Medical Virtual Assistant, Credentialing

About the Role

QuickTeam is hiring a remote Medical Virtual Assistant based in the Philippines to specialize in provider enrollment and credentialing. This role supports US-based healthcare practices by streamlining administrative operations, ensuring regulatory compliance, and maintaining accurate provider documentation. You will work within US business hours, supported by dedicated account managers, in a secure environment focused on high-performance operational standards.

Requirements

• Qualified candidates must possess proven experience as a Credentialing Specialist or Provider Enrollment Specialist specifically for US healthcare providers.
• You must have hands-on experience submitting Medicare enrollments and revalidations within the PECOS system.
• Additionally, you need a working knowledge of CAQH ProView, NPPES, and CMS I&A systems.
• The role requires demonstrated experience with commercial payer credentialing and at least one state Medicaid enrollment process.
• You should possess excellent written and spoken English skills, along with exceptional attention to detail to ensure no errors delay vital approvals.
• Candidates must also maintain a reliable home office setup, which includes a stable primary internet connection, a backup connection, and a quiet workspace.
• The ability to be organized and persistent when following up with US-based payers is essential for success in this position.

Responsibilities

• Your primary duties involve managing the end-to-end credentialing lifecycle for medical providers.
• You will be responsible for preparing, submitting, and tracking Medicare enrollments in PECOS, including initial enrollments, revalidations, reassignments, and practice location updates.
• You will manage NPPES records, ensuring NPI information and taxonomy codes remain accurate, and handle CMS Identity and Access connections to maintain proper system access.
• A significant portion of your time will be dedicated to completing commercial payer contracting applications and state Medicaid enrollments.
• You will also create, update, and re-attest CAQH ProView profiles while authorizing payer access.
• You must actively follow up with payers via phone, email, or portal until approval is secured, record effective dates, and maintain up-to-date credentialing trackers and provider files.
• Furthermore, you will track expiring documents such as licenses, DEA registrations, board certifications, and malpractice insurance to initiate renewals ahead of deadlines.
• You will also handle hospital privileging paperwork, assist billing teams in resolving enrollment-related claim denials, and ensure all activities adhere to HIPAA guidelines.