Credentialing Assistant (Cebu-based)

We are looking for a detail-oriented and motivated Credentialing Assistant to join our team.

In this role, you will be responsible for ensuring timely and accurate provider credentialing, maintaining compliance, and supporting smooth practice operations.

This is a great opportunity for someone who is highly organized, thrives in a fast-paced environment, and is passionate about supporting healthcare professionals.

Daily Responsibilities:


* Support new practice setups and assist with credentialing requirements.


* Track and follow up on outstanding applications with provider relations representatives to ensure timely enrollment.


* Maintain accurate and up-to-date provider records in credentialing software (Verity CredentialStream) and electronic folders.


* Organize and maintain credential files, ensuring compliance with company filing policies.


* Manage provider credentials (e.g., medical licenses, DEA, COIs) and set reminders for expirations.


* Maintain CAQH re-attestation schedules and complete re-attestations as required.


* Respond to incoming email/fax requests (e.g., renewed credentials, W-9s).


* Submit change of information (e.g., practice moves, new locations, remit address updates) to health plans.


* Follow up with health plans and medical facilities regarding applications, changes, or contracts.


* Provide research and administrative support for special projects.


* Ensure HIPAA compliance by safeguarding protected health information at all times.

Qualifications:


* College graduate or at least 2 years of college; medical-related degree/coursework is a plus.


* Strong written and verbal communication skills.


* Highly organized, detail-oriented, and able to meet deadlines.


* Able to handle confidential information responsibly.


* Proficient in email and computer-based systems; prior experience with credentialing software is a plus.


* Self-motivated, dependable, and able to work independently with minimal supervision.


* Flexible, adaptable, and a strong team player.


* Prior call center or medical accounts/programs experience is a plus.

Why Join Us?


* Opportunity to grow your career in a supportive and professional environment.


* Be part of a team that values collaboration, reliability, and integrity.


* Gain hands-on experience in healthcare operations and provider credentialing.


* Competitive compensation and benefits package.