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Credentialing Specialist at ReWorks Solutions

, , South Africa -

Full Time

Start Date

Immediate

Expiry Date

17 May, 26

Salary

0.0

Posted On

16 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Recredentialing, License Verification, Compliance, Record Maintenance, Audits Support, Administrative Skills, Organizational Skills, Attention To Detail, Communication Skills, Microsoft Office, Google Workspace, Payer Enrollment, Regulatory Requirements

Industry

Outsourcing and Offshoring Consulting

Description

Job Title: Credentialing Specialist Job Type: Full-Time, Remote Hours: US Hours (9am-5pm EST) Responsibilities Manages provider credentialing and recredentialing with payers and networks Collects, verifies, and maintains clinician licenses, certifications, and required documents Submits and tracks applications for BCBAs, RBTs, and supervising clinicians Ensures compliance with payer, state, and regulatory requirements Monitors expiration dates and proactively renews credentials Maintains accurate credentialing records and supports audits Coordinates with billing, HR, and clinical leadership to prevent service delays Receiving new hire and termination updates Verifying licenses and certifications from onboarding files Aligning start dates with payer approval Alerting HR to expirations or issues Sharing credential status for staffing and payroll Previous experience in provider credentialing, ideally within an ABA, healthcare, or behavioral health setting. Knowledge of insurance enrollment processes and common payer requirements. Strong administrative and organizational skills with high attention to detail. Ability to manage multiple applications and deadlines simultaneously. Excellent written and verbal communication skills. Proficient in Microsoft Office / Google Workspace; experience with credentialing software is a plus. Ability to work independently in a remote environment. Comfortable working U.S. hours Remote work from home Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.

Responsibilities

The specialist will manage the entire provider credentialing and recredentialing process with payers and networks, ensuring all clinician documentation like licenses and certifications are collected, verified, and maintained accurately. This includes submitting and tracking applications for various clinical roles and ensuring strict adherence to payer, state, and regulatory compliance standards.