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TYPE OF WORK
Full Time
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SALARY
$700.00 - $800.00
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HOURS PER WEEK
40
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DATE UPDATED
Jan 14, 2026
About Us:
We’re a US-based healthcare startup supporting a fast-growing network of medical providers across multiple states. As we continue to scale, we're looking for a detail-oriented Credentialing Assistant based in the Philippines to support our enrollment and payer management operations. If you have experience navigating complex healthcare systems, enrolling providers, and ensuring claims flow smoothly, we’d love to hear from you.
What You’ll Do:
As a Credentialing Assistant, you’ll play a vital role in supporting provider onboarding, maintaining accurate payer enrollments, and resolving issues that affect claim processing. Your responsibilities will include:
Enrolling new providers with commercial and Medicaid payers, including through Availity and direct payer portals
Managing and maintaining payer portal access for multiple providers
Submitting claims, tracking status, and resolving submission issues via Optum Clearinghouse
Completing and updating EFT and ERA enrollments across a wide range of insurance payers
Handling initial credentialing, re-credentialing, demographic updates, and other maintenance tasks
Working with Medicaid MCOs and HMOs, particularly in NJ, NY, VA, MD, CA, MT, NE, AK, and other states
Navigating New Jersey-specific payers such as Horizon NJ Health, Aetna Better Health, and UnitedHealthcare Community Plan
Identifying and resolving credentialing and billing issues, including NPI linkage errors, taxonomy mismatches, and payer-specific compliance requirements
What We’re Looking For:
2+ years of experience in provider credentialing or payer enrollment in US healthcare
Proficiency with Availity and Optum Clearinghouse
Experience working with Medicaid MCOs and commercial HMOs, especially in high-volume states like New Jersey
Solid understanding of credentialing workflows and payer requirements
Strong attention to detail, organizational skills, and follow-through
Ability to work independently and meet deadlines
Excellent English communication skills
Preferred but Not Required:
Fully filled-out OnlineJobs.ph profile
ID Proof of 70+
Completed IQ, English, and DISC assessments
Schedule & Compensation:
Full-time, long-term remote role
Flexible hours with some availability during US business time
Competitive hourly rate based on experience
How to Apply:
To be considered, please send:
Your updated resume
A brief description of your credentialing experience, including the states and payers you've worked with
A short intro video (1–2 minutes) about your background and how you can help our team
The word “CREDREADY” at the top of your message so we know you read the listing carefully
We’re excited to find someone who’s organized, reliable, and ready to keep our credentialing operations running smoothly!
