US Contracting Specialist

1 week ago

Mangalore, Karnataka, India beBeeContracting Full time ₹ 9,00,000 - ₹ 12,00,000

Job Role

We're seeking a skilled Contracting and Credentialing Professional to join our dynamic team. As a key member, you'll play a vital role in handling contracting and credentialing needs for US-based healthcare providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare networks.

This is a fully remote position, requiring candidates to work from 6 PM to 3 AM IST to align with U.S. business hours. If you're detail-oriented, data-driven, and capable of wearing multiple hats, we'd love to have you on board.

  • 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; 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.

You Bring:

  • 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 experience working with multiple insurance providers through the credentialing process.
  • Excellent English speaking, listening, and written communication skills and 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 - must have a secure device compatible with required software/applications and be willing to adhere to company security practices.

What We Offer:

  • A collaborative work environment.
  • Opportunities for professional growth.
  • A chance to make a meaningful impact.

We are an equal opportunity employer committed to diversity and inclusion.

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