# Medical Virtual Assistant (Credentialing)

**Company:** [QuickTeam](https://jobs.workable.com/companies/7pr6Yg2ZXX5X2ESM7ZUYgq.md)
**Location:** Remote
**Workplace:** remote
**Employment type:** Full-time
**Department:** Medical VA Department

[Apply for this job](https://jobs.workable.com/view/4da58166-4708-44ec-812e-8b7ac2e22d83)

## Description

**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: apply 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.