20 Medical Credentialing jobs in the Philippines

Position: Medical Provider Licensing and Credentialing Specialist (Intermediate)

Work setup & shift: Hybrid and Dayshift

Site: 1880 Building, Eastwood, Libis, Quezon City

Why join MicroSourcing?

You'll Have

• Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
• A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
• Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

YOUR ROLE:
As a Medical Provider Licensing and Credentialing Specialist (Intermediate), you will be responsible for:

• Assist healthcare providers in obtaining and maintaining medical licenses across multiple states.
• Manage the credentialing process with insurance companies, ensuring compliance with their requirements.
• Prepare and submit applications, including all necessary documentation, for licensing and credentialing.
• Track application statuses and follow up with licensing boards and insurance companies to resolve issues.
• Maintain accurate records of licenses, certifications, and credentialing statuses in compliance with regulatory standards.
• Coordinate with healthcare providers to gather required information, such as certifications, malpractice history, and professional references.

What You Need:

• Strong organizational skills with attention to detail and accuracy in documentation.
• Excellent written and verbal communication skills for interacting with providers, licensing boards, and insurance companies.
• Ability to manage multiple applications and deadlines simultaneously.
• Familiarity with credentialing software (e.g., CAQH, Availity this is a plus) and Microsoft Office Suite.
• Knowledge of state medical licensing requirements and insurance credentialing processes.

About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU

MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan - it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%

For more information, visit

• Terms & conditions apply

Position: Medical Provider Licensing and Credentialing Specialist (Intermediate)

Work setup & shift: Onsite and Nightshift

Site: 1880 Building, Eastwood, Libis, Quezon City

Why join MicroSourcing?

You'll Have

• Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
• A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
• Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

YOUR ROLE:
As a Medical Provider Licensing and Credentialing Specialist (Intermediate), you will be responsible for:

• Assist healthcare providers in obtaining and maintaining medical licenses across multiple states.
• Manage the credentialing process with insurance companies, ensuring compliance with their requirements.
• Prepare and submit applications, including all necessary documentation, for licensing and credentialing.
• Track application statuses and follow up with licensing boards and insurance companies to resolve issues.
• Maintain accurate records of licenses, certifications, and credentialing statuses in compliance with regulatory standards.
• Coordinate with healthcare providers to gather required information, such as certifications, malpractice history, and professional references.

What You Need:

• Strong organizational skills with attention to detail and accuracy in documentation.
• Excellent written and verbal communication skills for interacting with providers, licensing boards, and insurance companies.
• Ability to manage multiple applications and deadlines simultaneously.
• Familiarity with credentialing software (e.g., CAQH, Availity this is a plus) and Microsoft Office Suite.
• Knowledge of state medical licensing requirements and insurance credentialing processes.

About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU

MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan - it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%

For more information, visit

• Terms & conditions apply

Job Summary:

The Credentialing Specialist will play a crucial role in ensuring the smooth operation of our pain management clinic clients by efficiently managing the licensing and certification processes. Responsible for all aspects of credentialing, re-credentialing, delegated credentialing, ongoing maintenance of credentials, reports, online verifications and administrative support of credentialing functions for all practitioners and facilities who provide service to our patients. This remote position will work closely with our US-based team to maintain accurate and up-to-date provider profiles, enabling timely billing.

Key Responsibilities:

• Provider Credentialing:
   Manage the entire credentialing process for our team an clients, including obtaining and verifying licenses, certifications, and other required documents.
• Application Management:
   Submit and track provider applications to health insurance payers, ensuring timely processing and approval.
• DEA License Management:
   Assist providers in obtaining and maintaining their DEA licenses, adhering to all regulatory requirements.
• Profile Maintenance:
   Keep provider profiles updated with the latest information, including changes in licenses, certifications, and contact details.
• Billing Support:
   Ensure that accurate and complete provider information is available for billing purposes, contributing to efficient revenue cycle management.
• Communication:
   Maintain regular communication with providers, insurance payers, and internal stakeholders to address any credentialing-related inquiries or issues.
• Documentation:
   Document all credentialing activities and maintain organized records for audit and compliance purposes.

