Contracting and Credentialing Professional

2 days ago

Salem, Tamil Nadu, India beBeeCredentialing Full time ₹ 60,00,000 - ₹ 80,00,000

For quality healthcare to thrive, we need dedicated professionals like you. Forta is leading the way by delivering exceptional outcomes with unparalleled convenience.

We are looking for a skilled Contracting and Credentialing Specialist to join our team. In this role, you will be responsible for managing contracting and credentialing needs for healthcare providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare 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; 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.

The ideal candidate will have at least 2 years' experience in the US-based contracting and credentialing process for providers. They should be deeply familiar with the US medical insurance industry and have worked with multiple insurance providers through the credentialing process. Medicaid and Medicare experience is a plus.

You must have excellent English speaking, listening, and written communication skills, and dependably high levels of responsiveness. You will also be able to work autonomously with minimal supervision, report regularly, and execute work plans thoroughly. Additionally, you should be highly organized and detail-oriented with strong follow-up skills.

Forta offers a collaborative work environment, opportunities for professional growth, and a chance to make a meaningful impact. If you are data-driven, detail-oriented, and capable of wearing multiple hats, we would love to have you on our team.

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