
ABA Therapist Certification Specialist
19 hours ago
We are seeking a detail-oriented and experienced Credentialing Specialist to manage the credentialing and re-credentialing processes for our clinicians and facilities.
- Complete and maintain credentialing and re-credentialing applications for BCBAs, RBTs, and other ABA clinicians
- Submit applications to commercial and Medicaid payers, including CAQH, NPI, PECOS, and individual payer portals
- Track credentialing statuses, follow up on delays, and maintain regular communication with insurance companies
- Maintain up-to-date records of licensure, certifications, background checks, liability insurance, and other compliance documentation
- Coordinate start dates with HR and scheduling teams to ensure clinicians are active before seeing clients
- Ensure accuracy and timely submission of demographic updates, reassignment of benefits, and provider termination notices
- Monitor credentialing expiration dates and initiate renewals in advance
- Assist billing team with credentialing-related claim denials and payer issues
This role requires strong knowledge of credentialing processes and insurance requirements, as well as excellent organizational and time management skills. If you have experience working in ABA therapy services and a passion for ensuring seamless operations, we encourage you to apply.
Required Skills and Qualifications- Credentialing experience, preferably in ABA or behavioral health
- Strong knowledge of credentialing processes and insurance requirements (Medicaid, private payers, CAQH, etc.)
- Familiarity with BACB and state licensing requirements for ABA professionals
- Excellent organizational and time management skills
- Strong written and verbal communication skills
- Proficiency with EMR systems like CentralReach, Rethink, or Catalyst
This is a remote work opportunity with flexible scheduling. You will be part of a dynamic team dedicated to providing high-quality support to our clinicians and facilities.
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