Deskripsi Pekerjaan
Access Healthcare Services Manila, Inc. is currently seeking a dedicated Healthcare Provider Enrollment and Credentialing Specialist to join our dynamic team in Taguig City. As a key player in our operations, you will be responsible for managing the full lifecycle of provider enrollment, from initial application to final credential verification. This role requires a high level of attention to detail and a deep understanding of healthcare compliance standards. We offer a collaborative work environment where your contributions directly impact the quality of care delivery. Join us in making a difference in the healthcare industry while advancing your career in a stable and growing company.
Tanggung Jawab
- Manage the end-to-end provider enrollment process for new and re-enrolling healthcare providers.
- Verify and validate provider credentials, including medical licenses, educational degrees, and work history.
- Ensure all documentation complies with relevant healthcare regulations and accreditation standards.
- Coordinate with medical staff and external agencies to gather required information.
- Maintain accurate and up-to-date records in our credentialing database.
- Resolve discrepancies in applications and follow up on pending items.
- Assist in the annual re-credentialing cycle and provider status reviews.
Kualifikasi
- Bachelor’s degree in Healthcare Administration, Nursing, Medical Technology, or a related field is preferred.
- Proven experience in provider enrollment, credentialing, or medical billing.
- Strong knowledge of healthcare regulations, including HIPAA and local accreditation bodies.
- Excellent organizational skills with a keen eye for detail.
- Proficient in using Microsoft Office Suite and credentialing software.
- Effective communication skills, both verbal and written.
- Ability to handle sensitive information with strict confidentiality.