Credentialing Specialist

📌 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