ABA Therapy Services Credentialing Expert

3 days ago

Iloilo City, Western Visayas, Philippines beBeeCredentialing Full time $7,200 - $7,800
Role Overview

We are seeking a detail-oriented and experienced credentialing professional with a strong background in ABA therapy services to manage the credentialing and re-credentialing processes for our clinicians and facilities. The ideal candidate is well-versed in payer enrollment requirements, particularly for ABA providers, and can navigate commercial and Medicaid insurance portals with ease.

This role ensures that all clinicians are properly credentialed and compliant, allowing uninterrupted service delivery and reimbursement.

Key Responsibilities include:

  • Completing and maintaining credentialing and re-credentialing applications for BCBAs, RBTs, and other ABA clinicians
  • Submitting applications to commercial and Medicaid payers, including CAQH, NPI, PECOS, and individual payer portals
  • Tracking credentialing statuses, following up on delays, and maintaining regular communication with insurance companies
  • Maintaining up-to-date records of licensure, certifications, background checks, liability insurance, and other compliance documentation
  • Coordinating start dates with HR and scheduling teams to ensure clinicians are active before seeing clients
  • Ensuring accuracy and timely submission of demographic updates, reassignment of benefits, and provider termination notices
  • Monitoring credentialing expiration dates and initiating renewals in advance
  • Assisting billing team with credentialing-related claim denials and payer issues

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