Contracting and Credentialing Expert

1 week ago

Jamnagar, Gujarat, India beBeeCredentialing Full time US$ 80,000 - US$ 1,00,000
Job Title: Remote Contracting and Credentialing Specialist

We are seeking a skilled professional to join our dynamic team as a Contracting and Credentialing Specialist. This role will be responsible for handling contracting and credentialing needs for our health care providers, diagnostic laboratories, and medical facilities as preferred providers in healthcare networks.

  • Main 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.

About the Role:

This is an exciting opportunity for a highly organized and detail-oriented individual to join our team. As a Contracting and Credentialing Specialist, you will play a crucial role in ensuring that our healthcare providers, diagnostic laboratories, and medical facilities meet the necessary credentialing requirements to provide high-quality care to patients.

Requirements:

  • Education:
    • Bachelor's degree in a related field such as business, healthcare administration, or a related field.
  • Experience:
    • Minimum 2 years of experience in contracting and credentialing, preferably in the healthcare industry.
  • Skillset:
    • Excellent communication and interpersonal skills.
    • Ability to work independently and as part of a team.
    • Strong organizational and time management skills.
    • Proficiency in Microsoft Office Suite, particularly Excel and Word.

What We Offer:

We offer a competitive salary and benefits package, including health insurance, retirement plan, and paid time off. We also provide opportunities for professional growth and development, as well as a dynamic and supportive work environment.

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