Remote Credentialing Specialist for Healthcare Providers

Rockstar Global Careers; Philippines; Remote; PHP 4,161,000 - 5,762,000; Full time

Benefits offered by this job

Competitive salary

Professional development

Team-oriented environment

Remote work with US clients

Impactful work

Job summary

Rockstar Global Careers is seeking an experienced Provider Credentialing Specialist to support U.S.-based healthcare practices on a full-time remote basis. The role covers the full credentialing lifecycle from initial application through re-credentialing, payer follow-up, and ongoing CAQH maintenance.

You will also handle sanctions checks and serve as the main contact for providers and payers, with light billing support where needed.

Qualifications

• 2+ years of hands-on provider credentialing experience.
• Proven experience managing full credentialing workflows: application submission, payer follow-up, re-credentialing.
• Strong knowledge of CAQH, NPI enrollment, and payer-specific credentialing requirements.
• Experience with Medicare, Medicaid, and commercial payer enrollment processes.
• Comfortable making proactive follow-up calls to insurance payers.
• Exceptional attention to detail and deadline management.

Responsibilities

• Gather required documentation from new and existing providers to initiate credentialing.
• Prepare, complete, and submit credentialing applications for new providers across commercial and government payers.
• Complete re-credentialing applications as they come due and ensure submissions are made ahead of expiration deadlines.
• Submit and track NPI enrollment, PECOS enrollment, and Medicare/Medicaid applications as required.
• Manage multi-state credentialing processes and payer-specific enrollment requirements.
• Track all active credentialing applications, submission dates, payer responses, and approval confirmations.
• Save credentialing confirmations in provider files and update credentialing trackers accordingly.

Skills

Credentialing

CAQH

NPI enrollment

Payer follow-up

Attention to detail

Multi-state coordination

English communication

Tools

Microsoft Office

Google Workspace

Job description

Rockstar Global Careers is seeking an experienced Provider Credentialing Specialist to support U.S.-based healthcare practices on a full-time remote basis. The role covers the full credentialing lifecycle from initial application through re-credentialing, payer follow-up, and ongoing CAQH maintenance.

You will also handle sanctions checks and serve as the main contact for providers and payers, with light billing support where needed.