Healthcare Contracting Specialist

3 days ago

Dombivli, Maharashtra, India beBeeCredentialing Full time US$ 64,000 - US$ 88,000
Contracting and Credentialing Professional

We are seeking a skilled professional to handle contracting and credentialing needs for US-based health care providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare networks.

This role will involve preparing, submitting, and managing contracting and credentialing applications to insurance payors across multiple U.S. states, communicating with payors, clinicians, and verification bodies, tracking application progress, and ensuring timely follow-ups and completion.

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

Key Responsibilities:

  • Application Preparation and Submission: Prepare, submit, and manage contracting and credentialing applications to insurance payors across multiple U.S. states.
  • Communication and Tracking: Communicate with payors, clinicians, and verification bodies, track application progress, and ensure timely follow-ups and completion.
  • Provider Support: Assist with hiring and onboarding clinicians and act as the primary point of contact for all affiliated clinicians.
  • Record Keeping and Dashboards: Maintain accurate records and update dashboards, tracking tools, and other documents as required.
  • Regulatory Compliance: Alert providers of new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements.

Required Skills and Qualifications:

  • At least 2 years of 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 and dependably high levels of responsiveness.
  • Able to work autonomously with minimal supervision, report regularly, and execute work plans thoroughly.
  • Highly organized and detail-oriented with strong follow-up skills.

Benefits:

Forta offers a collaborative work environment, opportunities for professional growth, and a chance to make a meaningful impact.

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