Credentialing Specialist

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Catena

WebsiteLinkedInAll Job Openings

1 - 10 employees

👥 HR Tech

🏢 Enterprise

🎯 Recruiter

HR Tech • Enterprise • Recruitment

Catena, now known as Pearl Talent, is a company that specializes in helping organizations hire top remote talent from overseas, primarily focusing on candidates from the Philippines and Latin America. They offer a rigorous vetting process to ensure they provide highly capable candidates equipped with modern software skills and fluent English proficiency. Pearl Talent provides two main hiring services: Managed Services, which handles compliance, payroll, and training, and Direct Placement for companies that manage hires internally. They focus on long-term retention and quality in their hiring processes, aiming to build high-performing remote teams for a range of industries including healthcare, real estate, and finance.

📋 Description

• Work From Anywhere in the Philippines • Work Schedule: US Timezone (Flexible) │ Overlap with US business hours for payer follow-ups • Submit and track credentialing applications across Medicaid, Medicare, and commercial payers • Manage CAQH profiles and follow up directly with payers to resolve issues • Achieve same-day to next-day application turnaround with clean first-time submissions

🎯 Requirements

• 3+ years of hands-on CAQH profile management and credentialing application submission experience, fully independent without training • Proven track record submitting credentialing applications to Medicaid, Medicare, and commercial payers across multiple US states • Experience managing credentialing for 10+ providers concurrently • Systematic tracking and follow-up discipline using tools such as Airtable, Google Sheets, Trello, or Notion • Track record of clean, first-time application submissions with minimal payer-requested corrections • Experience identifying and implementing workflow or process improvements within a credentialing or provider enrollment function • B2+ English (CEFR) for phone and written follow-up with US-based payer representatives

🏖️ Benefits

• Competitive Salary: Based on experience and skills • Remote Work: Fully remote—work from anywhere • Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting • Generous PTO: In accordance with company policy • Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees • Direct Mentorship: Guidance from international industry experts • Learning & Development: Ongoing access to resources for professional growth • Global Networking: Connect with professionals worldwide