Medical Virtual Assistant (Credentialing)
New
Q
QuickTeamHealthcare credentialing
This job is open to applicants in the Philippines only., US business hoursFull-TimeMiddle
Salary6 USD per hour
Apply NowOpens the employer's application page
Job Details
- Languages
- Excellent written and spoken English.
- Required Skills
- HIPAA
Requirements
- Have experience as a Credentialing Specialist or Provider Enrollment Specialist for US healthcare providers.
- Have hands-on PECOS experience, including personally submitting Medicare enrollments and revalidations.
- Have working knowledge of CAQH ProView, NPPES, and CMS I&A.
- Have experience with commercial payer credentialing and at least one state Medicaid enrollment.
- Demonstrate strong attention to detail.
- Be organized and persistent with follow-up, and comfortable calling US payers.
- Have excellent written and spoken English.
- Have a reliable home office with stable internet, a backup connection, and a quiet workspace.
- Be willing to work US business hours.
Responsibilities
- Prepare, submit, and track Medicare enrollments in PECOS, including initial enrollments, revalidations, reassignments, changes of information, and practice-location updates.
- Manage NPPES records, including applying for and updating Type 1 and Type 2 NPIs and maintaining accurate taxonomy codes and addresses.
- Manage CMS Identity & Access connections and surrogacy to provide appropriate PECOS access to providers and staff.
- Complete commercial payer credentialing and contracting applications and state Medicaid enrollments.
- Create, update, and re-attest CAQH ProView profiles and authorize payer access.
- Follow up with payers by phone, email, and portal until applications are approved, then record effective dates and provider IDs.
- Track licenses, DEA, board certifications, malpractice insurance, and other expiring documents; initiate renewals and re-credentialing before deadlines.
- Maintain the credentialing tracker and provider files and send regular status reports to the client.
- Handle hospital privileging and facility credentialing paperwork when needed.
- Work with billing teams to resolve enrollment-related claim denials and protect provider and patient information in accordance with HIPAA rules.
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