Provider Credentialing Specialist

Location: BGC, Taguig City
Shift: US Shift
Setup: Full Onsite for training (approx. 3 months) then Hybrid (3x a week onsite)
Employment Type: Full-time | Permanent | Direct Hire
The Provider Credentialing Specialist plays a key role in ensuring the accuracy, compliance, and efficiency of provider credentialing and re-credentialing processes. This role supports the onboarding and offboarding of healthcare providers, manages data verification, and helps maintain adherence to regulatory and organizational standards.
We're looking for someone with great attention to detail, strong organizational skills, and a passion for supporting quality healthcare operations.
What You'll Do:
Process timely and accurate initial credentialing and re-credentialing of affiliated network practitioners.
Conduct primary source verification (PSV) and manage supporting documentation.
Support compliance audits of delegated healthcare entities and prepare reports with findings and recomm...