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Job Vacancy Quezon City, Philippines Position Credentialing Manager at WorldWide Resource Solutions

WorldWide Resource Solutions company logo
Published 16 hours ago

WorldWide Resource Solutions is currently seeking applicants for the position of Credentialing Manager in the Quezon City area. The available job type for this position is Full-time.

We are specifically looking for individuals who possess strong skills and have a minimum of beginners/seniors in the field. In addition to technical expertise, we highly value honesty, discipline, and a strong sense of responsibility in our employees.

WorldWide Resource Solutions operates within the (according to the company) industry. If you are interested in applying for this position and becoming a part of our company, we encourage you to submit your application.

Job Information

Company:WorldWide Resource Solutions
Position:Credentialing Manager
City:Quezon City, Quezon City
Province:Quezon City
Education:Confidential
Salary:PHP 14.100 - PHP 43.000 per Month
Job Type:Full-time

Job Description

The Credentialing Manager oversees provider enrollment, primary source verification, and re-credentialing processes to ensure compliance with payer, state, and accreditation standards. Responsibilities include managing credentialing workflows, maintaining CAQH and licensing records, coordinating privileging, conducting audits, resolving credentialing disputes, and preparing compliance reports. The role leads a small team, serves as the main liaison with payers and providers, and implements process improvements to reduce turnaround time. Requirements: bachelor’s degree, 3+ years in provider credentialing or enrollment, knowledge of NPDB, CAQH, and state regulations, strong attention to detail, and excellent communication and leadership skills.

Benefit

  • Skill development
  • Opportunities for promotion
  • Collaborative work environment
  • Professional training
  • Work-life balance
  • Professional networking opportunities
  • Valuable work experience
  • Access to the latest technology
  • Recognition and performance awards
  • Opportunities to contribute to business growth

Requirements

  • Physically and Mentally Healthy
  • Minimum Age of 18 Years
  • No Criminal Record
  • Experience in the Related Field (Preferred)
  • Good Communication Skills
  • Minimum Education of High School Diploma
  • Able to Work in a Team
  • Able to Work Under Pressure
  • Willing to Be Placed in the Designated Work Location

Company Address

Province Quezon City
City Quezon City
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Company Information

WorldWide Resource Solutions

WorldWide Resource Solutions is a leading company based in the Philippines, specializing in providing comprehensive resource management and consulting services. With a commitment to sustainability and efficiency, the company offers innovative solutions tailored to meet the diverse needs of various industries. Their expert team is dedicated to enhancing operational performance while promoting environmental stewardship. Through a combination of cutting-edge technology and strategic insights, WorldWide Resource Solutions aims to empower businesses to thrive in a competitive marketplace.