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