ABA Therapist Credentialing Professional

7 days ago

Manila, National Capital Region, Philippines beBeeCredentialing Full time ₱7,200 - ₱7,800

Credentialing Specialist Role Overview

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We are seeking a detail-oriented and experienced Credentialing Specialist to manage the credentialing and re-credentialing processes for our clinicians and facilities. This role requires strong knowledge of credentialing processes and insurance requirements, particularly for ABA providers.

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About this Role:

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This is a remote work opportunity that offers flexible scheduling and a competitive compensation package. The ideal candidate will be well-versed in payer enrollment requirements and able to navigate commercial and Medicaid insurance portals with ease.

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Key Responsibilities:

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  • 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
  • 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
  • Stay updated with payer policy changes and credentialing guidelines, especially those impacting ABA services">
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Requirements:

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To be successful in this role, you will need:

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  • Credentialing experience, 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
  • Ability to manage sensitive information with a high level of confidentiality and accuracy
  • Knowledge of ABA-specific billing and compliance processes">
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Benefits:

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This role offers a range of benefits, including:

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  • Purely work-from-home arrangement
  • Night Shift (EST)
  • Weekly pay">
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What We Offer:

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We offer a dynamic and supportive work environment, with opportunities for professional growth and development.

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