ABA Billing & Credentialing Specialist — Part-Time, In-Office

Majestic Care ABA; Rolling Meadows (IL); On-site; USD 32,000 - 45,000; Part time

Job summary

Majestic Care ABA is seeking an ABA Billing & Credentialing Specialist in Rolling Meadows, IL for a part-time, in-office role. The position focuses on Verification of Benefits, ABA authorizations, and provider credentialing with commercial plans and Medicaid.

The ideal candidate will have 2+ years in healthcare billing or credentialing, familiarity with CAQH, NPI, payer portals, and Medicaid enrollment systems, and strong organizational skills.

Qualifications

• Experience in healthcare billing, insurance verification, prior authorizations, credentialing or related healthcare admin role preferred.
• Experience with ABA services, VOB, authorizations, credentialing or insurance processes preferred.
• Familiarity with commercial insurance plans and Medicaid enrollment systems preferred.

Responsibilities

• Verify client insurance eligibility and benefits for ABA services, including coverage limits, deductibles, copays, coinsurance, out-of-pocket maximums, and authorization requirements.
• Obtain, submit, and track initial and ongoing ABA prior authorizations and reauthorizations with commercial insurance plans and Medicaid.
• Monitor authorization periods, approved units, service codes, and expiration dates and proactively initiate renewals to prevent gaps in services.
• Complete and maintain accurate Verification of Benefits documentation and communicate coverage requirements to appropriate internal teams.
• Manage ABA provider credentialing and recredentialing with commercial payers and Medicaid, including initial applications, renewals, revalidations, and roster updates.
• Maintain accurate provider information and credentialing documentation, including licenses, certifications, NPI information, CAQH records, and other required documents.
• Research payer-specific credentialing, enrollment, and authorization requirements and ensure applications and submissions are complete and accurate.
• Follow up with insurance companies and Medicaid plans regarding pending authorizations, credentialing applications, enrollment status, and outstanding documentation.
• Maintain accurate payer, provider, client, and authorization records in internal systems and tracking tools.
• Collaborate with clinical, intake, scheduling, and billing teams to resolve insurance, authorization, credentialing, and coverage issues.
• Maintain detailed records of payer communications, application status, authorization information, follow-up dates, and outstanding action items.
• Handle confidential client and provider information in accordance with HIPAA, payer requirements, and company policies.

Skills

Insurance verification

Credentialing

Organization

Documentation

Communication

Tools

CAQH

NPI requirements

Payer portals

CentralReach

EHR systems

Excel/Google Sheets

Job description

Majestic Care ABA is seeking an ABA Billing & Credentialing Specialist in Rolling Meadows, IL for a part-time, in-office role. The position focuses on Verification of Benefits, ABA authorizations, and provider credentialing with commercial plans and Medicaid.

The ideal candidate will have 2+ years in healthcare billing or credentialing, familiarity with CAQH, NPI, payer portals, and Medicaid enrollment systems, and strong organizational skills.