Credentialing Specialist
Elevate Calls IncManila, Philippines
Posted December 15, 2025
Full Time
About the Company
Elevate Calls Inc is a Philippine-based business process outsourcing firm that specializes in call‑center operations, customer service, and sales support. The company partners with businesses to deliver end‑to‑end workforce solutions, including talent acquisition, immediate hiring, and comprehensive BPO services. Elevate Calls differentiates itself by recruiting only highly qualified candidates and maintaining rigorous selection standards to ensure top‑tier performance. Its commitment to excellence and rapid deployment positions it as a preferred partner for organizations seeking reliable, high‑quality call‑center and hiring solutions.
Job Description
Elevate Calls Inc. is seeking a Credentialing Specialist with experience in Maryland healthcare credentialing to join our growing remote team. In this role, you will oversee the credentialing and enrollment processes for healthcare providers practicing in Maryland.
Requirements
- Manage the credentialing and recredentialing processes for Maryland-based healthcare providers
- Ensure all provider files comply with Maryland state regulations, insurance guidelines, and national accreditation standards
- Complete and submit credentialing applications and enrollment forms to commercial payers, Medicaid, and Medicare (via PECOS)
- Maintain and update provider data in credentialing systems such as CAQH, NPPES, and internal databases
- Track and monitor expirable items such as licenses, certifications, and recredentialing deadlines
- Communicate professionally with insurance companies, government agencies, and internal departments to resolve credentialing-related issues
- Stay up to date with Maryland payer requirements, credentialing laws, and healthcare regulations
- Conduct background checks, verify credentials, and maintain accurate, complete provider profiles
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
- Relocation Assistance
