ABA Credentialing Professional

2 days ago

Lipa City, Calabarzon, Philippines beBeeCredentialing Full time $7,200 - $7,800
Credentialing Specialist Position

We are seeking a detail-oriented and experienced Credentialing Specialist to manage the credentialing and re-credentialing processes for our clinicians and facilities.



Key Responsibilities:
  • 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


Requirements:
  • 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
  • Ability to manage sensitive information with a high level of confidentiality and accuracy


About This Role

This is a unique opportunity to join our organization as a Credentialing Specialist. In this role, you will be responsible for managing the credentialing and re-credentialing processes for our clinicians and facilities. You will work closely with our HR and scheduling teams to ensure that our clinicians are active and ready to see clients.



What We Offer

We offer a competitive compensation package and a dynamic work environment. If you have a strong background in credentialing and are passionate about delivering excellent service, we encourage you to apply.



Contact Information

Please submit your application, including your resume and cover letter, to [contact email]. We look forward to hearing from you

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