
Healthcare Credentialing Administrator
2 days ago
Forta aims to deliver the best possible healthcare outcomes with unparalleled convenience.
Our company is enhancing the future of Applied Behavior Analysis (ABA) by developing software and predictive algorithms that empower clinicians to work more efficiently.
This role entails managing contracting and credentialing needs for US-based health care providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare networks.
Key Responsibilities:
- Prepare, submit, and oversee contracting and credentialing applications to insurance payors across multiple U.S. states.
- Communicate with payors, clinicians, and verification bodies to ensure timely follow-ups and completion.
- 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.
- Collaborate with internal teams to correct and/or amend rejected contracting applications.
Requirements:
- At least 2 years experience in US-based contracting and credentialing process 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.
- Able to work autonomously with minimal supervision and execute work plans thoroughly.
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