Contracting and Credentialing Expert

2 days ago

Palakkad, Kerala, India beBeeCredentialing Full time US$ 90,000 - US$ 1,05,000

Our Mission:

At FORTA, we're driven by a singular vision: to revolutionize the delivery of quality healthcare by streamlining processes and amplifying convenience.

We're committed to elevating the ABA experience for families through innovative software and predictive algorithms that empower clinicians to work more efficiently. Our focus is on enhancing patient journeys and delivering personalized care using cutting-edge technology, while investing in world-class team growth.

Job Overview:

Contracting and Credentialing Specialist

This role involves working remotely from 6 PM to 3 AM IST to align with U.S. business hours.

Responsibilities Include:

  • Preparing, submitting, and managing contracting and credentialing applications across multiple U.S. states
  • Communicating with payors, clinicians, and verification bodies, tracking progress, and ensuring timely follow-ups and completion
  • Assisting with hiring and onboarding clinicians and serving as primary point of contact for affiliated clinicians
  • Maintaining accurate records and updating dashboards, tracking tools, and other documents as required
  • Alerting providers of new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements
  • Collaborating with internal teams to rectify and/or amend rejected contracting applications and update internal workflows to reflect current best practices based on up-to-date payor and industry requirements
  • Training team members with varying levels of experience and seniority in contracting and credentialing processes

Requirements:

  • Minimum 2 years of experience in US-based contracting and credentialing processes for providers
  • Deep knowledge of the US medical insurance industry and experience working with multiple insurance providers through the credentialing process
  • Excellent English speaking, listening, and written communication skills, along with dependable responsiveness
  • Ability to work autonomously with minimal supervision, regular reporting, and thorough execution of work plans
  • 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 adhere to company security practices

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