Remote Contracting Specialist

7 days ago


Thāne, Maharashtra, India beBeeCredentialing Full time US$ 90,000 - US$ 1,20,000

FORTA'S MISSION:

Forta is clearing the path to quality healthcare by delivering the best possible outcomes with the utmost convenience. 1 in 36 children [CDC, 2023] is diagnosed to be on the autism spectrum.  Currently, autism support via Applied Behavior Analysis (ABA) is difficult to access and the delivery model must be expanded to provide earlier access to families. 

Forta is not only providing ABA services to our clients, but we're also improving the future of the ABA experience for families by creating software and predictive algorithms that elevate clinicians to work smarter by surfacing the latest and most relevant case data.  We are working diligently to continuously improve the patient journey and deliver personalized care by applying smart technology and investing in the growth of our world-class team. 

We are looking for a skilled Contracting and Credentialing Specialist to join Forta's dynamic team. In this role, you will handle contracting and credentialing needs for our US-based health care providers, diagnostic laboratories, and medical facilities as preferred providers in health care networks.

This role involves

  • 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; this includes proactive payor contact to ensure applications are filled out correctly
  • Assisting with hiring and onboarding clinicians and acting as the primary point of contact for all 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.
  • Working with internal teams to correct and/or amend rejected contracting applications; updating internal workflows to reflect current best practices based on up-to-date payor and industry requirements as well as advising on potential concerns or improvements.
  • Training team members with varying levels of experience and seniority in contracting and credentialing processes.

You bring

  • A minimum of 2 years of experience in the US-based contracting and credentialing process for providers.
  • Deep familiarity with the US medical insurance industry and experience working with multiple insurance providers through the credentialing process. Medicaid and Medicare experience is a plus.
  • 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.
  • BYOD - must have a secure device compatible with required software/applications and be willing to adhere to company security practices.

We offer a collaborative work environment, opportunities for professional growth, and a chance to make a meaningful impact. If you are data-driven, detail-oriented, and capable of wearing multiple hats, we would love to have you on board

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. We are an Equal Opportunity Employer – M/F/Veteran/Disability.



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