Job Description

Vericle Pacific is looking for full-time US Healthcare Credentialing Analysts. Vericle Pacific, a Philippine-based company, supports Vericle Corporation, a US-based parent company. Vericle offers revenue cycle management (RCM) service along with a practice management software (SaaS).
RESPONSIBILITIES
Handle credentialing needs for our clients (Group and/or Individual) who are US-based health care providers, diagnostic laboratories and medical facilities as preferred providers in health care networks. This entails the following tasks:

• Perform credentialing work:
  • Collect all the required documentation for credentialing such as accreditation, membership and facility privileges (e.g., License, NPI letter).
  • Assist providers with completing payer forms and ensure compliance with payer’s expectations
  • Respond to provider’s inquiries as to credentialing process progress
  • Alert client of new regulations, expiring certificates, reapplications and deficiencies in credentialing requirements
• Maintain accurate and current client information using an online database
• Drive the implementation of the automated credentialing workflow management system:
  • Provide requirements to software developers
  • Review implementation
  
  

• Minimum of 6 months experience in US-based Credentialing process

• Familiar with US medical insurance industry

• Excellent listening, communication, and problem-solving skills

• Self-motivated and able to work autonomously

• High comfort level working on Eastern Time Zone/US Shift

• Good internet access at home

• Mobile Hotspot

• Laptop/Desktop of at least 8 GB