Contracting and Credentialing Solutions Professional

5 days ago

Surat, Gujarat, India beBeeCredentialing Full time ₹ 90,00,000 - ₹ 1,20,00,000
Job Description

We are seeking a skilled Contracting and Credentialing Specialist to handle contracting and credentialing needs for our US-based healthcare providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare networks.

This role is entirely remote and requires the candidate to be comfortable working from 6 PM to 3 AM IST to align with U.S. business hours.

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; update internal workflows to reflect current best practices based on up-to-date payor and industry requirements
Requirements:
  • 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. Medicaid and Medicare experience is a plus
  • 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
Benefits

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.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Forta is a Drug-Free Workplace/EO employer – M/F/Veteran/Disability

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