Jerald Rafael Cariaga

Senior Compliance & Credentialing Administrative Specialist / Recruiter / Lead Coordinator

Conquest Healthcare

Mar 2025 - Nov 2025 (9 months)

• Managed provider enrollment and market updates. • Managed end-to-end credentialing processes, including license verification, background checks, education validation, and professional reference reviews. • Ensured ongoing compliance with state and federal healthcare regulations and internal policies. • Maintained accurate and up-to-date employment records related to hiring, promotions, transfers, and terminations. • Led new-hire onboarding processes, ensuring all required documentation was completed accurately and on time. • Supported recruitment efforts through job postings, resume screening, interview coordination, and reference checks. • Provided administrative and client support through email, chat, text, and phone, ensuring timely and

C

Senior Compliance & Credentialing Administrative Specialist

Cynet Philippines

Sep 2021 - Sep 2024 (3 years 1 month)

• Led credentialing and compliance operations for healthcare providers across multiple facilities. • Conducted audits to ensure adherence to internal policies and external regulatory requirements. • Processed personnel action forms with proper approvals and documentation. • Coordinated closely with licensing boards and regulatory agencies to maintain active credentials. • Assisted leadership with compliance reporting and process improvements.

HR Specialist / Credentialing Admin Specialist

PSG Global Solutions

Nov 2018 - Sep 2021 (2 years 11 months)

• Managed HR compliance functions including employee records, onboarding, and offboarding. • Oversaw hiring lifecycle from job posting to onboarding. • Performed provider credentialing and maintained accurate compliance documentation. • Supported internal and external stakeholders with administrative and compliance inquiries.

Customer Service & Fraud Specialist

TELUS International Philippines

Sep 2017 - Sep 2018 (1 year 1 month)

• Investigated and resolved suspected fraudulent activities on customer accounts. • Provided customer support for billing, products, and account maintenance. • Ensured account security and compliance with fraud prevention protocols.

T

Receptionist / Concierge / Bellman / Airport Representative

The Century Hotel – Doha, Qatar

Jan 2015 - Jun 2017 (2 years 6 months)

• Delivered high-quality guest services including check-in/check-out, concierge support, and airport coordination. • Maintained front-desk security procedures and guest documentation. • Coordinated transportation and responded to guest inquiries and special requests.

T

Concierge

The Bellevue Manila

Mar 2013 - Mar 2014 (1 year 1 month)

• Assisted guests with transportation, luggage, and local recommendations. • Supported front office operations and administrative duties as needed.

Customer Service Representative

Teleperformance Philippines

Oct 2010 - Oct 2011 (1 year 1 month)

• Provided customer support for billing, services, and account maintenance. • Resolved customer concerns while meeting service level standards. • Conducted detailed data analysis of customer billing history and financial patterns to develop personalized service plans, helping clients optimize their monthly budgets based on their individual payment capabilities.

Jerald Rafael Cariaga

About

Detail

Timeline

Résumé