Credentialing and License Verification Specialist

SuperStaff

Credentialing & License Verification Specialist responsible for verifying licenses and certifications across different sources. Detail-oriented role focused on accuracy and maintaining client documentation standards.

Posted 6/29/2026full-timeRemote • 🇵🇭 PhilippinesMid-LevelSenior💰 ₱37,000 - ₱41,500 per monthWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in credentialing and license verification processes, ensuring accuracy and compliance with client requirements while handling sensitive personal information. Proficient in utilizing online databases and ticketing systems to support efficient workflows and maintain data integrity.

Highest-signal resume keywords

Credentialing ExperienceLicense VerificationData VerificationAttention To DetailHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data EntryOnline ResearchWorkflow ManagementDocumentation UploadInformation Validation

Soft Skills

Strong Written CommunicationIndependent WorkProblem-Solving

Tools & Technologies

Ticketing SystemsCRM ToolsCredentialing Platforms

Industry Keywords

Healthcare AdministrationData PrivacyComplianceU.S. State Licensing BoardsRegulatory Verification

About the role

Key responsibilities & impact

Perform manual license and certification lookups through state boards, professional licensing bodies, and other approved verification sources.
Verify information such as full name, date of birth, license number, certification status, expiration dates, and other relevant credential details.
Review assigned tickets, tasks, or lookup requests and process them according to client-defined workflows.
Capture screenshots or other approved documentation as evidence of license or certification verification.
Upload verification results and supporting documentation into the client’s platform or system.
Ensure all information entered into the system is accurate, complete, and aligned with client requirements.
Identify and escalate incomplete, inconsistent, expired, unverifiable, or questionable credential records.
Follow strict confidentiality and data security protocols when handling PII and sensitive information.
Maintain productivity and turnaround time expectations based on assigned volume and client SLAs.
Communicate with internal supervisors or client points of contact for clarifications, exceptions, or process updates.
Support process improvements by identifying recurring issues, workflow gaps, or verification challenges.

Requirements

What you’ll need

High school diploma or equivalent required.
Data privacy, HIPAA, compliance, or healthcare administration training is an advantage but not required.
Previous experience in credentialing, license verification, data verification, healthcare administration, back-office support, or a similar role.
Strong attention to detail and ability to accurately validate information across multiple sources.
Experience using online portals, databases, or public records for research and verification.
Ability to follow detailed workflows, standard operating procedures, and client-specific instructions.
Strong written English communication skills.
Comfortable handling sensitive personal information, including PII.
Ability to work independently with minimal supervision while maintaining accuracy and productivity.
Basic computer skills, including data entry, screenshot capture, file upload, and system navigation.
**Preferred Qualifications:**
Associate’s or Bachelor’s degree in Business Administration, Healthcare Administration, Information Management, or related field preferred.
Experience in healthcare credentialing or professional license verification.
Familiarity with U.S. state licensing boards, healthcare certifications, or regulatory verification processes.
Experience working with ticketing systems, CRM tools, workflow platforms, or credentialing platforms.
Prior BPO, healthcare back-office, compliance, or administrative support experience.
Familiarity with HIPAA, ISO, data privacy, or information security practices is an advantage.

Benefits

Comp & perks

HMO with 1 free dependent upon hire
Life Insurance
10% Night Differential
20 PTO credits annually
VL and SL cash conversion
Annual Performance-Based Merit Increases and Employee Recognition
Great Company Culture
Career Growth and Learning
WORK FROM HOME
NIGHT SHIFT