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Medical Credentialing Specialist at QuickTeam. PLEASE NOTE: This job is available to people in the Philippines only.. QuickTeam is a company that provides businesses with virtual employees to help them grow and become more productive. We provide virtual assistants, receptionists, and other support staff to help businesses take care of their day-to-day tasks and focus on what they do best.. By working with us, we will help you find companies where you can make an impact, be a part of their team for the long term, and join the QuickTeam family :). We would love to have you!. Full-time, 40 Hours/Week. Salary: $5–$6/hour, commensurate with experience.. Willing to work during EST Hours. Job Title:. Medical Credentialing Specialist. As a Medical Credentialing Specialist, you will be responsible for reviewing and approving provider applications, maintaining accurate records in our database, verifying credentials, and serving as a point of contact for healthcare providers. Your work will contribute to our commitment to quality patient care by ensuring that our network is comprised of competent and well-credentialed professionals.. Key Responsibilities:. . Maintain and update provider profiles in the . CAQH. system. . . Handle provider . enrollments and re-credentialing. with major insurance payers including, but not limited to: . . . . BCBS. . . . Aetna. . . . Medicare. . . . United Healthcare / Optum. . . . Cigna. . . . Ensure timely submission and follow-up on applications. . . Track application status and respond to payer requests. . . Organize and manage provider documents, licenses, malpractice insurance, and certifications. . . Ensure all credentialing documents are up-to-date and in compliance with payer requirements. . . Updating Policies and Procedures Manual. . Reviewing Documentation for State Credentialing: Gather necessary documentation, verify its accuracy and completeness, and ensure compliance with state regulations.. . . Providing Guidance and Support.  in clarifying state requirements and procedures, to support La Juan in meeting credentialing obligations. . General Administrative Tasks. . . Proven experience in medical credentialing and insurance enrollments. . . Strong knowledge and experience using CAQH. . . Familiarity with payer-specific enrollment processes (Medicare, BCBS, etc.). . . Excellent attention to detail and organizational skills. . . Ability to work independently and manage multiple deadlines. . . Strong communication skills, both written and verbal.. . Company Location: Philippines.