Credentialing Assistant (Medical)

TL;DR

Credentialing Assistant (Medical): Managing provider enrollment applications and maintaining accurate medical credentials with an accent on HIPAA compliance and database management. Focus on tracking application progress, handling CAQH re-attestations, and ensuring licensure documentation is current.

Location: Remote (Philippines - Cebu/CDO)

Company

hirify.global provides software solutions for various industries, including specialized tools for healthcare management.

What you will do

• Complete and submit provider enrollment applications and track their progress with provider relations representatives.
• Maintain accurate and current provider records in credentialing software databases and electronic folders.
• Manage medical licensure, DEA, and COI credentials, including setting reminders for expiration dates.
• Perform CAQH re-attestations and update expired credentials in the tracking spreadsheets.
• Ensure strict adherence to HIPAA guidelines to safeguard protected health information.
• Respond to requests for renewed credentials, W-9s, and manage change of information letters for health plans.

Requirements

• College graduate or at least 2 years of college education.
• Must be based in the Philippines (Cebu/CDO region).
• Strong written and verbal communication skills.
• Ability to handle confidential information and work effectively with minimal supervision.
• Proficiency in email communication and organizational skills to meet deadlines.
• Flexibility with work schedule.

Nice to have

• Degrees or courses related to the Medical Field.
• Previous call center experience specifically related to Medical Accounts and Programs.