Credentialing Assistant (Cebu/CDO)

TL;DR

Credentialing Assistant (Cebu/CDO): Assist with completing and submitting provider enrollment applications, track progress, maintain credential records in software databases, and ensure HIPAA compliance with an accent on accurate documentation and timely follow-ups. Focus on managing electronic files, CAQH re-attestations, responding to credential requests, and submitting changes to health plans.

Remote - GBS PHL CBU (Cebu/CDO, Philippines)

Company

hirify.global provides credentialing software and solutions for healthcare providers.

What you will do

• Provide support for new practice setups and special projects including research and administrative tasks.
• Complete, submit, and track provider enrollment applications; follow up with provider relations for completion.
• Maintain accurate and current provider records in credentialing software (Verity CredentialStream), electronic folders, and spreadsheets.
• Manage credential files: medical licensure, DEA, COIs; set expiration reminders; handle CAQH re-attestations.
• Respond to incoming emails and faxes for renewed credentials, W-9s; update files with current documentation.
• Document daily activities; submit change of information letters to health plans; follow up on application status via calls/emails.

Requirements

• Preferably college graduate or at least 2 years of college; degrees/courses in medical field a plus.
• Strong written and verbal communication skills.
• Detail-oriented, organized, able to prioritize, meet deadlines, and work with minimal supervision.
• Proficient in email; ability to handle confidential information and respect HIPAA guidelines.
• Highly motivated self-starter, dependable, team player supportive of department goals.
• Must be flexible with schedule.

Nice to have

• Previous call center experience related to medical accounts and programs.