
Remote Contracting and Credentialing Specialist
5 days ago
We're committed to delivering quality healthcare outcomes with convenience by clearing the path.
Our ObjectiveTo enhance the Applied Behavior Analysis (ABA) experience for families by developing predictive algorithms and software that elevate clinicians' work.
Your RoleYou'll handle contracting and credentialing needs for US-based 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
- Work with internal teams to correct and/or amend rejected contracting applications
- Train team members with varying levels of experience and seniority in contracting and credentialing processes
- 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
- Able to work autonomously with minimal supervision and report regularly
- Highly organized and detail-oriented with strong follow-up skills
- Comfortable using Google Workspace, tracking tools, and internal platforms
A collaborative work environment, opportunities for professional growth, and a chance to make a meaningful impact
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