Medical Virtual Assistant, Credentialing

QuickTeam

. Prepare, submit and track Medicare enrollments in PECOS: initial enrollments, revalidations, reassignments (CMS-855I, 855B, 855R), changes of information and practice location updates.

Posted 11/10/2026full-timeRemote • PhilippinesMid-LevelSenior💰 $6 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicare enrollment processes, including PECOS and CAQH ProView management, while ensuring compliance with HIPAA regulations. Proficient in managing credentialing documentation and maintaining accurate provider records for US healthcare providers.

Highest-signal resume keywords

PECOS ExperienceCAQH ProView ManagementCommercial Payer CredentialingNPPES KnowledgeAttention To Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medicare EnrollmentRevalidationProvider EnrollmentCredentialingNPI ManagementTaxonomy Code ManagementContracting ApplicationsLicense TrackingDEA ManagementMalpractice Insurance Tracking

Soft Skills

Organizational SkillsPersistenceCommunication Skills

Tools & Technologies

PECOSCAQH ProViewNPPESCMS I&A

Industry Keywords

Healthcare CredentialingProvider Enrollment SpecialistMedicaid EnrollmentHIPAA ComplianceClaim Denials Resolution

About the role

Key responsibilities & impact

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

What you’ll need

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.