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Credentialing Specialist
Full time at Friendlysoft Technology, Inc. in Pasig, Philippines

Credentialing Specialist Full time at Friendlysoft Technology, Inc. in Pasig, Philippines

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Posted on April 12, 2017

Job details

Among many employees, it's only a handful of individuals who would yield high productions in most of corporate settings. This type of people is exceptionally committed to deliver high quality of services. Hence, they deserve good quality income for living.


A 19 years old US company based in California, is excited to recruit that handful of the high performing individuals to take the company to the next level.


Qualifications:


College graduate of any course with above average scores (FRESH GRADUATES ARE WELCOME)

Confident with high communication skills and willing to learn

Speak, Read, Write English fluently

Computer savvy, typing 45 words per minute is required

Committed to provide excellent services

Keen attention to detail

Able to work independently with little or no supervision

Able to organize, manage and prioritize multiple projects

Able to do extended research to keep up-to-date to latest rends

Experience in health care industry is preferred, but not required, can be trained

Experience with credentialing process is preferred but not required

Proficient in Microsoft Office applications (Word, Excel, Access) and the use internet

Residing near Ortigas, Pasig

Job Responsibilities:


Follow verbal or written instructions to complete application forms to enroll medical provider(s) with health care payers such as insurances and US-government health care institutes.

Inquire credential information and related document from providers which includes licenses necessary to complete credentialing processes.

Organize and maintain confidential documents collected from medical providers.

Tracks license, certification, contract, and liability expiration dates for all medical providers to ensure timely renewals.

Create spread sheets of compilation of health care payers' pay rates.

Maintain health care payers' payment rates document up-to-date.

Review payer contracts and compare rate of payments to negotiate to contractors.

Communicate with medical providers, health insurances and IPA's through calls and emails.

Coordinate with other team members in different departments to increase client's production.

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