ABA Programs Ops & Credentialing Coordinator

Outsource Recruiter; Philippines; Hybrid; PHP 276,000 - 413,000; Part time

Job summary

Outsource Recruiter is seeking an ABA Credentialing & Operations Coordinator to support credentialing, enrollment, and operational workflows for the ABA program.

The role coordinates between management, BCBAs, RBTs, referral sources, payers, and internal teams to ensure service initiation and program efficiency. The candidate should have direct ABA experience, strong organizational skills, and proactive communication.

Qualifications

• Direct professional ABA experience
• Hands-on healthcare credentialing and provider enrollment
• Experience credentialing BCBAs, RBTs, or behavioral health providers
• Experience with Medicaid, MCOs, and/or commercial payers
• Experience with CAQH, NPI/NPPES, payer portals, or similar credentialing systems
• Strong EHR experience
• Experience supporting referrals, intake, authorizations, provider onboarding, or healthcare program operations
• Strong spreadsheet and tracking skills using Google Sheets, Excel, or similar systems
• Strong written and verbal English communication
• Comfortable communicating with payers, providers, coordinators, staff, and external organizations
• Strong follow-through and ability to manage multiple cases and deadlines
• Ability to independently research unfamiliar requirements and work with limited supervision

Responsibilities

• Manage initial credentialing, enrollment, recredentialing, and provider documentation.
• Complete and submit organizational and individual provider applications.
• Coordinate credentialing requirements for BCBAs, RBTs, and other applicable providers.
• Communicate with Medicaid programs, managed care organizations, commercial insurers, and credentialing departments.
• Track credentialing applications, payer effective dates, expiration dates, licenses, certifications, liability insurance, recredentialing deadlines, and outstanding requirements.
• Maintain organized credentialing trackers and provider files.
• Support payer expansion in Maryland and additional networks.
• Assist with Optum credentialing and enrollment.
• Maintain requirements related to HSCSN and other payer relationships.
• Manage CAQH, NPI/NPPES, payer portals, provider rosters, W-9s, EFT/ERA enrollment, and related documentation.
• Follow up consistently on pending applications until resolution.
• Identify upcoming credentialing and recredentialing requirements before deadlines become urgent.

Skills

ABA experience

Healthcare credentialing

Provider enrollment

EHR administration

English communication

Documentation tracking

Research ability

Tools

CAQH

NPI/NPPES

Payer portals

EHR systems

Google Sheets/Excel

Job description

Outsource Recruiter is seeking an ABA Credentialing & Operations Coordinator to support credentialing, enrollment, and operational workflows for the ABA program.

The role coordinates between management, BCBAs, RBTs, referral sources, payers, and internal teams to ensure service initiation and program efficiency. The candidate should have direct ABA experience, strong organizational skills, and proactive communication.