
ABA Therapy Services Credentialing Manager
2 days ago
We seek a detail-oriented and experienced Credentialing Specialist with a strong background in ABA therapy services to manage the credentialing and re-credentialing processes.
Key Responsibilities:
- Complete and maintain credentialing and re-credentialing applications for BCBAs, RBTs, and other ABA clinicians ensuring timely submission and follow-up on delays.
- Track credentialing statuses, initiate renewals in advance, and maintain regular communication with insurance companies regarding application status updates.
- Maintain up-to-date records of licensure, certifications, background checks, liability insurance, and other compliance documentation accurately and efficiently.
- Coordinate start dates with HR and scheduling teams to ensure active clinician presence before client interactions.
- Ensure accuracy and timely submission of demographic updates, reassignment of benefits, and provider termination notices.
Requirements:
- Proven credentialing experience preferably in ABA or behavioral health environments.
- Strong knowledge of credentialing processes, insurance requirements, and industry regulations.
- Familiarity with BACB and state licensing requirements for ABA professionals enhancing organizational skills.
- Excellent written and verbal communication skills for effective collaboration with billing team members.
- Proficiency with EMR systems such as CentralReach, Rethink, or Catalyst facilitating efficient data management.
- High level of confidentiality and accuracy in managing sensitive information.
- Knowledge of ABA-specific billing and compliance processes ensuring accurate submissions.
Why This Role Matters:
This position plays a critical role in ensuring seamless credentialing and re-credentialing processes enabling our team to provide exceptional services to clients.
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