Healthcare Credentialing Specialist
New
W
Winning AssistantsHealthcare credentialing
Workable locations: Philippines, Monday to Friday: 12:00 PM–6:00 PM Pacific Daylight Time; Saturday and Sunday: 8:00 AM–10:00 AM and 2:00 PM–5:00 PMContractJunior
SalarySalary rate: $5-$6
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Job Details
- Languages
- Must speak and write English clearly and professionally.
- Experience
- At least one year of experience in medical credentialing, provider enrollment, physician licensing, healthcare compliance, or a related healthcare administrative role.
- Required Skills
- HIPAA
Requirements
- Have at least one year of experience in medical credentialing, provider enrollment, physician licensing, healthcare compliance, or a related healthcare administrative role.
- Have experience researching and verifying information through state medical boards, government websites, or regulatory databases.
- Be familiar with physician license status, expiration dates, restrictions, disciplinary actions, and prescribing eligibility.
- Have a strong understanding of HIPAA, patient confidentiality, and secure handling of sensitive information.
- Demonstrate attention to detail and the ability to identify inconsistencies across multiple sources.
- Speak and write English clearly and professionally.
- Be able to meet a one-hour turnaround time during working hours.
- Have a reliable computer, stable internet connection, and access to U.S. government and state regulatory websites.
- Be comfortable using a VPN or other approved secure-access tools when required.
- Be able to work independently with minimal supervision while maintaining productivity and accuracy.
- Provide an NBI Clearance and/or Local Police Clearance before onboarding.
- Be available to attend video meetings with camera on when required.
- Have a reliable laptop or desktop, stable high-speed internet (minimum 25 Mbps), noise-canceling headset, working webcam, and quiet professional workspace.
Responsibilities
- Verify physician licenses using official state medical board and government regulatory websites.
- Cross-reference physician information using national license index and relevant authority databases.
- Confirm that licenses are active, valid, unrestricted, and appropriate for the state of intended practice.
- Verify whether physicians are authorized to prescribe in the states they claim to serve.
- Review onboarding information for discrepancies, restrictions, disciplinary actions, expirations, and missing details.
- Document verification results accurately in the company’s digital prescribing platform.
- Provide physicians and internal teams with verification feedback within one hour during designated business hours.
- Escalate questionable, incomplete, or potentially invalid credentials to the compliance team.
- Maintain accurate records and audit trails of verification activities.
- Protect physician and organizational information in accordance with HIPAA and company confidentiality requirements.
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