About the role
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
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