Credentialing and Administrative Specialist

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Wider Circle

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

💰 $38M Series B on 2021-09

Healthcare Insurance • Community

Wider Circle is a neighborhood-based health organization that aims to empower community members to lead happier and healthier lives. By partnering with health plans and physician groups, the company offers engaging and educational programs both in-person and virtually. These programs are designed for members who share similar interests and life experiences, creating a social group with the purpose of improving access to care within a trusted community network. Wider Circle connects residents in a neighborhood to support each other's health and well-being, offering help with tasks such as scheduling doctor’s appointments and accessing food resources, thereby revitalizing the sense of community care. The company collaborates with national and regional Medicare Advantage plans and Managed Care Organizations.

📋 Description

• Report directly to the RCM Manager, ensuring all credentialing activities align tightly with billing and revenue cycle requirements. • Manage the end-to-end credentialing and re-credentialing process across Medicare, Medicaid, and private insurance networks. • Conduct primary source verification and maintain credentialing databases with high accuracy and attention to detail. • Coordinate with licensing boards, payers, and internal teams to process applications and resolve inquiries. • Support backend documentation and privileging processes for new provider onboarding to ensure a seamless transition. • Ensure strict adherence to all relevant federal, state, and local regulations and accreditation standards. • Proactively identify and help the RCM team resolve credentialing discrepancies, generating reports and refining administrative workflows during the pilot phase.

🎯 Requirements

• Based in the Philippines with a reliable remote work setup, including a quiet workspace and high-speed internet connection. • Ability to work independently in a behind-the-scenes capacity, focusing on execution, data integrity, and compliance without close supervision. • Experience with US healthcare credentialing processes, including primary source verification and payer enrollment, is strongly preferred. • Proficiency with Google Suite, Slack, and credentialing or CRM systems. • Highly organized with the ability to manage multiple documentation workflows simultaneously. • Strong written English communication skills for collaboration with US-based teams and external stakeholders.

🏖️ Benefits

• Hourly rate: $5–$7/hour depending on experience • Full-time schedule (40 hours per week) • 100% Remote — work from anywhere in the Philippines • Offshore independent contractor role with a flexible working environment • Foundational role in a pilot program with real opportunity to expand and shape processes as the model grows • Mission-driven culture focused on extending care to underserved populations beyond traditional office-based practice