Global Pacific Support is seeking an experienced Credentialing Specialist to support Ready Set And Go ABA, a provider of compassionate and evidence-based Applied Behavior Analysis (ABA) Therapy services for children with autism.
The ideal candidate has experience credentialing behavior analysts and therapists with US insurance payers.
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
- Tricare
- Maintain credentialing documents and licenses
- Track credentialing status and payer approvals
- Follow up with insurance companies regarding applications
- Ensure compliance with payer and regulatory requirements
Requirements
Requirements
At least 2 years experience in US medical credentialing
Experience credentialing Board Certified Behavior Analysts (BCBA), therapists, or healthcare providers
Experience with CAQH, NPI registration, and payer enrollment
Strong knowledge of US insurance credentialing process
Excellent documentation and communication skills
Ability to work independently
Preferred
- ABA therapy credentialing experience
- Familiarity with CPT codes and ABA billing
- Experience working with US healthcare practices
