
Remote Contracting and Credentialing Professional
13 hours ago
We are seeking a skilled Contracting and Credentialing Specialist to join our team on a remote basis. This professional will be responsible for handling contracting and credentialing needs for US-based healthcare providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare networks.
The ideal candidate will have at least 2 years of experience in the US-based contracting and credentialing process for providers. They will also possess deep knowledge of the US medical insurance industry and have worked with multiple insurance providers through the credentialing process.
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 and advise on potential concerns or improvements.
- 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.
- Able to work autonomously with minimal supervision 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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