
Certified ABA Credentialing Professional
14 hours ago
This role involves overseeing the credentialing and re-credentialing processes for clinicians and facilities, ensuring that all staff are properly credentialed and compliant with industry standards.
- Manage credentialing applications, renewals, and terminations for BCBAs, RBTs, and other ABA professionals
- Submit accurate and timely applications to commercial and Medicaid payers, including CAQH, NPI, PECOS, and individual payer portals
- 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 seamless onboarding
- Ensure timely submission of demographic updates, reassignment of benefits, and provider termination notices
- Monitor credentialing expiration dates and initiate renewals in advance
Requirements:
- Proven 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, time management, and communication skills
- Proficiency with EMR systems like CentralReach, Rethink, or Catalyst
- Ability to manage sensitive information with a high level of confidentiality and accuracy
What We Offer:
- Remote work opportunities
- Competitive compensation
- A supportive team environment
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