Certified ABA Credentialing Professional

7 days ago

Dasmariñas, Calabarzon, Philippines beBeeCredentialing Full time ₱7,200 - ₱7,800

Credentialing Specialist Role Summary:

RemoteVA is seeking a skilled Credentialing Specialist with expertise in managing credentialing and re-credentialing processes for clinicians and facilities. The ideal candidate will have strong knowledge of payer enrollment requirements, particularly for ABA providers, and be able to navigate commercial and Medicaid insurance portals with ease.

Key Responsibilities:
  • Manage 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:
  • Minimum 2 years experience in credentialing, 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
Benefits:
  • Full-time remote work arrangement
  • Competitive compensation package
  • Ongoing training and professional development opportunities

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