Credentialing Specialist

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

📋 Description

• Operate from any location within the Philippines

• Work Schedule: US Timezone (Flexible) │ Coordinate with US business hours for payer follow-ups

• Prepare and monitor credentialing applications for Medicaid, Medicare, and commercial payers

• Oversee CAQH profiles and engage directly with payers to address any issues

• Ensure same-day to next-day application turnaround with accurate first-time submissions

⛳️ Requirements

• Minimum of 3 years experience in managing CAQH profiles and submitting credentialing applications independently

• Demonstrated success in submitting credentialing applications to Medicaid, Medicare, and commercial payers across various US states

• Proven ability to manage credentialing for more than 10 providers simultaneously

• Methodical tracking and follow-up practices utilizing tools like Airtable, Google Sheets, Trello, or Notion

• History of submitting clean, first-time applications with few corrections requested by payers

• Experience in identifying and applying workflow or process enhancements in credentialing or provider enrollment

• Proficiency in B2+ English (CEFR) for both phone and written communications with US-based payer representatives

🏝️ Benefits

• Competitive Salary: Based on individual experience and skills

• Remote Work: Fully remote—work from any location

• Team Incentives: Acknowledgment for maintaining 100% CRM accuracy and timely reporting

• Generous PTO: As per company policy

• Health Coverage for PH-based employees: HMO coverage after three months for full-time staff

• Direct Mentorship: Support from international industry experts

• Learning & Development: Continuous access to resources for professional advancement

• Global Networking: Opportunities to connect with professionals worldwide