Healthcare Contracting and Credentialing Professional

14 hours ago

Ahmedabad, Gujarat, India beBeeCredentialing Full time ₹ 90,00,000 - ₹ 1,20,00,000
Key Role: Contracting and Credentialing Expert

In today's healthcare landscape, delivering quality services with convenience is paramount. With one in thirty-six children diagnosed with autism, there is a growing need for accessible Applied Behavior Analysis (ABA) support.

Our team is developing innovative software and predictive algorithms to enhance the ABA experience for families. We are seeking a skilled Contracting and Credentialing Specialist who will handle contracting and credentialing needs for US-based health care providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare networks.

Responsibilities include:

  • Preparing, submitting, and managing contracting and credentialing applications to insurance payors across multiple U.S. states
  • Communicating with payors, clinicians, and verification bodies to track application progress and ensure timely follow-ups and completion
  • 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 and advising on potential concerns or improvements
  • Training team members with varying levels of experience and seniority in contracting and credentialing processes

To be successful in this role, you must possess:

  • At least 2 years 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
  • 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

We offer a collaborative work environment, opportunities for professional growth, and a chance to make a meaningful impact in the lives of our clients.

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