Part-Time Virtual Assistant – Healthcare Credentialing Specialist

Job Type: Part-Time
Industry: U.S. Healthcare / Medical Credentialing
Pay: $4.00 USD per hour
Schedule: Monday, Wednesday & Friday – Maximum 4 hours per day

About the Position

We are seeking an experienced U.S. Healthcare Credentialing Specialist / Virtual Assistant based in the Philippines to assist with provider credentialing and insurance enrollment for U.S.-based healthcare organizations.

This is a part-time position with a maximum of 12 hours per week.

This is not an entry-level position. Applicants MUST have previous hands-on experience with both Medicare enrollment and Railroad Medicare enrollment.

Schedule & Compensation
Monday, Wednesday, and Friday
Maximum of 4 hours per day
Maximum of 12 hours per week
$4.00 USD per hour
Remote position
Some availability during U.S. business hours will be necessary for payer calls and follow-ups

Additional hours must be approved in advance by management.

Key Responsibilities
Complete and manage Medicare provider and group enrollments
Complete and manage Railroad Medicare enrollments
Submit Medicare applications through PECOS
Complete Medicare reassignments, revalidations, changes of information, and enrollment updates
Complete applicable CMS enrollment forms
Maintain and attest provider CAQH profiles
Complete NPPES/NPI updates
Complete commercial payer credentialing and recredentialing
Submit EFT/ERA enrollment requests
Follow up with Medicare, Railroad Medicare, and commercial insurance companies
Respond to requests for additional information and application corrections
Track credentialing applications from submission through approval
Maintain accurate credentialing spreadsheets and status reports
Monitor provider licenses, DEA registrations, malpractice insurance, CAQH attestations, and other expiration dates
Maintain organized electronic credentialing records
Communicate professionally with payers, providers, and management
Identify credentialing delays and work toward timely resolution
REQUIRED Experience

Applicants must have direct, hands-on experience with:

Medicare provider enrollment
Medicare PECOS
Railroad Medicare enrollment
Individual and group Medicare enrollment
Provider reassignments
Medicare revalidation
CAQH ProView
NPPES/NPI
Commercial insurance credentialing
Calling U.S. insurance companies and Medicare for application follow-up

Experience completing CMS-855I, CMS-855B, provider reassignment applications, and CMS-460 is strongly preferred.

Qualifications
Previous U.S. healthcare credentialing experience
Strong written and spoken English
Excellent attention to detail
Strong organizational and follow-up skills
Ability to work independently
Ability to manage multiple providers and credentialing applications
Comfortable calling U.S. insurance companies
Reliable computer and high-speed internet
Familiarity with HIPAA and handling confidential healthcare information