credentialing specialist (nationwide Hiring - wfh)The VITO Group

Salary Details
Negotiable
Job Address
901 Vicente Madrigal Building, Ayala Avenue, Makati City
Job Description
RESPONSIBILITIES
Handle credentialing needs for our clients (Group and/or Individual) who are US-based health care providers, diagnostic laboratories and medical facilities as preferred providers in health care networks. This entails the following tasks:
Perform credentialing work:
Collect all the required documentation for credentialing such as accreditation, membership and facility privileges (e.g., License, NPI letter).
Assist providers with completing payer forms and ensure compliance with payer’s expectations
Respond to provider’s inquiries as to credentialing process progress
Alert client of new regulations, expiring certificates, reapplications and deficiencies in credentialing requirements
Maintain accurate and current client information using an online database
Drive the implementation of the automated credentialing workflow management system:
Provide requirements to software developers
Review implementation
QUALIFICATIONS
Minimum of 6 months experience in US-based Credentialing process
Familiar with US medical insurance industry
Excellent listening, communication, and problem-solving skills
Self-motivated and able to work autonomously
MUST HAVE:
High comfort level working on Eastern Time Zone/US Shift
Good internet access at home
Mobile Hotspot
Laptop/Desktop of at least 8 GB
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Job Type
Admin/Human Resource
Working Hours
08:00 AM to 05:00 PM
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NCR, Metro Manila, Makati, Philippines
2 Years
Full-time
Negotiable
Bachelor's / College Degree
1 Vacancies