Credentialing Specialist | Work from Home

Job Description:

• Gather required enrollment documents from new clients.

• Assist in completing enrollment forms.

• Maintain accurate and current client information using spreadsheets and/or online databases.

• Respond to general inquires as the in-house knowledge source on client’s enrollment particulars.

• Identify and report issues to appropriate departments and management leadership.

• Build and improve working relationships with insurance company enrollment staff.

• Maintain confidentiality of client information by adhering to strict, established regulations.

• Follow teams and/or client’s proper procedures, policies, and methodologies as instructed.

• Alert client of new regulations, expiring certificates, reapplications and deficiencies in enrollment requirements.

• Conduct presentations and engage in occasional client interactions, as needed.

• Follow team and/or client’s proper procedures, policies, and methodologies as instructed.

• Performs other related duties as necessary or assigned

Minimum Qualifications:

• Credentialing Experience in a BPO is preferred, but not required
• Understanding of and/or experience in the US Healthcare industry is preferred, but not required
• Adept in both spoken and written English
• Proficient in MS Word, MS Excel, Windows file navigation
• Detail-oriented
• Amenable to work graveyard or shifting schedules
• Able to Work From Home, must have a reliable internet connection

Perks and Benefits:

• Maternity & Paternity Leave
• Government Contribution (SSS, Pag-ibig, Philhealth)
• 13th Month Pay
• Paid Holidays
• Bereavement Leave
• Paid Vacation Leave
• Paid Sick Leave
• Work from Home

Others:

• Equipment/ company computer is provided
• Night shift differential pay
• Php 1,000 De Minimis
• Php 1,000 monthly bonus upon regularization
• HMO upon regularization