A Versatile Credentialing Professional
1 week ago
We are seeking a skilled Contracting and Credentialing Specialist to handle contracting and credentialing needs for US-based healthcare providers, diagnostic laboratories, and medical facilities as preferred providers in health care networks.
This role is entirely remote, requiring flexibility to align with U.S. business hours from 6 PM to 3 AM IST.
About the RoleAs a Contracting and Credentialing Specialist, you will prepare, submit, and manage contracting and credentialing applications to insurance payors across multiple U.S. states.
- Communicate effectively with payors, clinicians, and verification bodies, track application progress, and ensure timely follow-ups and completion.
- Assist with hiring and onboarding clinicians, acting 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.
- Train team members with varying levels of experience and seniority in contracting and credentialing processes.
To be successful in this role, you must have:
- At least 2 years of experience in the US-based contracting and credentialing process for providers.
- Deep familiarity 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, with 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.
- BYOD - have a secure device compatible with required software/applications and adhere to company security practices.
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