Remote Credentialing Specialist

FORTA'S MISSION:

As the rate of diagnosed autism cases increases, the ability to provide care has stagnated. Currently, autism support via Applied Behavior Analysis (ABA) therapy is difficult to access, thus leading to long wait lists. Forta is clearing the path to quality healthcare by delivering routes to the best possible outcomes with the utmost convenience.

At Forta, we are reinventing how we deliver ABA support so families can get the care they need, without long waitlists. Our ABA Parent Training Course empowers families to work directly with BCBAs to deliver quality, certified care. We're also improving the future of the ABA experience for families by creating software and predictive algorithms that help clinicians work smarter with the latest and most effective care knowledge.

YOUR DAY AT FORTA:

• Manage the credentialing and re-credentialing of providers (both medicaid and commercial insurance).
• Prepare, verify, and submit credentialing applications to payers and relevant state agencies.
• Maintain up-to-date provider records in credentialing databases.
• Monitor application status and follow up with payers to ensure timely approval and effective dates.
• Provide expert knowledge and advice on group contracting and clinician credentialing processes, regulations, and best practices.
• Maintain clear and effective communication across internal teams, including clinicians, licensing boards, and management, ensuring responses to notifications are timely and comprehensive.
• Stay up-to-date with industry trends, changes in regulations, and emerging issues related to contracting and credentialing.

WHAT YOU NEED TO SUCCEED:

• Bachelor's degree in healthcare administration, business, or a related field
• Ability to collaborate closely with a team while taking ownership of tasks and ensuring their completion independently.
• Proficient in working efficiently in fast-paced settings, with flexibility and a willingness to learn new tasks as they arise.
• Excellent soft skills for interacting with clients and internal staff, maintaining a positive and professional experience.
• Exceptional communication skills, both written and verbal, with the ability to articulate complex concepts to diverse audiences.
• Willingness and ability to quickly learn and navigate digital platforms to complete tasks related to credentialing and re-credentialing
• Strong interpersonal skills and the ability to collaborate effectively with cross-functional teams.
• Detail-oriented with excellent organizational and time management skills.
• Ability to work independently and handle multiple projects simultaneously.

YOU NEED IT? WE GOT IT:

Compensation Rate: ₱ 390 per hour

Apply Today

We are looking for you A driven, reliable, innovative, and patient-focused individual to join our team as we reinvent the care and tools available to neuro-diverse families. If this position sounds like the opportunity you have been searching for, we want to speak with you

We look forward to working with you

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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status. Forta is a Drug Free Workplace/ EO employer – M/F/Veteran/Disability

Job Types: Full-time, Part-time

Pay: Up to Php390.00 per hour

Benefits:

• Work from home

Application Question(s):

• Do you have prior experience in Applied Behavior Analysis (ABA)?
• Are you comfortable working as an independent contractor and aligning your schedule with U.S. business hours?
• This position requires the installation of time-tracking software on your computer to monitor work hours. Are you willing to comply with this requirement?
• What is your expected hourly rate in Philippine Pesos?
• Are you available to start immediately?
• Please complete the EF SET English test at and share your score and proficiency level (e.g., B2, C1).
• Tell us why you make a great candidate for this role. Keep your answers to under 3minutes and use and copy paste the link to your recording here.

Work Location: Remote