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

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