Physician Credentialing Support Specialist

Outsourced; Manila; A distancia; PHP 2.689.000 - 4.225.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Healthcare coverage

Hybrid work model

Paid time off

Professional development support

Wellness programs

Descripción de la vacante

Outsourced is seeking a Physician Credentialing Support Specialist to assist the U.S.-based credentialing team with hospital credentialing, provider enrollment, and documentation collection. The role emphasizes accuracy, adherence to HIPAA, and timely file completion.

Experience with U.S. hospital credentialing and payer enrollment is preferred. The position offers a modern hybrid setup with home-based work in Eastwood, Manila, and collaboration with an international team.

Formación

• Experience with US hospital credentialing preferred.
• Experience with payer credentialing and provider enrollment a plus.
• Experience with credentialing software such as Modio, symplr, VerityStream, Medallion, CredentialStream, QGenda credentialing tools, CAQH ProView, hospital credentialing portals.

Responsabilidades

• Assist with initial credentialing and recredentialing of physicians, PAs, and NPs for hospitals and healthcare facilities.
• Obtain credentialing applications, enter provider information into hospital portals, prepare applications for provider review/signature, and track outstanding requirements.
• Complete or assist with demographic, education, training, employment, hospital affiliation, licensure, DEA, board certification, malpractice, disclosure, and work-history sections of credentialing applications.
• Collect and organize required documents including licenses, DEA certificates, controlled-substance registrations, diplomas, residency/fellowship certificates, board certification, CVs, malpractice certificates, claims history, required certifications, IDs, W-9s, NPI information, and professional references.
• Communicate directly with physicians and APPs to obtain missing documents, signatures, attestations, explanations, updated CVs, licenses, DEA certificates, and reference information.

Conocimientos

Credentialing workflows

Attention to detail

English proficiency

US physician comm

Multi-file management

Herramientas

Excel

SharePoint

Teams

Outlook

Word

OneDrive

Descripción del empleo

About Outsourced

Outsourced is a premier offshore staffing provider. We help leading international companies build and scale dedicated, high-performing offshore teams. With a global workforce of 1,800+professionals across our primary operating hubs in the Philippines and expanding international markets (India, Colombia, Malaysia, Vietnam, and Argentina), we deliver top 1% talent, modern workspace environments, and comprehensive human resource management to clients worldwide.

Job Description

About Outsourced

Outsourced is a premier offshore staffing provider. We help leading international companies build and scale dedicated, high-performing offshore teams. With a global workforce of 1,800+professionals across our primary operating hubs in the Philippines and expanding international markets (India, Colombia, Malaysia, Vietnam, and Argentina), we deliver top 1% talent, modern workspace environments, and comprehensive human resource management to clients worldwide.

Why Join Us?

This is an extraordinary opportunity to build and shape an operational function from the ground up. As our Director of People Operations, you will have a direct executive voice in how a fast-growing 1,800-person global organization operates. You will own core HR data governance, lead a dedicated operational team, and expand your career across an international multi-country footprint.

Role Overview

Physician Credentialing Support Specialist

We are seeking an experienced Physician Credentialing Support Specialist to assist the U.S.-based credentialing team with facility credentialing, hospital privileging, provider enrollment, document collection, application preparation, verification activities, and credentialing-file completion for physicians and advanced practice providers.

Direct experience with U.S. hospital/facility credentialing is strongly preferred. Experience with payer credentialing and provider enrollment is a significant plus.

Key Responsibilities

• Assist with initial credentialing and recredentialing of physicians, PAs, and NPs for hospitals and healthcare facilities.
• Obtain credentialing applications, enter provider information into hospital portals, prepare applications for provider review/signature, and track outstanding requirements.
• Complete or assist with demographic, education, training, employment, hospital affiliation, licensure, DEA, board certification, malpractice, disclosure, and work-history sections of credentialing applications.
• Collect and organize required documents including licenses, DEA certificates, controlled-substance registrations, diplomas, residency/fellowship certificates, board certification, CVs, malpractice certificates, claims history, required certifications, IDs, W-9s, NPI information, and professional references.
• Communicate directly with physicians and APPs to obtain missing documents, signatures, attestations, explanations, updated CVs, licenses, DEA certificates, and reference information.
• Assist with peer-reference collection by obtaining contacts, sending requests, following up, tracking completion, and escalating delays.
• Support primary-source verification workflows where permitted, including license, board certification, education, training, employment, hospital affiliation, sanctions/exclusion, and other required verifications.
• Review credentialing checklists, identify missing or expiring items, organize files, and help credentialers prepare complete files for final review.
• Follow up with hospital medical staff offices and track application status, committee dates, approvals, effective dates, and outstanding barriers.
• Maintain detailed credentialing trackers and proactively identify files at risk of delaying provider start dates.

