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Credentialing Specialist

Alpaca Health · Remote, Philippines

IT - Network / Systems / DB AdminRemoteExternal listingpart-time16 days ago

About The Role

📌 ABOUT ALPACA HEALTH

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.

We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.

This is a fully remote, Philippines-based position. We’re looking for candidates located in the Philippines who are able to work United States East Coast (ET) hours.

🚧 WHAT YOU’LL DO

  • Manage provider credentialing and enrollment applications with commercial and government health plans
  • Submit, track, and follow up on provider credentialing and payer enrollment applications
  • Maintain accurate provider and enrollment information across internal systems and payer portals
  • Monitor application statuses, identify missing information or documentation, and resolve enrollment issues
  • Communicate with payers and providers to obtain required documentation and resolve credentialing discrepancies
  • Conduct regular follow-ups with payers to ensure applications are progressing within expected timelines
  • Research payer requirements, participation rules, and enrollment processes
  • Keep detailed records of credentialing activity, effective dates, and payer communications
  • Escalate complex credentialing or enrollment issues when needed
  • Support the Credentialing team with special projects and process improvements

🧠 WHO YOU ARE

  • Bachelor’s degree or equivalent experience
  • Previous experience in healthcare credentialing, provider enrollment, medical billing, healthcare operations, or a related field preferred
  • Strong understanding of provider credentialing and payer enrollment processes preferred
  • Excellent attention to detail and organizational skills
  • Strong written and verbal communication skills
  • Strong problem-solving and follow-through abilities
  • Proficient in MS Office, Google Workspace, and business systems
  • Comfortable working with spreadsheets, databases, and multiple web-based payer portals
  • Ability to manage multiple priorities and meet deadlines in a fast-paced, remote environment
  • Self-motivated, dependable, and comfortable working independently
  • Willing and able to work United States East Coast (ET) hours
  • Must be based in the Philippines

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