Qualifications:

• A minimum of two years of successful credentialing experience is required.
• Strong understanding of licensing and certification requirements for medical providers and clinics.
• Familiarity with the credentialing process for pain management specialists and other healthcare professionals.
• Excellent organizational skills and attention to detail.
• Strong communication and interpersonal skills, both verbal and written.
• Ability to work independently and manage multiple tasks effectively.
• Proficiency in using credentialing software and electronic health records systems.
• A reliable internet connection and a dedicated workspace for remote work.

• Advanced English level

• Part time, Flexible work schedule with Monday to Friday business hours.

• Opportunity to work remotely from the Philippines.

We are seeking a detail-oriented and experienced Credentialing Specialist to join our growing medical billing team. The Credentialing Specialist will be responsible for managing all aspects of provider credentialing and re-credentialing processes with insurance payers, hospitals, and medical groups. This role requires strong organizational skills, a deep understanding of healthcare credentialing requirements, and the ability to work independently in a remote setting.

Key Responsibilities:

• Coordinate and complete initial and re-credentialing applications for healthcare providers.
• Maintain current and accurate provider data in all systems and credentialing databases.
• Monitor credentialing timelines to avoid lapses in privileges or payer enrollment.
• Communicate with insurance companies, medical groups, and hospital credentialing departments to follow up on application statuses.
• Assist with provider enrollments, group contracts, and insurance updates.
• Provide regular updates and reports to leadership on credentialing status.
• Resolve credentialing issues efficiently and professionally.

Requirements:

• 2+ years of experience in healthcare credentialing and payer enrollment (medical billing experience a plus).
• Experience credentialing providers in California, Utah and Texas.
• Knowledge of podiatry, primary care, or multi-specialty practices.
• Strong knowledge of commercial insurance, Medicare, and Medi-Cal enrollment processes.
• Familiarity with CAQH, PECOS, NPPES, and provider portals.
• Excellent attention to detail and organizational skills.
• Ability to manage multiple credentialing files and deadlines simultaneously.
• Strong written and verbal communication skills.
• Proficient in Microsoft Office Suite (Excel, Word, Outlook); experience with credentialing software preferred.
• Self-motivated and capable of working remotely with minimal supervision.
• High school diploma or GED required; associate or bachelor's degree preferred.

Connext Global Solutions
is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a
Credentialing Specialist
who will be working with Connext's Client in the United States of America.

What's in it for you?

• Competitive compensation
• Perfect Attendance Bonus
• Life insurance
• HMO Insurance
• Great company culture
• Annual Merit Increase
• 25% Night Differential
• Company-provided equipment

What is the job?

As a
Credentialing Specialist
is responsible for supporting all aspects of the provider credentialing and payer enrollment process to ensure compliance with industry standards and organizational requirements.

• Manage and maintain provider credentialing files and records.

• Verify licenses, certifications, and other provider qualifications through primary source verification.

• Prepare, complete, and track payer enrollment and re-enrollment applications.

• Monitor credentialing and enrollment status, ensuring timely updates and renewals.

• Ensure compliance with HIPAA and regulatory standards in all credentialing activities.

Required Qualifications:

• Bachelor's degree in Healthcare Administration, Business, or related field.

• At least two (2) years of experience in provider credentialing, enrollment, or healthcare administration.

• Must have stable employment history.

• Experience using Excel spreadsheets, One Note, Adobe, Outlook and credentialing databases.

• Familiarity with HIPAA guidelines and healthcare compliance.

• Experience handling provider data and documentation with accuracy and confidentiality.

Purpose - The Credentialing Specialist supports the accurate and timely credentialing and recredentialing of healthcare providers with insurance networks, clearinghouses, and other credentialing bodies. This role involves maintaining compliance, ensuring accurate documentation, and coordinating with insurance networks and other credentialing entities.

Key Responsibilities

Credentialing and Recredentialing Support:

• Preparing, submitting, and tracking provider enrollment applications for insurance networks and credentialing organizations.
• Ensure the accuracy and completeness of provider credentialing documentation, including licenses, certifications, and insurance coverage.
• Monitor and update credentialing timelines, ensuring compliance with deadlines and payer requirements.

