Healthcare Contracting and Credentialing Expert

9 hours ago

Thāne, Maharashtra, India beBeeCredentialing Full time ₹ 20,00,000 - ₹ 35,00,000

Forta's Mission:

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We are revolutionizing access to quality healthcare by delivering unparalleled convenience and outcomes. Our approach involves creating software and predictive algorithms that empower clinicians to work smarter by surfacing relevant case data.

Our goal is to continuously improve the patient journey, applying smart technology, and investing in a world-class team.

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Job Description:

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

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  • 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.
  • Train team members with varying levels of experience and seniority in contracting and credentialing processes.
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Required Skills and Qualifications:

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To be successful in this role, you will need:

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  • At least 2 years of experience in the US-based contracting and credentialing process for providers.
  • Deep familiarity with the US medical insurance industry and have worked 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.
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Benefits:

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Join our 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 our team.

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