Contracting and Credentialing Expert

7 days ago

Kurnool, Andhra Pradesh, India beBeeCredentialing Full time ₹ 8,00,000 - ₹ 10,00,000
Job Overview:

Forta is pioneering healthcare access by streamlining quality outcomes through innovative solutions.

We are seeking a highly skilled Contracting and Credentialing Specialist to join our team. In this role, you'll be responsible for handling contracting and credentialing needs for US-based health care providers, diagnostic laboratories, and medical facilities as preferred providers in health care networks.

The ideal candidate will possess at least 2 years of experience in the US-based contracting and credentialing process, deep familiarity with the US medical insurance industry, and exceptional English communication skills. They must be highly organized, detail-oriented, and proficient in using Google Workspace, tracking tools, and internal platforms.

Key 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; update internal workflows to reflect current best practices based on up-to-date payor and industry requirements
Requirements:
  • 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 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
  • Comfortable using Google Workspace, tracking tools, and internal platforms

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