Credentialing Specialist

Proselect Management Inc

$510-679[Monthly]
Hybrid - Taguig1-3 Yrs ExpBachelorFull-time
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Job Description

Benefits

  • Government Mandated Benefits

    13th Month Pay

  • Insurance Health & Wellness

    Health Insurance, Life Insurance, HMO

  • Perks Benefits

    Company Equipment, Retirement Plan

  • Professional Development

    Job Training, Professional Development

  • Time Off & Leave

    Sick Leave, Vacation Leave

Read More
  • ResponsibilitiesComplete timely and accurate credentialing and re-credentialing for providers, including primary source verification.
  • Support onboarding/offboarding by processing provider applications, monitoring expiring credentials, and updating demographic data.
  • Conduct or assist with compliance audits and prepare basic reports.
  • Ensure accuracy of provider information, follow disclosure guidelines, and perform quality checks as needed.
  • Process provider access requests and escalate issues to leadership or the Medical Staff Office when necessary.
  • Help improve department policies, procedures, and workflow.


Qualifications

  • High School diploma or GED required.
  • Bachelor’s degree in Business, Healthcare, or related field preferred.
  • CPCS or CPMSM certification (preferred).
  • At least 1 year of experience in medical staff services or a CVO (preferred).
  • Knowledge of credentialing regulations and accreditation standards.
  • Experience with HR background checks or employment verification in healthcare (preferred).
CredentialingBackground CheckingLicense CheckingVerification
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Ducusin Dennisse

HR OfficerProselect Management Inc

Reply 0 Times Today

Working Location

Park Triangle Corporate Plaza by Alveo Land. 32nd Street corner 11th Avenue Brgy. Fort Bonifacio, Bonifacio, Taguig, 1634 Metro Manila, Philippines

Posted on 26 November 2025

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