Credentialing Specialist

About this role

📌 ABOUT ALPACA HEALTH

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.

We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.

This is a fully remote, Philippines-based position. We’re looking for candidates located in the Philippines who are able to work United States East Coast (ET) hours.

🚧 WHAT YOU’LL DO

- Manage provider credentialing and enrollment applications with commercial and government health plans

- Submit, track, and follow up on provider credentialing and payer enrollment applications

- Maintain accurate provider and enrollment information across internal systems and payer portals

- Monitor application statuses, identify missing information or documentation, and resolve enrollment issues

- Communicate with payers and providers to obtain required documentation and resolve credentialing discrepancies

- Conduct regular follow-ups with payers to ensure applications are progressing within expected timelines

- Research payer requirements, participation rules, and enrollment processes

- Keep detailed records of credentialing activity, effective dates, and payer communications

- Escalate complex credentialing or enrollment issues when needed

- Support the Credentialing team with special projects and process improvements

🧠 WHO YOU ARE

- Bachelor’s degree or equivalent experience

- Previous experience in healthcare credentialing, provider enrollment, medical billing, healthcare operations, or a related field preferred

- Strong understanding of provider credentialing and payer enrollment processes preferred

- Excellent attention to detail and organizational skills

- Strong written and verbal communication skills

- Strong problem-solving and follow-through abilities

- Proficient in MS Office, Google Workspace, and business systems

- Comfortable working with spreadsheets, databases, and multiple web-based payer portals

- Ability to manage multiple priorities and meet deadlines in a fast-paced, remote environment

- Self-motivated, dependable, and comfortable working independently

- Willing and able to work United States East Coast (ET) hours

- Must be based in the Philippines