Contracting and Credentialing Specialist Career Opportunity
24 hours ago
Career Opportunity for a Contracting and Credentialing Specialist
Forta is a leading provider of quality healthcare services, and we are seeking a skilled Contracting and Credentialing Specialist to join our dynamic team.
This role involves handling contracting and credentialing needs for our US-based health care providers, diagnostic laboratories, and medical facilities as preferred providers in health care networks.
The ideal candidate will have at least 2 years of experience in the US-based contracting and credentialing process for providers, with deep familiarity with the US medical insurance industry and experience working with multiple insurance providers through the credentialing process.
We offer a collaborative work environment, opportunities for professional growth, and a chance to make a meaningful impact.
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 as well as advise on potential concerns or improvements
- Train team members with varying levels of experience and seniority in contracting and credentialing processes
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
- 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 (e.g. VPN, Google workspace) and be willing to adhere to company security practices
Benefits:
We offer a range of benefits to our employees, including a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.
How to Apply:
If you are a motivated and detail-oriented individual with excellent communication skills, we encourage you to apply for this exciting opportunity.
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