Job details

AGENT

PETTIGREW PHILIPPINE SERVICES INC.

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ILOILO CITY (CAPITAL), ILOILO

Educ level not specified

Permanent

Posted on 24 April 2025

General Responsibilities

Manage all credentialing tasks for specific divisions
Coordinate Location and Provider profiles/signatures with clients and their facilities
Secure applications, complete and secure necessary attachments, and signatures to compile a complete application. Monitor initial request and submission time on each application for backup.
Submit applications and monitor approval; follow-up on applications every 3-6 weeks based on carrier guidelines.
Call carriers with issues or guidance when needed.
Respond to clients promptly and communicate timeline on specific carrier guidelines; provide clients with monthly updates of credentialing status.
Coordinate with carriers in all states and different MACS; research carrier requirements and applications for accurate submissions.
Create and maintain CAQH as applicable.
Ensure compliance with state, federal and accreditation regulations.

Job Title: Senior Credentialing Coordinator

Qualifications

4+ years of RCM experience
Required 4+ years of experience in Credentialing and Provider enrollment for US healthcare companies
Experience with Excel, PowerPoint, Microsoft Office, Internet Explorer, Outlook, Google Office Suite and ability to learn new technology at a rapid pace, knowledge of paperless processes
Demonstrate effective and high level of professional communication skills
Superior customer service and relationship building expertise
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification is a plus

ILOILO CITY (CAPITAL), ILOILO

Job Title: Senior Credentialing Coordinator

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PETTIGREW PHILIPPINE SERVICES, INC. DOING BUSINESS UNDER THE NAME AND STYLE OF WORLDSOURCE

OTHER COMMUNITY, SOCIAL AND PERSONAL SERVICE ACTIVITIES

100 - 199 (Medium)