Clinical Credentials Coordinator

3 days ago


Tarlac City, Central Luzon, Philippines beBeeCredentialing Full time $7,200 - $7,800
Credentialing Specialist Job Description

We are seeking a detail-oriented and experienced Credentialing Specialist with a strong background in ABA therapy services to manage the credentialing and re-credentialing processes for clinicians and facilities.

  • Complete and maintain 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.
Key Responsibilities:
  • 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.


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