
Healthcare Provider Contracting Specialist
5 days ago
As a skilled professional, you will handle contracting and credentialing needs for health care providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare networks.
This role is entirely remote and requires the ability to work independently with minimal supervision. The ideal candidate will have excellent communication skills, be highly organized, and possess strong follow-up skills.
Key Responsibilities:- Contracting and Credentialing: Prepare, submit, and manage contracting and credentialing applications to insurance payors across multiple U.S. states
- Communication: Communicate with payors, clinicians, and verification bodies, track application progress, and ensure timely follow-ups and completion
- Clinician Management: Assist with hiring and onboarding clinicians and act as the primary point of contact for all affiliated clinicians
- Record Keeping: Maintain accurate records and update dashboards, tracking tools, and other documents as required
- Alerts and Notifications: Alert providers of new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements
- Process Improvement: Work with internal teams to correct and/or amend rejected contracting applications; update internal workflows to reflect current best practices
- Training and Development: 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 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
Forta offers a collaborative work environment and opportunities for professional growth.
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