Credentialing Specialist (ABA / Insurance Credentialing VA)

1 month, 1 week ago
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Description

  • Process provider credentialing applications.
  • Manage and update CAQH provider profiles.
  • Credential providers with insurance networks including 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 regarding submitted applications.
  • Ensure compliance with payer and regulatory requirements.

Requirements

  • At least 2 years of experience in U.S. medical credentialing.
  • Experience credentialing Board Certified Behavior Analysts (BCBAs), therapists, or other healthcare providers.
  • Experience with CAQH, NPI registration, and payer enrollment.
  • Strong knowledge of the U.S. insurance credentialing process.
  • Excellent documentation and communication skills.
  • Ability to work independently.
  • ABA therapy credentialing experience preferred.
  • Familiarity with CPT codes and ABA billing preferred.
  • Experience working with U.S. healthcare practices preferred.

Interested in this position?

Apply directly on the company website

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