Compliance and Documentation:

• Perform primary source verifications as directed, maintaining adherence to regulatory and organizational standards.
• Maintain organized credentialing records and ensure accurate data entry in credentialing software or databases.
• Assist in audits of credentialing files to verify compliance with HIPAA and other regulatory requirements.

Communication and Coordination:

• Act as a liaison with the healthcare providers, and external entities to resolve credentialing-related issues.
• Follow up with providers, payers, and clearinghouses to gather required information or clarify discrepancies.
• Communicate updates on credentialing processes and progress to the management.

Administrative Support:

• Provide support during high-volume credentialing periods, including managing overflow tasks as assigned.
• Prepare reports and summaries of credentialing activities for review by the Credentialing Manager or team.
• Assist in training new team members on credentialing processes and software.

Required Knowledge and Skills:

• Basic knowledge of credentialing processes and healthcare regulations.
• Strong organizational skills with exceptional attention to detail and accuracy.
• Proficiency in credentialing software and Microsoft Office Suite (Word, Excel, Outlook).
• Excellent verbal and written communication skills for interacting with internal and external departments.
• Ability to multitask and work collaboratively in a fast-paced environment.

Additional Requirements

• Education: College or equivalent required; an Associate's degree in healthcare administration or a related field is preferred.
• Experience:
• At least 5 years of administrative experience, preferably in credentialing.
• Experienced with credentialing software such as CAQH and US payer processes is an advantage.
• Attributes: Proactive, team-oriented, and capable of handling sensitive information professionally.

Work Environment

• Remote work
• May require flexibility during high-demand periods to meet deadlines.

Shift / Hours:

Night Shift: Monday – Friday, 9:00 PM PHT – 6:00 AM in PHT.

For faster processing of your application, please submit your resume through this link:

Job Type: Full-time

Benefits:

• Company Christmas gift
• Health insurance
• Work from home

Experience:

• CAQH: 1 year (Required)
• Hospital Priveleging: 1 year (Required)
• Provider Enrollment: 1 year (Required)
• Facilities Enrollment: 1 year (Required)
• Credentialing: 3 years (Required)

Work Location: Remote

Job Title: Credentialing Specialist

Location: Remote (Philippines-based applicants preferred)

Company: Bluesky Telepsych

About Us

Bluesky Telepsych is a fast-growing telehealth company providing accessible, high-quality behavioral health services across the United States. We partner with licensed providers nationwide to deliver care through secure virtual platforms. As we expand, we are seeking detail-oriented and motivated Credentialing Specialists to join our team.

Position Overview

The Credentialing Specialist will be responsible for managing the credentialing and re-credentialing process for healthcare providers, ensuring compliance with payer and regulatory requirements. This role requires exceptional attention to detail, organizational skills, and the ability to handle sensitive provider information with confidentiality and accuracy.

Key Responsibilities

• Manage initial credentialing and re-credentialing applications for providers with insurance payers and networks.

• Oversee provider onboarding by ensuring all licenses, DEA registrations, insurances, and other credentialing requirements are updated, verified, and maintained.

• Verify provider credentials, certifications, education, and work history.

• Maintain accurate provider records in internal systems and databases.

• Communicate with providers, insurance payers, and internal teams to ensure timely completion of credentialing processes.

• Track and monitor application statuses, follow-ups, and expirables (licenses, certifications, DEA, insurances, etc.).

• Ensure all providers' accepted insurances are accurately updated and maintained on the company's marketing platforms.

• Assist in compliance with NCQA, CMS, and payer requirements.

• Provide credentialing status updates and reports to leadership as needed.

Qualifications

• Previous experience in credentialing, provider enrollment, or healthcare administration required.

• Strong understanding of credentialing processes and payer requirements.

• Excellent attention to detail, accuracy, and organizational skills.

• Strong written and verbal communication skills.

• Ability to work independently in a fast-paced remote environment.

•Proficiency in Google Workspace; experience with credentialing software a plus.

What We Offer

• $7/hour Mon-Fri 7AM-5PM CST, 40 hours PTO and HMO after 6 months

• Remote work.

• Opportunities for career growth in a rapidly expanding telehealth company.

