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Payor Credentialing

Remote:

Full Remote

Experience:

Senior (5-10 years)

Work from:

Philippines

Offer summary

Qualifications:

Minimum 5 years in US Healthcare credentialing, College Graduate of any 4 year course, 5 years BPO experience as Customer Service Representative, Excellent verbal and written communication skills.

Key responsabilities:

Maintain licensure for healthcare facilities
Onboard new hires and input data into databases

Theoria Medical Large https://www.theoriamedical.com/

1001 - 5000 Employees

See all jobs

Job description

Position Type: Full-time, Non-exempt

Compensation: Php 25,000 to Php 31,500 (All-in salary package)

Job Location: Remote (Philippines)

Company Overview

Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, telemedicine, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation. As a leading edge, innovative, and quality driven physician group, we continue to expand nationally. In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team.

Theoria’s Human Resources Department is seeking individuals to join its team to support its expansion and assist with staffing onboarding and offboarding.

Shift Structure

Monday-Friday 9AM to 5PM EST

Compensation and Benefits

15 VL annually
10 SL annually
13th month pay
HMO offered upon regularization
Weekends off
Overtime available

Essential Functions & Responsibilities

Maintaining licensure and other information for healthcare facilities.
Responsible for onboarding new hires and obtaining necessary documentation and input information into various databases.
Has an in-depth knowledge of Payer Enrollment
Detail-oriented, organized decision-maker with the ability to work both independently and in teams.
Strong oral and written communication skills are also essential, as these specialists spend a lot of time communicating with doctors and healthcare administrators.
Strong communication skills using phones, as this post demands a person’s ability to gather information from different payers or insurance companies for payer enrollment to proceed and complete
Other tasks assigned by management

Requirements and Qualifications

Minimum of 5 years of US Healthcare credentialing experience is a requirement.
College Graduate of any 4 year course.
5 years of BPO experience as Customer Service Representative.
Excellent communication skills, both verbal and written.
Detail oriented

Physical Requirements

Must be punctual or on time and adhere to the company's Time and Attendance policy.
Must be able to remain sitting for the majority of their shift.

Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position.

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