Job Description
Wider Circle is seeking a detail-oriented Credentialing and Administrative Specialist to support an early-stage care program. In this role, you will work primarily behind the scenes to ensure our consulting clinicians are fully credentialed and ready to serve members across Medicare, Medicaid, and private insurance networks. Reporting directly to our Revenue Cycle Management (RCM) Manager, your meticulous management of the credentialing process helps eliminate administrative bottlenecks before they happen — setting the foundation for our operations and revenue cycle from the ground up.
Company Overview
At Wider Circle, we connect neighbors for better health. Our Connect for Life® program brings neighbors together through health, wellness, and social activities that improve mental and physical health. By creating trusted community circles and leveraging a sophisticated analytics platform, we foster stronger communities for older adults and disadvantaged populations. We are committed to the values of LOVE, LEARN, and GROW in all aspects of our work.
Responsibilities:
- Report directly to the RCM Manager, ensuring all credentialing activities align tightly with billing and revenue cycle requirements.
- Manage the end-to-end credentialing and re-credentialing process across Medicare, Medicaid, and private insurance networks.
- Conduct primary source verification and maintain credentialing databases with high accuracy and attention to detail.
- Coordinate with licensing boards, payers, and internal teams to process applications and resolve inquiries.
- Support backend documentation and privileging processes for new provider onboarding to ensure a seamless transition.
- Ensure strict adherence to all relevant federal, state, and local regulations and accreditation standards.
- Proactively identify and help the RCM team resolve credentialing discrepancies, generating reports and refining administrative workflows during the pilot phase.
Qualifications:
1–3 years of administrative support experience, ideally within a US healthcare setting managing credentialing for Medicare, Medicaid, or private insurance.
Strong organizational skills with a methodical approach to complex documentation, data entry, and administrative workflows.
Clear and effective written English communication skills to collaborate with US-based teams and external stakeholders including payers and licensing boards.
Proficiency with Google Suite, Slack, and CRM/support software; eagerness to learn new credentialing management systems.
A proactive, problem-solving mindset with comfort navigating ambiguity in a startup-like, evolving environment.
Based in the Philippines with a reliable remote work setup, including a quiet workspace and high-speed internet connection.
Ability to work independently in a behind-the-scenes capacity, focusing on execution, data integrity, and compliance without close supervision.
Experience with US healthcare credentialing processes, including primary source verification and payer enrollment, is strongly preferred.
Proficiency with Google Suite, Slack, and credentialing or CRM systems.
Highly organized with the ability to manage multiple documentation workflows simultaneously.
Strong written English communication skills for collaboration with US-based teams and external stakeholders.
Hourly rate: $5–$7/hour depending on experience
Full-time schedule (40 hours per week)
100% Remote — work from anywhere in the Philippines
Offshore independent contractor role with a flexible working environment
Foundational role in a pilot program with real opportunity to expand and shape processes as the model grows
Mission-driven culture focused on extending care to underserved populations beyond traditional office-based practice
