Remote Healthcare Specialist

1 week ago

Davangere, Karnataka, India beBeeCredentialing Full time ₹ 10,00,000 - ₹ 15,00,000
Healthcare Professional - Contracting and Credentialing Expert

Forta is revolutionizing healthcare delivery by streamlining processes for quality outcomes with unparalleled convenience.

This role entails managing contracting and credentialing needs for US-based health care providers, diagnostic laboratories, and medical facilities as preferred providers in health care networks.

Key Responsibilities:
  • Coordinate the preparation, submission, and management of contracting and credentialing applications to insurance payors across multiple U.S. states.
  • Communicate effectively with payors, clinicians, and verification bodies, track application progress, and ensure timely follow-ups and completion.
  • Support hiring and onboarding clinicians and serve as the primary point of contact for affiliated clinicians.
  • Maintain accurate records and update dashboards, tracking tools, and other documents as required.
  • Notify providers of new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements.
  • Collaborate 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:
  • A minimum of 2 years' 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 high levels of responsiveness.
  • Ability 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.

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