Certified Credentialing Specialist - Work From Home
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Job Location:
Mandaluyong - Philippines
Monthly Salary:
Not Disclosed
Posted on:
10-09-2025
Vacancies:
1 Vacancy
Job Summary
ClinicMind the nations leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services is looking for a full-time Credentialing Specialist. If youre excited to be part of a winning team ClinicMind is a perfect place to get ahead.
RESPONSIBILITIES
Handle credentialing needs for our clients (Group and/or Individual) who are US-based health care providers diagnostic laboratories and medical facilities as preferred providers in health care networks. This entails the following tasks:
- Perform credentialing work:
- Collect all the required documentation for credentialing such as accreditation membership and facility privileges (e.g. License NPI letter).
- Assist providers with completing payer forms and ensure compliance with payers expectations
- Respond to providers inquiries as to credentialing process progress
- Alert client of new regulations expiring certificates reapplications and deficiencies in credentialing requirements
- Maintain accurate and current client information using an online database
- Drive the implementation of the automated credentialing workflow management system:
- Provide requirements to software developers
- Review implementation
QUALIFICATIONS
- At least 2 years experience in US-based Credentialing process
- Familiar with US medical insurance industry
- Excellent listening communication and problem-solving skills
- Self-motivated and able to work autonomously
- Credentialing certification is required
MUST HAVE:
- High comfort level working on Eastern Time Zone/US Shift
- Good internet access at home
- Mobile Hotspot
- Laptop/Desktop of at least 8 GB
Required Experience:
Unclear Seniority
Key Skills
- General Services
- Business Solutions
- Creative
- Lab Testing
- Application Management
- Analytics
