Client Partner – Credentialing Specialist

Join our team in Manila as a Client Partner - Credentialing Specialist. We are seeking talented individuals to join our team and help drive our success. If you have experience in credentialing and a passion for ensuring healthcare providers meet the highest standards, we want to hear from you! Apply now and take the next step in your career today.

Work location: Mckinley Hill, Taguig City

Key responsibilities

• Manage the end-to-end provider enrollment process, ensuring healthcare providers are properly credentialed and enrolled with insurance networks

• Conduct thorough review of provider documentation, ensuring compliance with credentialing requirements and proactively resolving any discrepancies

• Serve as a liaison between healthcare providers and insurance companies, addressing enrollment-related inquiries and facilitating timely resolution

• Maintain accurate and up-to-date provider information in databases, and collaborate with internal teams to streamline the enrollment and billing processes

Job Requirements

• Strong knowledge of Payer Processes and Credentialing

• Willingness to work continuously in night shifts

• Must be fluent in English language

• Willing to work in the night shift at our office in McKinley Hill, Taguig

Qualifications

• Must have at least 1 year of experience in Credentialing processes for US healthcare customers

• Prior experience of working in a medical billing company and use of medical billing software is a definite advantage

• Knowledge of Healthcare terminology will be considered a plus