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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.
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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Credentialing Application SubmissionCAQH Profile ManagementWorkflow ImprovementApplication TrackingPayer Follow-Up
Soft Skills
Attention to DetailOrganizational SkillsCommunication Skills