Medical Virtual Assistant (Credentialing)

PLEASE NOTE: This job is open to applicants in the Philippines only. Full-time, 30 to 40 Hours/Week (US business hours) Salary: $6/Hour Job Title: Medical Virtual Assistant (Credentialing) We are hiring a Medical Virtual Assistant with hands-on credentialing experience. You will own provider enrollment and credentialing from start to finish: Medicare enrollment through PECOS, commercial payer applications, CAQH upkeep and re-credentialing deadlines. This role is for an experienced credentialing specialist. It is not an entry-level Medical VA role. Responsibilities - Prepare, submit and track Medicare enrollments in PECOS: initial enrollments, revalidations, reassignments (CMS-855I, 855B, 855R), changes of information and practice location updates. - Manage NPPES records: for and update NPIs (Type 1 and Type 2), and keep taxonomy codes and addresses accurate. - Manage CMS Identity & Access (I&A) connections and surrogacy so providers and staff have the right PECOS access. - Complete commercial payer credentialing and contracting applications (e. g. , UnitedHealthcare, Aetna, Cigna, BCBS, Humana) and state Medicaid enrollments. - Create, update and re-attest CAQH ProView profiles, and authorize payer access. - Follow up with payers by phone, email and portal until each application is approved, then record effective dates and provider IDs. - Track licenses, DEA, board certifications, malpractice insurance and other expiring documents, and start renewals and re-credentialing before deadlines.

- Keep a credentialing tracker and provider files current, and send regular status reports to the client. - Handle hospital privileging and facility credentialing paperwork when needed. - Work with billing teams to resolve enrollment-related claim denials. - Protect provider and patient information and follow HIPAA rules at all times. Requirements - Experience as a Credentialing Specialist or Provider Enrollment Specialist for US healthcare providers. - Hands-on PECOS experience: you have submitted Medicare enrollments and revalidations yourself. - Working knowledge of CAQH ProView, NPPES and CMS I&A. - Experience with commercial payer credentialing and at least one state Medicaid enrollment. - Strong attention to detail. One wrong date or missing document can delay an approval by weeks. - Organized, persistent follow-up habits, with comfort calling US payers. - Excellent written and spoken English. - Reliable home office setup: a stable internet connection, a backup connection and a quiet workspace. - Willing to work US business hours.