ABA Credentialing Specialist - Insurance Network Expert

Global Pacific Support; Philippines; Remote; PHP 334,800 - 446,400; Full time

Job summary

A healthcare services company is seeking an experienced Credentialing Specialist in the Philippines to manage provider credentialing applications, especially for ABA therapy. Ideal candidates will have at least 2 years of experience with US medical credentialing and strong skills in documentation and communication. This role requires maintaining compliance with payer requirements and managing relationships with insurance networks such as Aetna and UnitedHealthcare.

Qualifications

• At least 2 years experience in US medical credentialing.
• Experience credentialing Board Certified Behavior Analysts (BCBA) or healthcare providers.
• Strong knowledge of US insurance credentialing processes.

Responsibilities

• Process provider credentialing applications.
• Manage CAQH provider profiles and updates.
• Credential providers with insurance networks.

Skills

US medical credentialing

Communication skills

Independent working

Job description

A healthcare services company is seeking an experienced Credentialing Specialist in the Philippines to manage provider credentialing applications, especially for ABA therapy. Ideal candidates will have at least 2 years of experience with US medical credentialing and strong skills in documentation and communication. This role requires maintaining compliance with payer requirements and managing relationships with insurance networks such as Aetna and UnitedHealthcare.