ABA Credentialing Specialist (US Healthcare) - EST Remote

4 days, 3 hours ago
Full-time
Mid Level
Customer and Technical Support
ISTA Solutions

ISTA Solutions

ISTA Solutions is a one-stop outsourcing company that provides quality and cost-efficient services and solutions. They offer tailor-made workflow solutions, skilled agents dedicated to clients, global resources for comprehensive support, and a focus on...

Professional Services
251-1K
Founded 2015

Description

  • Own end-to-end credentialing and re-credentialing for ABA providers with U.S. insurance payers.
  • Submit and track credentialing applications across commercial and government payer networks.
  • Monitor deadlines and follow up on outstanding items to keep credentialing timelines on track.
  • Maintain accurate provider records, documentation, and digital filing systems.
  • Ensure ongoing compliance with payer requirements and communicate changes to stakeholders.
  • Support provider onboarding and enrollment from initial submission through approval.
  • Communicate with providers, payer contacts, and internal teams in a professional manner.

Requirements

  • Hands-on experience credentialing ABA providers in the U.S. is required.
  • Working knowledge of U.S. insurance payer enrollment and credentialing processes is required.
  • Familiarity with credentialing portals and U.S. healthcare documentation standards is required.
  • High attention to detail and the ability to avoid credentialing errors is required.
  • Ability to manage multiple open files independently without micromanagement is required.
  • Strong written English and professional communication skills for U.S.-based clients and payers are required.
  • A reliable internet connection and proper remote working setup are required.
  • Experience credentialing BCBAs, RBTs, or ABA clinics specifically is highly advantageous.
  • Fluency with CAQH, NPI, PECOS, and commercial payer portals is highly advantageous.
  • Prior remote work experience with U.S.-based healthcare companies is highly advantageous.

Benefits

  • Fully remote work environment.
  • Set working hours of Monday through Friday, 9:00 AM to 6:00 PM EST.
  • Compensation for South African public holidays in accordance with the BCEA.
  • Opportunity to work as a dedicated extension of U.S.-based client teams.

Interested in this position?

Apply directly on the company website

Apply Now

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