ABA Program Operations

Job title: ABA Program Operations & Credentialing Coordinator Type of employment: Part-time Shift Schedule: 10:00 AM
- 2:00 PM EST High-Level Summary Support the day-to-day operations and continued growth of the company’s Applied Behavior Analysis (ABA) program through credentialing, provider enrollment, referral coordination, EHR administration, client workflow management, provider support, and program administration. This role will serve as a central point of coordination between management, BCBAs, RBTs, service coordinators, case managers, referral sources, payers, recruiting, billing, and other internal stakeholders. The person in this role will help manage clients from referral through service initiation, maintain provider and credentialing requirements, follow up on outstanding items, support ABA program workflows, and assist with the company’s Autism Waiver program and other operational needs when required. The ideal candidate has direct ABA experience, understands healthcare credentialing and provider enrollment, is highly organized, communicates confidently with external stakeholders, and can independently research requirements and manage multiple workflows without constant direction.

About the Company
The company provides autism-related healthcare and developmental disability services, including Applied Behavior Analysis and Autism Waiver services. The organization is continuing to develop and expand its ABA program and needs a strong operations professional who can help maintain the administrative infrastructure required to support clients, providers, payer relationships, and service delivery. Company core values: Accuracy and compliance — committed to maintaining complete, accurate, and up-to-date provider and program documentation. Confidentiality — protects sensitive healthcare, provider, and organizational information with professionalism and discretion. Accountability — takes ownership of applications, deadlines, follow-ups, and outstanding requirements. Organization and consistency — values structured processes, accurate tracking, and reliable execution. Proactive collaboration — communicates regularly with internal staff, providers, payers, and referral sources to keep processes moving. Core Responsibilities ABA Credentialing & Provider Enrollment Manage initial credentialing, enrollment, recredentialing, and provider documentation. Complete and submit organizational and individual provider applications. Coordinate credentialing requirements for BCBAs, RBTs, and other applicable providers. Communicate directly with Medicaid programs, managed care organizations, commercial insurers, and credentialing departments. Track credentialing applications, payer effective dates, expiration dates, licenses, certifications, liability insurance, recredentialing deadlines, and outstanding requirements. Maintain organized credentialing trackers and provider files. Support payer expansion in Maryland and additional networks. Assist with Optum credentialing and enrollment. Maintain requirements related to Health Services for Children with Special Needs (HSCSN) and other payer relationships. Manage CAQH, NPI/NPPES, payer portals, provider rosters, W-9s, EFT/ERA enrollment, and related documentation. Follow up consistently on pending applications until resolution. Identify upcoming credentialing and recredentialing requirements before deadlines become urgent. ABA Program Operations Help establish, document, and maintain ABA operational workflows. Manage administrative processes across the client lifecycle: Referral
- Intake
- Assessment
- Authorization
- Staffing
- Service Initiation Monitor outstanding requirements that may delay client services. Coordinate with BCBAs, RBTs, recruiting, billing, and leadership. Follow up with BCBAs regarding assessments, treatment plans, authorizations, reauthorizations, documentation, and client readiness. Follow up with providers and staff regarding missing or incomplete documentation. Develop and maintain SOPs, checklists, trackers, and internal workflows. Identify operational gaps and recommend practical process improvements. Provide management with regular updates regarding client status, credentialing, referrals, authorizations, staffing, and outstanding items. New Client Workflow & Provider Coordination Manage administrative workflows for new ABA referrals. Track prospective clients from referral through service initiation. Coordinate administrative requirements related to BCBA and RBT assignments. Track clients waiting for intake, assessment, authorization, staffing, documentation, or service start. Communicate staffing needs to recruiting and talent acquisition. Confirm required documentation is complete before services begin. Maintain clear visibility into the status and next step for each prospective and active client. EHR Administration Create and maintain client profiles. Create and maintain BCBA and RBT profiles. Enter and update client and provider informatio