Philippines Jobs

Credentialing Manager Jobs at WorldWide Resource Solutions in Quezon City, Quezon City

WorldWide Resource Solutions company logo
Published 7 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
Region:Quezon City, Quezon City - Quezon City
Education:Confidential
Salary:PHP 14.100 - PHP 43.000 per Month
Job Type:Full-time

Job Description

We are seeking a Credentialing Manager to oversee provider enrollment, primary source verification, and re‑credentialing to ensure compliance with payer, state, and accreditation standards. The role manages credentialing workflows, maintains CAQH and licensing records, coordinates privileging, conducts audits, resolves credentialing disputes, and prepares compliance reports. As team lead and primary liaison to payers and providers, the manager drives process improvements to reduce turnaround time.

  • Requirements: Bachelor’s degree and 3+ years in provider credentialing or enrollment
  • Knowledge of NPDB, CAQH, and state regulations
  • Strong attention to detail, excellent communication, and proven 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

Application 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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Job Application Information

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Company Information

WorldWide Resource Solutions

WorldWide Resource Solutions is a leading company in the Philippines that provides comprehensive resource solutions for businesses. With a strong focus on efficiency and quality, they offer a wide range of services including recruitment, training, and consultancy. Their experienced team is dedicated to helping companies optimize their resources and achieve their goals in the competitive market. WorldWide Resource Solutions is known for its innovative approach and commitment to customer satisfaction, making them a trusted partner for businesses looking to succeed in the Philippines.