Senior Credentialing & Compliance Specialist

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

Job summary

A leading outsourcing service provider is seeking a Senior Credentialing Specialist to assist in the credentialing and recredentialing of healthcare providers. This role involves ensuring compliance, tracking documentation, and acting as a liaison between providers and external entities. Candidates should have strong organizational skills, experience in administrative tasks within the healthcare sector, and proficiency in relevant software. This position may require flexibility and can be performed remotely or in-office, depending on organizational needs.

Qualifications

• At least 1-3 years of administrative experience, preferably in healthcare or credentialing.
• Basic knowledge of credentialing processes and healthcare regulations.
• Familiarity with credentialing software and US payer processes is an advantage.

Responsibilities

• Assist in preparing, submitting, and tracking provider enrollment applications.
• Ensure accuracy and completeness of credentialing documentation.
• Act as a liaison to resolve credentialing-related issues.

Skills

Organizational skills

Attention to detail

Communication skills

Proficiency in Microsoft Office Suite

Education

Associate’s degree in healthcare administration or a related field

Tools

Credentialing software

Job description

A leading outsourcing service provider is seeking a Senior Credentialing Specialist to assist in the credentialing and recredentialing of healthcare providers. This role involves ensuring compliance, tracking documentation, and acting as a liaison between providers and external entities. Candidates should have strong organizational skills, experience in administrative tasks within the healthcare sector, and proficiency in relevant software. This position may require flexibility and can be performed remotely or in-office, depending on organizational needs.