Remote Credentialing Specialist For Healthcare Company

Pearl; Philippines; Remote; PHP 698,000 - 1,046,000; Full time

Benefits offered by this job

Competitive salary

Remote work

CRM hygiene incentives

Generous PTO

Health coverage for PH-based talents

Job summary

Pearl is hiring a Remote Credentialing Specialist to own end-to-end provider credentialing for a rapidly growing telehealth company. You will manage CAQH profiles, submit applications to Medicaid/Medicare and commercial payers, and drive fast, accurate submissions across multiple states.

Your role supports scaling from 10-30 providers to 50-100+ while coordinating with an international team. This remote position offers flexible US-timezone overlap and a fully remote setup.

Qualifications

• 3+ years of hands-on CAQH profile management and credentialing submission experience
• Proven track record submitting credentialing applications to Medicaid, Medicare, and commercial payers across multiple US states
• Experience managing credentialing for 10+ providers concurrently
• Systematic tracking and follow-up discipline using Airtable, Google Sheets, Trello, or Notion
• Track record of clean, first-time submissions with minimal payer-requested corrections
• Experience identifying and implementing workflow improvements within credentialing or provider enrollment
• B2+ English (CEFR) for phone and written follow-up with US-based payer representatives

Responsibilities

• Submit and track credentialing applications across Medicaid, Medicare, and commercial payers
• Manage CAQH profiles and payer communications
• Follow up with payers to resolve issues and achieve fast submission turnaround
• Improve credentialing workflows and SOPs to scale from 10-30 to 50-100+ providers
• Collaborate with a distributed operations team across time zones

Skills

CAQH profile management

Credentialing submission

Multi-state credentialing

Provider enrollment

Workflow improvement

Airtable

Google Sheets

Trello

Notion

English communication (B2+)

Tools

Airtable

Google Sheets

Trello

Notion

Job description

Remote Credentialing Specialist for Healthcare Company

Salary: ₱1,000 - 1,500 monthly

Company: Pearl

Job Type: Full Time Remote / Work from Home

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Job Description - Remote Credentialing Specialist for Healthcare Company

Description

Work From Anywhere in the Philippines

Work Schedule: US Timezone (Flexible) | Overlap with US business hours for payer follow-ups

Compensation Range: $1000 - $1500 USD/month based on experience.

A fast-growing telehealth and behavioral health company providing accessible mental health care across multiple US states is looking for a Credentialing Specialist to own the end-to-end provider credentialing process and eliminate reliance on a slow, error-prone vendor.

The company is scaling rapidly, onboarding new therapist and counselor providers every week, and currently routes credentialing through an external vendor that takes up to a week to submit applications and frequently requires corrections. The team is lean and fast-moving, already collaborating with a distributed operations team across time zones.

Day to day, you'll submit and track credentialing applications across Medicaid, Medicare, and commercial payers, manage CAQH profiles, and follow up directly with payers to resolve issues. Success means same-day to next-day application turnaround, consistently clean first-time submissions, and a scalable tracking system that supports growth from an initial 10-30 providers to 50-100+.

Must-Have

• 3+ years of hands-on CAQH profile management and credentialing application submission experience, fully independent without training
• Proven track record submitting credentialing applications to Medicaid, Medicare, and commercial payers across multiple US states
• Experience managing credentialing for 10+ providers concurrently
• Systematic tracking and follow-up discipline using tools such as Airtable, Google Sheets, Trello, or Notion
• Track record of clean, first-time application submissions with minimal payer-requested corrections
• Experience identifying and implementing workflow or process improvements within a credentialing or provider enrollment function
• B2+ English (CEFR) for phone and written follow-up with US-based payer representatives

Nice-to-Have

• Behavioral health provider credentialing experience (therapists, counselors, psychologists) across multiple states
• Credentialing experience in Arizona, Colorado, Massachusetts, Michigan, Missouri, New York, Ohio, or Virginia
• Familiarity with PECOS, provider enrollment platforms, or primary source verification processes
• Background supporting virtual therapy or telehealth platforms
• Experience building credentialing workflows or SOPs from scratch in a fast-growth environment

About Pearl Talent

Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund. They're looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we've hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US.

Hear why we exist, what we believe in, and who we're building for:

Watch here: https://www.loom.com/share/863b8e426e6d48309aa8f4ea4c1c94cd

Benefits

• Competitive Salary: Based on experience and skills
• Remote Work: Fully remote—work from anywhere
• Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting
• Generous PTO: In accordance with company policy
• Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees
• Direct Mentorship: Guidance from international industry experts
• Learning & Development: Ongoing access to resources for professional growth
• Global Networking: Connect with professionals worldwide

Our Recruitment Process

• Application
• Screening
• Skills Assessment
• Topgrading Interview
• Client Interview
• Job Offer
• Client Onboarding