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Credentialing Specialist
CatenaCredentialing Specialist responsible for managing and submitting provider credentialing applications for a telehealth company. Work from anywhere in the Philippines, focusing on US business hours.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in credentialing application submissions across Medicaid, Medicare, and commercial payers, with a strong focus on CAQH profile management and process improvement. Proficient in systematic tracking and follow-up to ensure timely and accurate submissions.
Highest-signal resume keywords
CAQH Profile ManagementCredentialing Application SubmissionMedicaid and Medicare ExperienceProcess Improvement ImplementationB2+ English Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing Application SubmissionCAQH Profile ManagementWorkflow ImprovementApplication TrackingPayer Follow-Up
Soft Skills
Attention to DetailOrganizational SkillsCommunication Skills
Tools & Technologies
AirtableGoogle SheetsTrelloNotion
Industry Keywords
MedicaidMedicareCommercial PayersProvider Enrollment
About the role
Key responsibilities & impact- Work From Anywhere in the Philippines
- Work Schedule: US Timezone (Flexible) │ Overlap with US business hours for payer follow-ups
- Submit and track credentialing applications across Medicaid, Medicare, and commercial payers
- Manage CAQH profiles and follow up directly with payers to resolve issues
- Achieve same-day to next-day application turnaround with clean first-time submissions
Requirements
What you’ll need- 3+ years of hands-on CAQH profile management and credentialing application submission experience, fully independent without training
- Proven track record submitting credentialing applications to Medicaid, Medicare, and commercial payers across multiple US states
- Experience managing credentialing for 10+ providers concurrently
- Systematic tracking and follow-up discipline using tools such as Airtable, Google Sheets, Trello, or Notion
- Track record of clean, first-time application submissions with minimal payer-requested corrections
- Experience identifying and implementing workflow or process improvements within a credentialing or provider enrollment function
- B2+ English (CEFR) for phone and written follow-up with US-based payer representatives
Benefits
Comp & perks- Competitive Salary: Based on experience and skills
- Remote Work: Fully remote—work from anywhere
- Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting
- Generous PTO: In accordance with company policy
- Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees
- Direct Mentorship: Guidance from international industry experts
- Learning & Development: Ongoing access to resources for professional growth
- Global Networking: Connect with professionals worldwide