Remote Credentialing Specialist: Provider Enrollments

MCVO Talent Outsourcing Services; Makati; Remote; PHP 420,000 - 540,000; Full time

Benefits offered by this job

Remote work

Flexible schedule

Job summary

MCVO Talent Outsourcing Services is seeking a Credentialing Specialist to support credentialing and recredentialing of healthcare providers with insurance networks and other bodies. This role emphasizes compliance, documentation, and coordination.

You will manage provider enrollment submissions, verify licenses and certifications, maintain accurate data in credentialing systems, and assist with audits while working remotely from the Philippines.

Qualifications

• Five years of administrative experience, preferably in credentialing.
• Associate degree in healthcare administration preferred.
• Experience with CAQH and US payer processes is advantageous.

Responsibilities

• Prepare, submit, and track provider enrollment applications.
• Verify licenses, certifications, and insurance coverage.
• Monitor credentialing timelines for compliance.
• Perform primary source verifications and data entry.
• Assist audits and maintain credentialing records.
• Coordinate with providers, payers, and networks to resolve issues.
• Produce reports on credentialing activities for management.

Skills

Attention to detail

Organizational skills

Communication skills

Multitasking

Teamwork

Education

Associate’s degree in healthcare administration

College or equivalent

Tools

CAQH

Credentialing software

Microsoft Office Suite (Word, Excel, Outlook)

Job description

MCVO Talent Outsourcing Services is seeking a Credentialing Specialist to support credentialing and recredentialing of healthcare providers with insurance networks and other bodies. This role emphasizes compliance, documentation, and coordination.

You will manage provider enrollment submissions, verify licenses and certifications, maintain accurate data in credentialing systems, and assist with audits while working remotely from the Philippines.