Credentialing Specialist - Work From Home

Bengaluru, Karnataka, India | Full-time | Fully remote

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We are 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