ABA Service Coordinator

2 days ago

Angeles City, Central Luzon, Philippines beBeeCredentialing Full time ₱7,200 - ₱76,800

We are seeking a highly skilled Credentialing Specialist to join our team.

The ideal candidate will have a strong background in ABA therapy services, with experience in credentialing and re-credentialing processes.

Key Responsibilities:
  • Ensure uninterrupted service delivery and reimbursement by managing 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
  • Knowledge of ABA-specific billing and compliance processes
Why This Role Matters:

This role is critical to ensuring the success of our clinical operations. The successful candidate will be responsible for ensuring that all clinicians are properly credentialed and compliant with regulatory requirements.

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