• Supportive and collaborative team culture.

We are seeking a detail-oriented and experienced Credentialing Specialist with a strong background in ABA therapy services to manage the credentialing and re-credentialing processes for our clinicians and facilities. The ideal candidate is well-versed in payer enrollment requirements, particularly for ABA providers, and can navigate commercial and Medicaid insurance portals with ease. This role ensures that all clinicians are properly credentialed and compliant, allowing uninterrupted service delivery and reimbursement.

• Complete and maintain credentialing and re-credentialing applications for BCBAs, RBTs, and other ABA clinicians
• Submit applications to commercial and Medicaid payers, including CAQH, NPI, PECOS, and individual payer portals
• Track credentialing statuses, follow up on delays, and maintain regular communication with insurance companies
• Maintain up-to-date records of licensure, certifications, background checks, liability insurance, and other compliance documentation
• Coordinate start dates with HR and scheduling teams to ensure clinicians are active before seeing clients
• Ensure accuracy and timely submission of demographic updates, reassignment of benefits, and provider termination notices
• Monitor credentialing expiration dates and initiate renewals in advance
• Assist billing team with credentialing-related claim denials and payer issues
• Stay updated with payer policy changes and credentialing guidelines, especially those impacting ABA services

• Credentialing experience, preferably in ABA or behavioral health
• Strong knowledge of credentialing processes and insurance requirements (Medicaid, private payers, CAQH, etc.)
• Familiarity with BACB and state licensing requirements for ABA professionals
• Excellent organizational and time management skills
• Strong written and verbal communication skills
• Proficiency with EMR systems like CentralReach, Rethink, or Catalyst
• Ability to manage sensitive information with a high level of confidentiality and accuracy
• Knowledge of ABA-specific billing and compliance processes

Purely work-from-home

Night Shift (EST)

Weekly pay

Job Title: Credentialing Specialist Maryland Healthcare Providers

Company: Elevate Calls Inc.

Location: Remote (Permanent Work From Home Position)

Position Overview

Elevate Calls Inc. is seeking a Credentialing Specialist with experience in Maryland healthcare credentialing to join our growing remote team. In this role, you will oversee the credentialing and enrollment processes for healthcare providers practicing in Maryland. Your work will be essential in ensuring compliance with state and federal regulations, as well as specific payer requirements.

Key Responsibilities

• Manage the credentialing and recredentialing processes for Maryland-based healthcare providers, including physicians, nurse practitioners, and allied health professionals.
• Ensure all provider files comply with Maryland state regulations , insurance guidelines, and national accreditation standards.
• Complete and submit credentialing applications and enrollment forms to commercial payers, Medicaid , and Medicare (via PECOS ).
• Maintain and update provider data in credentialing systems such as CAQH , NPPES , and internal databases.
• Track and monitor expirable items such as licenses, certifications, and recredentialing deadlines.
• Communicate professionally with insurance companies, government agencies, and internal departments to resolve credentialing-related issues.
• Stay up to date with Maryland payer requirements , credentialing laws, and healthcare regulations.
• Conduct background checks, verify credentials, and maintain accurate, complete provider profiles .

Qualifications

• Prior experience in healthcare credentialing or provider enrollment , preferably with Maryland-based providers.
• Familiarity with Maryland-specific credentialing standards , including Maryland Medicaid and regional payers (e.g., CareFirst , Maryland Physicians Care ).
• Proficiency with credentialing platforms such as CAQH , PECOS , and NPPES .
• Familiarity with the EPREP Portal (Maryland Emergency Preparedness and Response Portal), including provider registration and compliance functions.
• Exceptional attention to detail and the ability to manage multiple deadlines effectively.
• Strong written and verbal communication skills ; professional in interactions with both internal and external stakeholders.
• Self-motivated and reliable in a fully remote work environment.
• Demonstrated commitment to confidentiality and compliance with healthcare regulations.

How to Apply

If you are a motivated credentialing professional with experience in Maryland healthcare , wed love to hear from you. Please send your resume to with the subject line:

Credentialing Specialist Maryland

We look forward to reviewing your application!

• Business Consulting and Services

Full-time

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