintain detailed credentialing records and keep documentation organized.
• Communicate with medical boards and licensing agencies to confirm credentials.
• Monitor credentialing timelines and ensure timely processing of applications.
• Identify discrepancies and escalate to management as needed.
• Prepare credentialing reports and recommendations for committee review.
• Ensure compliance with Joint Commission, CMS and other regulatory requirements.
• Support ongoing monitoring and recredentialing of active providers.
• Liaise with insurance companies and managed care organizations regarding provider networks.

Conhecimentos

Credentialing experience

Regulatory knowledge

Attention to detail

Communication skills

Time management

Teamwork

Independent work

Formação académica

Bachelor's degree in healthcare administration

High school diploma

Ferramentas

Microsoft Office

Credentialing software

Descrição da oferta de emprego

Scriberunner Philippines Inc. is seeking a Credentialing Specialist to join our healthcare operations team in Biñan, Laguna.

This on-site, full-time role supports our medical network by managing credentialing and privileging processes for healthcare providers, ensuring regulatory compliance and accurate documentation. You will verify licenses, gather materials, coordinate with regulatory bodies, maintain meticulous files, and generate periodic reports for committees.