Credentialing Specialist

7 days ago

Manila, National Capital Region, Philippines beBeeCredentialing Full time $7,200 - $7,800
Service Credentialing Professional

The successful Service Credentialing Professional will manage the credentialing and re-credentialing processes for our clinicians and facilities.

This role requires a strong background in ABA therapy services, payer enrollment requirements, and commercial and Medicaid insurance portals. The ideal candidate can navigate these complex systems with ease and ensure uninterrupted service delivery and reimbursement.

The Service Credentialing Professional must be detail-oriented, experienced, and well-versed in the requirements of various payers.

Responsibilities include ensuring all clinicians are properly credentialed and compliant, navigating commercial and Medicaid insurance portals, managing payer enrollment requirements, and maintaining accurate records.

  • Detail-oriented and organized to manage multiple tasks and deadlines
  • Strong understanding of ABA therapy services and payer enrollment requirements
  • Ability to navigate commercial and Medicaid insurance portals
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team

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