Vericle Pacific is looking for full-time US Healthcare Credentialing Analysts,   Vericle is a US-based Health IT company, which offers revenue cycle management (RCM) service along with a practice management software (SaaS) to Group and/or Individual providers, diagnostic laboratories, and medical facilities as preferred providers in health care networks.

RESPONSIBILITIES

1. Manage the credentialing needs for our clients:
• 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
• Keep client providers and coaches informed about the status of their credentialing
• Maintain accurate and current client information  
• Alert clients about new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements
2. Drive the implementation of the automated credentialing workflow management system:
• Prototype
• Provide requirements to software developers
• Test the implementation 

QUALIFICATIONS

1. Minimum of 6 months experience in US-based Credentialing process
2. Familiar with US medical insurance industry 
3. Excellent listening, communication, and problem-solving skills
4. Self-motivated and able to work autonomously

MUST HAVE:

1. High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours
2. Good internet access at home
3. Mobile Hotspot
4. Laptop/Desktop of at least 8 GB