Credentialing Specialist (ABA / Insurance Credentialing)

About the role

Global Pacific Support is looking for an experienced Credentialing Specialist to support Ready Set And Go ABA, a provider of Applied Behavior Analysis (ABA) therapy for children with autism. The position is remote and focuses on credentialing behavior analysts and therapists with US insurance payers.

Key responsibilities

• Process provider credentialing applications
• Manage CAQH provider profiles and updates
• Credential providers with insurance networks such as Aetna, Cigna, UnitedHealthcare, Blue Cross Blue Shield and Tricare
• Maintain credentialing documents and licenses
• Track credentialing status and payer approvals
• Follow up with insurance companies on applications
• Ensure compliance with payer and regulatory requirements

Required profile

• At least 2 years of experience in US medical credentialing
• Experience credentialing BCBA, therapists or healthcare providers
• Strong knowledge of the US insurance credentialing process
• Excellent documentation and communication skills, and ability to work independently

Required skills

• CAQH and NPI registration, and payer enrollment
• Preferred: ABA therapy credentialing experience, familiarity with CPT codes and ABA billing, and experience with US healthcare practices