Contracting and Credentialing Solutions Expert

2 weeks ago

Ajmer, Rajasthan, India beBeeCredentialing Full time ₹ 10,80,960 - ₹ 14,41,200
Job Description

Forta is a healthcare company dedicated to delivering quality outcomes and convenience.

Our mission is to clear the path to quality healthcare by providing the best possible outcomes with utmost convenience.

Currently, autism support via Applied Behavior Analysis (ABA) is difficult to access, and the delivery model must be expanded to provide earlier access to families.

As a skilled Contracting and Credentialing Specialist, you will handle contracting and credentialing needs for health care providers, diagnostic laboratories, and medical facilities as preferred providers in health care networks.

Key Responsibilities:

  • Prepare, submit, and manage contracting and credentialing applications to insurance payors across multiple U.S. states
  • Communicate with payors, clinicians, and verification bodies, track application progress, and ensure timely follow-ups and completion
  • Assist with hiring and onboarding clinicians and act as the primary point of contact for all affiliated clinicians
  • Maintain accurate records and update dashboards, tracking tools, and other documents as required
  • Alert providers of new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements

Required Skills and Qualifications:

  • At least 2 years experience in the US-based contracting and credentialing process for providers
  • Deeply familiar with the US medical insurance industry and have worked with multiple insurance providers through the credentialing process
  • Excellent English speaking, listening, and written communication skills and dependably high levels of responsiveness
  • Able to work autonomously with minimal supervision, report regularly, and execute work plans thoroughly
  • Highly organized and detail-oriented with strong follow-up skills
  • Comfortable using Google Workspace, tracking tools, and internal platforms

What You Bring:

  • Strong analytical and problem-solving skills
  • Ability to prioritize tasks effectively
  • Results-driven individual who can meet deadlines and deliver high-quality results

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