Senior Credentialing Account Manager — Healthcare

Infinit-O; Pasay; On-site; PHP 360,000 - 600,000; Full time

Benefits offered by this job

Devices provided

Job summary

Infinit-O is seeking an Account Manager, Credentialing to oversee end-to-end provider enrollment and primary source verification for medical and behavioral health groups. You will serve as the primary contact for providers, drive contract negotiations, and build provider groups linked to insurance contracts.

You will manage CAQH ProView data, navigate payer portals, and coordinate state enrollments while maintaining timely updates with clients and payer timelines.

Qualifications

• Minimum of 3+ years in a credentialing specialist or manager role.
• Proficient in Behavioral Health (LMFT, NP) and Medical (MD) credentialing.
• Deep knowledge of Medicare forms (CMS-855B) and PECOS.
• Experience with state-specific Medicaid applications (e.g., PAVE for California).

Responsibilities

• Full-Cycle Provider Enrollment & Contracting.
• System & Portal Management using CAQH ProView, Availity, PECOS, NPPES.
• Client Relationship Management with regular credentialing updates and issue resolution.

Skills

Credentialing

Provider enrollment

Client management

Communication

Organization

Tools

PECOS

CMS-855B

Availity

Excel

Job description

Infinit-O is seeking an Account Manager, Credentialing to oversee end-to-end provider enrollment and primary source verification for medical and behavioral health groups. You will serve as the primary contact for providers, drive contract negotiations, and build provider groups linked to insurance contracts.

You will manage CAQH ProView data, navigate payer portals, and coordinate state enrollments while maintaining timely updates with clients and payer timelines.