Credentialing and Administrative Specialist

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Directly report to the RCM Manager, ensuring that all credentialing activities are closely aligned with billing and revenue cycle requirements.

• Oversee the complete credentialing and re-credentialing process within Medicare, Medicaid, and private insurance networks.

• Perform primary source verification and maintain credentialing databases with exceptional accuracy and attention to detail.

• Collaborate with licensing boards, payers, and internal teams to process applications and address inquiries.

• Assist with backend documentation and privileging processes for onboarding new providers to guarantee a smooth transition.

• Ensure rigorous compliance with all applicable federal, state, and local regulations as well as accreditation standards.

• Identify and assist the RCM team in resolving credentialing discrepancies, producing reports and optimizing administrative workflows during the pilot phase.

⛳️ Requirements

• Reside in the Philippines with a dependable remote work setup, including a quiet workspace and a high-speed internet connection.

• Capability to work autonomously in a behind-the-scenes role, concentrating on execution, data integrity, and compliance without close supervision.

• Prior experience with US healthcare credentialing processes, particularly primary source verification and payer enrollment, is highly desired.

• Proficient in Google Suite, Slack, and credentialing or CRM systems.

• Demonstrated organizational skills with the ability to handle multiple documentation workflows concurrently.

• Excellent written English communication skills for effective collaboration with US-based teams and external stakeholders.

🏝️ Benefits

• Hourly rate: $5–$7/hour based on experience.

• Full-time schedule (40 hours per week).

• 100% Remote — work from anywhere in the Philippines.

• Offshore independent contractor position with a flexible working environment.

• Foundational role in a pilot program with genuine opportunities to expand and influence processes as the model evolves.

• Mission-driven culture dedicated to extending care to underserved populations beyond traditional office-based practices.