Contracting and Healthcare Credentialing Professional

4 days ago

Nashik, Maharashtra, India beBeeCredentialing Full time ₹ 10,00,000 - ₹ 15,00,000
Job Title: Remote Contracting and Credentialing Specialist

Forta Mission

Forta is dedicated to providing quality healthcare with utmost convenience. With 1 in 36 children diagnosed with autism, the need for accessible Applied Behavior Analysis (ABA) support is growing.

Our mission is to expand ABA access by creating software and predictive algorithms that elevate clinicians to work smarter. We strive to continuously improve the patient journey and deliver personalized care using smart technology and investing in our team's growth.

As a skilled contracting and credentialing specialist, you will handle contracting and credentialing needs for US-based health care providers, diagnostic laboratories, and medical facilities as preferred providers in health care networks.

  • 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; proactive payor contact to ensure applications are filled out correctly
  • 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.
  • Work with internal teams to correct and/or amend rejected contracting applications; update internal workflows to reflect current best practices based on up-to-date payor and industry requirements as well as advise on potential concerns or improvements.
  • Train team members with varying levels of experience and seniority in contracting and credentialing processes.

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