Credentialing Specialist (ABA / Insurance Credentialing VA)

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