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Credentialing Specialist (ABA / Insurance Credentialing VA) at Genius Agency AI

, , Philippines -

Full Time

Start Date

Immediate

Expiry Date

07 Jun, 26

Salary

0.0

Posted On

09 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, CAQH, NPI Registration, Payer Enrollment, Aetna, Cigna, UnitedHealthcare, Blue Cross Blue Shield, Tricare, Documentation, Communication, BCBA Credentialing, CPT Codes, ABA Billing

Industry

Advertising Services

Description

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 ✔ 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

Responsibilities

The specialist will be responsible for processing provider credentialing applications and managing CAQH provider profiles and updates for behavior analysts and therapists. This includes credentialing providers with major insurance networks and maintaining all necessary documentation and licenses.