Payer Credentialing / Provider Enrollment – Preferred

• Medicare enrollment and PECOS.
• Medicaid enrollment.
• Commercial payer enrollment and recredentialing.
• CAQH profile setup, maintenance, document uploads, and re-attestation.
• Payer roster submissions, additions, terminations, revalidation, and status follow-up.
• Effective-date tracking and EFT/ERA enrollment where applicable.

Credentialing Software And Technical Skills

• Experience with credentialing software or the ability to quickly learn systems such as Modio, symplr, VerityStream, Medallion, CredentialStream, QGenda credentialing tools, CAQH ProView, hospital credentialing portals, and payer portals.
• Strong Microsoft Excel skills, including credentialing trackers, sorting/filtering, conditional formatting, date/expiration tracking, basic formulas, and large provider lists.
• Comfortable using Microsoft SharePoint, Teams, Outlook, Word, Excel, and OneDrive.

Preferred Experience

• U.S. hospital medical staff credentialing and privileging.
• Physician-group or locum tenens credentialing.
• Facility privileging and physician onboarding.
• CAQH, payer enrollment, Medicare/PECOS, and Medicaid enrollment.
• Credentialing physicians across multiple U.S. states.

Required Skills

• Strong knowledge of provider credentialing workflows.
• Excellent attention to detail and organization.
• Professional written and verbal English.
• Ability to communicate with U.S. physicians, hospital medical staff offices, and internal credentialers.
• Strong follow-up skills and the ability to manage multiple credentialing files simultaneously.
• Ability to handle confidential provider information in accordance with company privacy and security policies.

HIPAA / Confidentiality

The specialist must maintain strict confidentiality, complete required privacy/HIPAA training, use only company-authorized systems, follow secure document-management procedures, and never transfer confidential provider information to unauthorized personal devices or accounts.

Working Hours

Candidate should be willing to work hours that substantially overlap with U.S. Eastern and Central Time Zones to permit real-time communication with physicians, hospital medical staff offices, payers, and IHP credentialing and operations personnel.

Suggested KPIs

• Number of active credentialing files managed.
• Application completion and submission turnaround time.
• Percentage of files submitted complete and accurately.
• Provider document and peer-reference completion rate.
• Follow-up turnaround time with providers and facilities.
• Credentialing aging and percentage of providers credentialed before scheduled start date.
• Expirable documents renewed before expiration.
• Accuracy of credentialing trackers.
• Payer enrollment turnaround time and status follow-up, when applicable.
• Number of preventable credentialing delays.

Reporting Structure

The Physician Credentialing Support Specialist will work under IHP's U.S.-based credentialing and operations leadership and support existing credentialers in completing provider files. This role is intended to function as an extension of IHP's credentialing department, not as a general administrative virtual-assistant position.

What We Offer (Compensation & Benefits)

• Competitive Compensation based on qualifications and experience.
• Comprehensive Healthcare: Premium HMO coverage with free dependent inclusion upon regularization.
• Flexible Working Arrangement: Modern hybrid work model combining home flexibility with collaborative days at our premium office hubs.
• Paid Time Off: Generous vacation, sick leave, and statutory paid holiday entitlements.
• Employee Wellness & Perks: Partner corporate loan programs, partner medical perks, wellness events, and ongoing professional development support.

Work Schedule:

• Monday to Friday; 9 AM to 6 PM (Manila Time)

Location:

• Homebased set-up (Eastwood)
  • Hired staff are expected to work at home
  • Should have a strong internet connection (minimum of 20 MBPS)

Note:

As part of our recruitment process, we conduct a background check on all hired candidates. Please ensure that all required documents are prepared and submitted promptly.