drjobs Provider Credentialing Specialist

Provider Credentialing Specialist

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1 Vacancy
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Job Location drjobs

Manila - Philippines

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Were Hiring: Provider Credentialing Specialist

Company: Vital Virtuals
Location: Remote
Schedule: Part-time / Full-time (Up to 40 hrs/week) CST EST or PT

About Vital Virtuals

Vital Virtuals is a premier provider of remote healthcare support services. Our mission is to streamline healthcare delivery through top-tier virtual staffing solutions.

We are seeking a Provider Credentialing Specialist with hands-on experience managing credentialing and payer enrollment processes for healthcare providers.

Key Responsibilities

  • Manage provider credentialing re-credentialing and enrollment with insurance payers
  • Prepare review and submit credentialing applications and supporting documentation
  • Track application status and follow up with payers to ensure timely completion
  • Maintain accurate provider information in CAQH and payer portals
  • Monitor credentialing expirations (licenses certifications CAQH) and renew as needed
  • Communicate with providers payers and internal teams to resolve discrepancies
  • Ensure compliance with payer requirements and industry standards

Qualifications

  • Minimum 12 years of experience in provider credentialing and payer enrollment
  • Strong understanding of CAQH NPPES PECOS and commercial payer processes
  • Excellent organizational and follow-up skills
  • Detail-oriented with the ability to manage multiple provider files at once
  • Strong verbal and written communication skills (C1/C2 English required)
  • Familiarity with insurance credentialing requirements across multiple states (preferred)
  • Ability to work independently and meet deadlines in a remote setting
  • Availability to work full-time during CST EST or PT

Technical Requirements (Strictly Verified Before Interview)

  • Operating System: Windows 10 Pro or higher (genuine 32/64-bit)
  • Processor: Intel Core i5 (8th Gen) or AMD equivalent
  • RAM: Minimum 8GB
  • Internet: Wired DSL/Fiber at least 50 Mbps (No LTE connections accepted)
  • Headset: USB noise-canceling mic (Plantronics Audio 628 recommended)
  • Webcam: HD 720p/1080p (A4Tech PK-910H recommended)
  • Monitor: External monitor (17 19 or 22)

Applications that do not meet these technical requirements will not be considered. Compliance is verified prior to the interview.

Compensation & Benefits

Hourly Pay:

  • $5/hr during the first 3 months (probation)
  • $6/hr after 3 months (top performers earn $800$1000/month)

Perks & Benefits:

  • HMO benefits after 6 months
  • 100% remote work opportunity
  • Supportive team culture
  • Opportunity to work with multiple healthcare practices and expand credentialing expertise

How to Apply

Submit your resume and a short video introduction at:


Employment Type

Full Time

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