ABA Clinical Operations Manager

2 days ago


Angeles City, Central Luzon, Philippines beBeeClinical Full time $7,200 - $7,800
Clinical Operations Specialist - ABA (Applied Behavior Analysis)

We are seeking a detail-oriented and experienced Clinical Operations Specialist with a strong background in ABA therapy services to oversee the clinical operations processes for our clinicians and facilities.

  • Manage credentialing and re-credentialing applications for BCBAs, RBTs, and other ABA clinicians
  • Process applications through commercial and Medicaid insurance portals, including CAQH, NPI, PECOS, and individual payer portals
  • Track clinical operation statuses, follow up on delays, and maintain regular communication with healthcare organizations
  • Maintain up-to-date records of licensure, certifications, background checks, liability insurance, and other compliance documentation
  • Coordinate start dates with 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 clinical operation expiration dates and initiate renewals in advance
  • Assist billing team with clinical operation-related claim denials and payer issues
  • Stay updated with regulatory requirements and clinical guidelines, especially those impacting ABA services

The ideal candidate should have strong knowledge of clinical operations processes and healthcare regulations, particularly Medicaid and private payers, and be proficient with electronic medical record systems like CentralReach, Rethink, or Catalyst.



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