US Contracting and Healthcare Provider Coordinator

24 hours ago

Bareilly, Uttar Pradesh, India beBeeCredentialing Full time ₹ 80,00,000 - ₹ 1,20,00,000
Contracting and Credentialing Specialist

We are seeking a skilled Contracting and Credentialing Specialist to join our team. The successful candidate will handle contracting and credentialing needs for US-based healthcare 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; this includes 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.
Requirements
  • At least 2 years of experience in the US-based contracting and credentialing process for providers
  • Familiarity with the US medical insurance industry and having worked with multiple insurance providers through the credentialing process
  • Medicaid and Medicare experience is a plus
  • Ability to work autonomously with minimal supervision, report regularly, and execute work plans thoroughly
  • Highly organized, detail-oriented, with strong follow-up skills
  • Comfortable using Google Workspace, tracking tools, and internal platforms.
Benefits
  • The ideal candidate will have a strong understanding of the contracting and credentialing process and be able to adapt to changing requirements
  • They will be highly organized, detail-oriented, and able to communicate effectively with payors, clinicians, and verification bodies
  • Able to maintain accurate records and update dashboards, tracking tools, and other documents as required
  • Able to work collaboratively with internal teams to achieve business objectives

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