Clinical Credentials Manager

3 days ago


Taguig, National Capital Region, Philippines beBeeCredentialing Full time $7,200 - $7,800
Credentialing and Re-Credentialing Specialist

Seek a meticulous Credentialing and Re-Credentialing Specialist to oversee the credentialing processes for clinicians and facilities. The ideal candidate should have in-depth knowledge of ABA therapy services, payer enrollment requirements, and strong organizational skills.

Key Responsibilities:
  • Maintain up-to-date records of licensure, certifications, background checks, liability insurance, and other compliance documentation
  • Track credentialing statuses, follow up on delays, and maintain regular communication with insurance companies
  • Complete and submit credentialing and re-credentialing applications for BCBAs, RBTs, and other ABA clinicians
  • 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

The successful candidate will possess excellent analytical and problem-solving skills, as well as experience in credentialing, preferably in ABA or behavioral health.

Requirements:
  • Bachelor's degree in Healthcare Administration, Business, or related field
  • Minimum 2 years of experience in credentialing, preferably in ABA or behavioral health
  • Excellent organizational and time management skills
  • Strong analytical and problem-solving skills
  • Ability to work independently and collaboratively within a team environment


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