ABA Clinical Coordinator

1 day ago


Iloilo City, Western Visayas, Philippines beBeeCredentialing Full time $7,200 - $7,800
Credentialing Specialist

We are seeking a detail-oriented and experienced Credentialing Specialist to manage the credentialing and re-credentialing processes for our clinicians and facilities.

The successful candidate will be responsible for completing and maintaining credentialing and re-credentialing applications, submitting applications to commercial and Medicaid payers, tracking credentialing statuses, following up on delays, and maintaining regular communication with insurance companies.

Additionally, the individual will be responsible for maintaining up-to-date records of licensure, certifications, background checks, liability insurance, and other compliance documentation. They will also coordinate start dates with HR and scheduling teams to ensure clinicians are active before seeing clients.

Key Responsibilities:

  • 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
Requirements:
  • 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


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