Credentialing Specialist - Philippines

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Requirements:

• Bachelor's degree in healthcare administration, business administration, or a related field.
• At least 2 years of experience in credentialing or related healthcare administrative roles.
• Strong understanding of healthcare regulations and accreditation standards.
• Excellent analytical and problem-solving skills.
• Attention to detail and ability to maintain accuracy in a fast-paced environment.
• Proficiency in using credentialing software and electronic health records.
• Strong communication and interpersonal skills.
• Ability to handle confidential information with discretion.
• Owned computer or laptop and stable internet connectivity.
• Knowledgeable in Office 360, Google Apps, and client-facing communication.

Responsibilities:

• Conduct primary source verification of credentials for healthcare providers through phone, chat, or email.
• Review and evaluate applications for accuracy and completeness.
• Maintain up-to-date records of provider credentials.
• Ensure compliance with relevant laws, regulations, and accreditation standards.
• Communicate effectively with healthcare professionals, staff, and regulatory agencies.
• Prepare and maintain credentialing files and documentation.
• Assist with the re-credentialing process as necessary.
• Stay informed about changes in credentialing laws and practices.
• Assist with other administrative tasks as required.