Offer summary

Qualifications:

Proven experience as a Credentialing Specialist, preferably in an optometry or US healthcare setting., In-depth knowledge of credentialing processes and compliance regulations., Strong organizational skills and attention to detail, with excellent communication abilities., Familiarity with credentialing software and electronic health records. .

Key responsabilities:

Coordinate the credentialing process for optometry professionals, ensuring compliance with regulatory requirements.

Review and verify documentation from healthcare providers for accuracy and completeness.

Submit credentialing applications to insurance organizations and follow up for timely processing.

Communicate effectively with providers and stakeholders to gather information and resolve issues.

Job description

#1 PH Workforce Delivering to the US.

MedCore Solutions is expanding and we are looking for a dedicated Credentialing Specialist to join our team, specifically for an optometry setting. At MedCore, we take pride in offering the best talent in PH with the advantage of remote work opportunities, advanced technology, and resources. We collaborate with some of the most prestigious healthcare platforms, making this an excellent opportunity for those eager to develop their careers in the healthcare industry.

Who We Are

MedCore Solutions (MCS) is the leading provider of healthcare administration services, specializing in areas such as medical billing, credentialing, insurance verification, and virtual staffing. We aim to connect top talent with robust and fulfilling career opportunities in the ever-evolving healthcare landscape.

Responsibilities

Coordinate the credentialing process for optometry professionals, ensuring compliance with all regulatory requirements
Review and verify documentation presented by prospective healthcare providers for accuracy and completeness
Submit credentialing applications to various insurance organizations and follow up for timely processing
Maintain and update provider files and databases with essential credentialing information
Communicate effectively with providers, insurance carriers, and other stakeholders to gather necessary information and resolve any issues
Monitor and track re-credentialing and credentialing expirations to ensure ongoing compliance
Collaborate with the billing department to facilitate payment processes and insurance verifications specific to optometry practices
Stay informed about changes in industry regulations and best practices related to credentialing in the optometry field

Requirements

Proven experience as a Credentialing Specialist, preferably in an optometry or US healthcare setting
In-depth knowledge of credentialing processes and compliance regulations
Familiarity with optometric practices and the associated documentation requirements
Strong organizational skills and attention to detail
Excellent communication and interpersonal abilities
Proficiency in using credentialing software and electronic health records
Ability to handle multiple tasks and manage time effectively in a fast-paced environment
A background in insurance claim filing and processing would be a plus.
Amenable to work in a graveyard shift (US time hours)

Benefits

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.