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Healthcare Credentialing Specialist

6 days, 19 hours ago
Philippines
Full-time
Junior
Operations Specialist
Customer and Technical Support
Cybersecurity HIPAA
Apply Now
Winning Assistants

Winning Assistants

Winning Assistants specializes in providing HIPAA certified virtual assistants to healthcare professionals, enabling them to efficiently manage administrative tasks such as medical billing, coding, and patient communications, thereby allowing clients t...

Health Care Providers & Services
View All Jobs 25

Description

  • Manually verify physician licenses using state medical board and government regulatory websites.
  • Cross-reference physician information in national license index and other relevant authority databases.
  • Confirm that each physician’s license is active, valid, unrestricted, and appropriate for the state of practice.
  • Verify whether physicians are authorized to prescribe in the states they serve.
  • Review onboarding submissions and identify discrepancies, restrictions, disciplinary actions, expirations, and missing information.
  • Document verification results accurately in the company’s digital prescribing platform.
  • Provide verification feedback to physicians and internal teams within one hour during designated business hours.
  • Escalate questionable, incomplete, or potentially invalid credentials to the compliance team.
  • Maintain accurate records and audit trails of all verification activities.
  • Protect physician and organizational information in accordance with HIPAA and company confidentiality requirements.

Requirements

  • At least 1 year of experience in medical credentialing, provider enrollment, physician licensing, healthcare compliance, or a related healthcare administrative role.
  • Experience researching and verifying information through state medical boards, government websites, or regulatory databases.
  • Familiarity with physician license status, expiration dates, restrictions, disciplinary actions, and prescribing eligibility.
  • Strong understanding of HIPAA, patient confidentiality, and secure handling of sensitive information.
  • Excellent attention to detail and ability to identify inconsistencies across multiple sources.
  • Strong written English communication skills.
  • Ability to meet a one-hour turnaround time during working hours.
  • Reliable computer, stable internet connection, and ability to access U.S. government and state regulatory websites.
  • Comfortable using VPN or other approved secure-access tools when required.
  • Ability to work independently with minimal supervision while maintaining high productivity and accuracy.
  • Must speak and write English clearly and professionally.
  • Must have relevant work experience.
  • Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding.
  • Must be available to attend video meetings with camera on when required.
  • Reliable laptop or desktop computer.
  • Stable high-speed internet connection with a minimum speed of 25 Mbps.
  • Noise-canceling headset.
  • Working webcam for virtual meetings.
  • Quiet and professional work environment.

Benefits

  • Dedicated HR and contractor support for guidance, contract matters, and client communication.
  • Optional premium VPN access for enhanced privacy and security.
  • Provided HIPAA compliance training, cybersecurity modules, and certification.
  • Access to top 1% VA performance training on communication, productivity, and client management.
  • Client-approved U.S. holidays off, depending on client needs and schedule.
  • Client-approved paid or unpaid time off, with paid time off optional if offered by the client.
  • Access to templates, workflow guides, productivity tools, and client-specific SOP support.
  • Optional performance-based incentives, including bonuses, increased hours, or other rewards based on performance.

Interested in this position?

Apply directly on the company website

Apply Now

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