Credentialing Specialist
About this 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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You'll be redirected to alpacahealth's official application page on Ashby ATS.