Credentialing Specialist (39262014079)

Collaborate with BCBAs to maintain CAQH profiles for clean credentialing

Maintain BCBA documentation, including onboarding documents required for credentialing

Enroll providers with commercial and government payors; revalidate providers with relevant health plans

Accurately complete and submit enrollment applications and related documents to health plans

Audit payor directories to ensure current and accurate provider information

Handle payor calls to resolve contracting and credentialing issues

Ensure compliance with regulatory requirements from commercial health plans and state agencies

Prepare commercial, Medicaid, and third-party application forms for new provider credentialing and enrollment

Manage reports and provider accounts for re-credentialing, re-validation, and expirables

Attend health plan trainings to keep internal teams informed of insurance process updates

Eager to join a mission-driven organization with a focus on transforming ABA service delivery

Strong and clear communicator who builds trust and team alignment

Detail-oriented and committed to delivering high-quality work

Proactive problem-solver with a sense of urgency

Curious and motivated learner who embraces new challenges

Capable of managing multiple tasks and shifting priorities efficiently

Minimum 3 years of relevant experience in ABA credentialing preferred

At least 1 year of experience working in ABA settings is required

Minimum 1 year of credentialing experience is required