Credentialing Assistant (Cebu-based)

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