Experienced Healthcare Customer Service Advocate – Provider Enrollment & Credentialing Specialist (Remote, Philippines)

About brighthush

brighthush is a leading technology‑driven healthcare operations partner that empowers payers, providers, and patients to navigate the complex world of health administration with confidence and clarity. By blending cutting‑edge digital solutions with a deep understanding of the healthcare ecosystem, we streamline processes, reduce administrative burden, and elevate the quality of care across the board. Our mission is simple: to make healthcare operations smoother, more transparent, and ultimately more patient‑centric.

Operating from a global network of remote hubs, brighthush is committed to fostering a culture of innovation, collaboration, and continuous learning. We believe that every team member plays a pivotal role in shaping the future of healthcare, and we invest heavily in professional development, mentorship, and a supportive work environment that encourages growth and creativity.

Role Overview

We are seeking a dedicated and detail‑oriented Healthcare Customer Service Advocate – Provider Enrollment & Credentialing Specialist to join our remote team in the Philippines. In this role, you will be the linchpin between our provider partners and our internal operations, ensuring that enrollment data is accurate, complete, and compliant with industry standards. Your expertise will help us maintain the integrity of our provider network, support our clients’ strategic goals, and ultimately improve patient access to quality care.

As a mid‑level professional with a strong background in BPO healthcare services, you will bring a blend of technical proficiency, customer‑centric mindset, and a passion for continuous improvement. You will work closely with cross‑functional teams, including Credentialing, Compliance, and IT, to deliver seamless enrollment experiences for providers across the region.

Key Responsibilities

• Enrollment Data Management: Accurately capture, verify, and update provider enrollment information in our secure systems, ensuring data integrity and compliance with regulatory requirements.
• Provider Coordination: Act as the primary point of contact for providers throughout the enrollment process, addressing inquiries, resolving issues, and maintaining positive relationships.
• Package Submission: Compile and submit complete enrollment packages to relevant authorities and payer systems, ensuring all documentation is accurate, up‑to‑date, and compliant with submission guidelines.
• Process Improvement: Identify bottlenecks and inefficiencies in the enrollment workflow, propose solutions, and collaborate with process owners to implement best practices.
• Compliance & Quality Assurance: Monitor enrollment activities for adherence to internal policies, industry standards, and regulatory mandates, and proactively address any compliance gaps.
• Reporting & Analytics: Generate regular reports on enrollment status, turnaround times, and quality metrics to inform stakeholders and support data‑driven decision making.
• Team Collaboration: Participate in daily stand‑ups, cross‑functional meetings, and training sessions to stay aligned with organizational goals and share insights.

Essential Qualifications

• Associate degree or equivalent in Healthcare Administration, Business, or a related field.
• Minimum of 4 years of experience in a BPO healthcare environment, with a proven track record in voice‑based customer service.
• Strong familiarity with provider enrollment and credentialing processes.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and experience with data entry and database management.
• Excellent verbal and written communication skills in English.
• Ability to work flexible, shifting schedules to accommodate provider needs across time zones.
• Reliable high‑speed internet connection and a backup connection to ensure uninterrupted service.
• Strong problem‑solving skills and a keen eye for detail.

Preferred Qualifications

• Experience with SFTP, TLS, or other secure file transfer protocols.
• Knowledge of healthcare regulations such as HIPAA, HITECH, and local payer guidelines.
• Previous exposure to credentialing software platforms (e.g., Vericred, Credentialing Central).
• Experience working in a remote, distributed team environment.
• Multilingual capabilities (e.g., Tagalog, Cebuano) to better serve a diverse provider base.

Skills & Competencies

• Customer‑Centric Mindset: Passion for delivering exceptional service and building lasting relationships with providers.
• Analytical Thinking: Ability to interpret data, spot trends, and recommend actionable improvements.
• Technical Proficiency: Comfortable navigating multiple software platforms, troubleshooting technical issues, and maintaining data accuracy.
• Adaptability: Thrive in a fast‑paced, evolving environment and manage competing priorities with ease.
• Collaboration: Work effectively with cross‑functional teams, share insights, and contribute to collective success.
• Compliance Awareness: Understand and uphold regulatory standards and internal policies.

Work Environment & Company Culture

At brighthush, we champion a culture that values transparency, innovation, and employee well‑being. As a remote team member, you will enjoy:

• Flexible work hours that accommodate your personal and professional life.
• A fully equipped home office stipend to ensure you have the tools you need.
• Regular virtual team building events, wellness challenges, and social gatherings.
• Access to a robust knowledge base, training modules, and mentorship programs.
• A supportive manager who encourages autonomy, provides constructive feedback, and recognizes achievements.

Career Growth & Learning Opportunities

We believe in nurturing talent and providing clear pathways for advancement. As a Healthcare Customer Service Advocate, you will have the opportunity to:

• Progress into senior roles such as Enrollment Lead, Credentialing Manager, or Operations Analyst.
• Participate in specialized training on healthcare regulations, data analytics, and process improvement.
• Attend industry conferences, webinars, and workshops to stay ahead of emerging trends.
• Contribute to cross‑departmental projects that shape the future of our services.
• Earn certifications in healthcare administration, project management, or data analytics.

Compensation & Benefits

While the base salary for this role is PHP 420,000 per year, we offer a comprehensive benefits package designed to support your health, well‑being, and professional growth:

• Competitive base salary with performance‑based bonuses.
• Health and dental insurance coverage for you and your immediate family.
• Paid time off (vacation, sick leave, and personal days) with a flexible accrual system.
• Professional development stipend for courses, certifications, and conferences.
• Employee assistance program (EAP) for mental health support.
• Annual wellness stipend for gym memberships, fitness classes, or wellness apps.
• Recognition programs, peer‑to‑peer awards, and spot bonuses for outstanding contributions.

Why Join brighthush?

When you join brighthush, you become part of a forward‑thinking organization that is reshaping the healthcare landscape. You will:

• Work with a passionate team that values innovation and continuous improvement.
• Contribute directly to enhancing provider experiences and patient access to care.
• Enjoy a flexible, remote work arrangement that supports work‑life balance.
• Benefit from a culture that rewards initiative, creativity, and results.
• Grow professionally in a dynamic environment that offers clear advancement pathways.

How to Apply

Ready to take the next step in your career? Submit your resume and a brief cover letter outlining why you’re the perfect fit for this role. We look forward to exploring how your skills and experience can help us continue to deliver exceptional value to our provider partners.