Pursue a Career as a Contracting and Credentialing Specialist

7 hours ago

Pune, Maharashtra, India beBeeCredentialing Full time ₹ 9,00,000 - ₹ 12,00,000
Job Description:

We are seeking a seasoned Contracting and Credentialing Professional to join our team. In this role, you will be responsible for handling contracting and credentialing needs for healthcare providers across multiple states.

The ideal candidate will have at least 2 years of experience in the US-based contracting and credentialing process for providers. They should be deeply familiar with the US medical insurance industry and have worked with multiple insurance providers through the credentialing process. Medicaid and Medicare experience is highly valued.

  • 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; this includes proactive payor contact to ensure applications are filled out correctly
  • 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.

Our organization 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 board.

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