Healthcare Licensing and Credentialing (Remote)
Company:Global Finance Teams
Location:Philippines, US hours
Languages:English
Seniority level:Junior, 2+ years
Experience:2+ years
Skills:
Microsoft OfficeAttention to detailOrganizational skillsCompliance
Requirements:
Experience in healthcare credentialing or provider enrollment preferred. 2+ years in Behavioral Health credentialing Experience working in Modio credentialing database Knowledge of CAQH, PECOS, and payer requirements is an advantage. Strong attention to detail, organization, and communication skills. Proficient with Microsoft Office and credentialing systems. Willing to work US hours from Monday to Friday
Responsibilities:
Collect and verify provider documents (licenses, education, certifications, malpractice, etc.). Process credentialing and re-credentialing applications with payers (Medicare, Medicaid, commercial plans). Maintain provider files, databases, and systems (e.g., CAQH, NPPES, PECOS). Track expirations and ensure timely renewals. Communicate application status and requirements to providers and internal teams. Ensure compliance with HIPAA, NCQA, Joint Commission, and other regulations.
