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Provider Credentialing Specialist

Company:
Vital Virtuals Global HR Solutions LLC
Location:
Cebu City, Philippines
Posted:
September 23, 2025
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Description:

We're Hiring: Provider Credentialing Specialist

Company: Vital Virtuals

Location: Remote

Schedule: Part-time / Full-time (Up to 40 hrs/week) CST, EST, or PT

About Vital Virtuals

Vital Virtuals is a premier provider of remote healthcare support services. Our mission is to streamline healthcare delivery through top-tier virtual staffing solutions.

We are seeking a Provider Credentialing Specialist with hands-on experience managing credentialing and payer enrollment processes for healthcare providers.

Key Responsibilities

Manage provider credentialing, re-credentialing, and enrollment with insurance payers

Prepare, review, and submit credentialing applications and supporting documentation

Track application status and follow up with payers to ensure timely completion

Maintain accurate provider information in CAQH and payer portals

Monitor credentialing expirations (licenses, certifications, CAQH) and renew as needed

Communicate with providers, payers, and internal teams to resolve discrepancies

Ensure compliance with payer requirements and industry standards

Qualifications

Minimum 12 years of experience in provider credentialing and payer enrollment

Strong understanding of CAQH, NPPES, PECOS, and commercial payer processes

Excellent organizational and follow-up skills

Detail-oriented with the ability to manage multiple provider files at once

Strong verbal and written communication skills (C1/C2 English required)

Familiarity with insurance credentialing requirements across multiple states (preferred)

Ability to work independently and meet deadlines in a remote setting

Availability to work full-time during CST, EST, or PT

Technical Requirements

(Strictly Verified Before Interview)

Operating System: Windows 10 Pro or higher (genuine, 32/64-bit)

Processor: Intel Core i5 (8th Gen+) or AMD equivalent

RAM: Minimum 8GB

Internet: Wired DSL/Fiber, at least 50 Mbps (No LTE connections accepted)

Headset: USB noise-canceling mic (Plantronics Audio 628 recommended)

Webcam: HD 720p/1080p (A4Tech PK-910H recommended)

Monitor: External monitor (17", 19", or 22")

Applications that do not meet these technical requirements will not be considered. Compliance is verified prior to the interview.

Compensation & Benefits

Hourly Pay:

$5/hr during the first 3 months (probation)

$6/hr after 3 months (top performers earn $800$1000/month)

Perks & Benefits:

HMO benefits after 6 months

100% remote work opportunity

Supportive team culture

Opportunity to work with multiple healthcare practices and expand credentialing expertise

How to Apply

Submit your resume and a short video introduction at:

Apply