Credentialing Assistant (Cebu-based)

Harris Global Business Services Inc.

  • Cebu City, Cebu
  • Permanent
  • Full-time
  • 5 days ago
Daily tasks and responsibilities include, but not limited to:
  • Provides support and assistance for new practice setup as needed.
  • Track progress of outstanding applications and communicate with provider relations representatives for follow-up ensuring enrollment completion.
  • Maintains accurate and current information in the provider records in credentialing software database and in provider electronic folders.
  • Maintains credential files in an orderly and current manner.
  • Provides research and administrative support for special projects.
  • Ensures HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities.
+ Create new credentials electronic files, save provider’s credentials to that file according to Global Share Filing Structure Policy, create new Practice and Provider Data Sheets.
+ Provider Credentials: Maintain current credentials i.e. medical licensure, DEA, COI’s, etc. and set Verity CredentialStream reminders for notification of future expiration dates; maintain Provider Data Sheets with current credentialing information; maintain the credentials spreadsheet for the emergency and urgent care practices.
+ CAQH Re-attestation: Maintain CAQH re-attestation spreadsheet and re-attest as required updating any expired credentials.
+ Incoming E-mail, Faxes: Respond to requests for renewed credentials, W-9s, etc.
+ Maintain Electronic Files: Update provider files with current information, documentation.
+ Credentialing Software: Document all daily activities in Verity CredentalStream and Teamwork.
+ Change of Information: Submit to health plans change of information letters and W-9s regarding practice moves, adding locations, changing remit addresses.
+ Follow-up: Make calls or send emails to health plans and/or medical facilities to check status of applications, change of information letters, or contracts.Qualifications and Requirements
  • Preferably College Graduate or at least 2 years in College.
  • Degrees and Courses related to Medical Field is a plus.
  • Strong written and verbal communication skills.
  • Ability to work effectively with minimal supervision.
  • Ability to work with confidential information.
  • Detail oriented.
  • Proficient in the use of email.
  • Highly motivated self-starter.
  • Organized, able to set priorities and meet deadlines.
  • Dependable and reliable.
  • Team player being supportive of Department and Company goals and policies.
  • Must be flexible with schedule.
  • Previous call center experience related to Medical Accounts and Programs is a plus.

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