Credentialing Specialist

Action Behavior Centers; Austin (TX); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

10 Days of PTO, 10 Paid Holidays, 2 2;

Student Loan Repayment Employer Contri

Maternity/Paternity Award of up to $3,

Door Dash Pass, Team Happy Hours, and

Up to $600 Student Loan Repayment

Job summary

Action Behavior Centers is hiring a Credentialing Specialist in Austin, TX to join our Revenue Cycle Management team. This on-site role reports to the Credentialing Manager and focuses on credentialing, provider data updates, and payer communications.

The ideal candidate brings 2–10 years of professional experience, 2+ years of administration in healthcare, and 1–5 years in credentialing, with strong CAQH knowledge and proficiency in Excel/Word and Google Suite.

Qualifications

• 2-10 years of professional experience in relevant roles.
• 2+ years of administrative experience, preferably in Behavioral Health or Healthcare.
• 1-5 years of credentialing experience preferred.
• Delegated Credentialing experience preferred.
• Strong understanding of CAQH attestations and processing.
• Proficient in Excel and Word; Google Suite experience preferred.
• Ability to communicate confidently and professionally about past accomplishments.

Responsibilities

• Prioritize and complete work accurately, efficiently, and within established deadlines.
• Maintain Availity database additions, changes, and verification requests.
• Maintain provider/group demographic information and process updates accurately.
• Participate in delegated credentialing projects and complete assigned special projects.
• Resolve payer information requests in a timely manner.
• Review provider/group demographic changes, identify credentialing concerns, and obtain additional information as needed.
• Facilitate payer calls to address contracting or credentialing issues.
• Train Specialists and support enrollment processes across dual markets.
• Contribute to team efforts and complete additional duties as needed.

Skills

Attention to detail

Organizational skills

Professional communication

Administrative support

Tools

Excel

Word

Google Suite

Job description

ABC Story:

Our story began in 2017 in Austin, TX. We started with humble roots but big aspirations. From 1 center in North Austin, our movement has inspired thousands of clinicians and operators. Today, the ABC community is 10,000+ strong, serving thousands of children with ASD. Growth with intentionality: We have an intentional focus on our core values. Each center is purpose-built, and each community of teammates is nurtured.

Position Description:

We are looking for a motivated, top-notch Credentialing Specialist who wants to be a part of a stellar team and deliver exceptional results. We are a smart, fun place to work. Simply put, we are different, and we aim to be the best. The right candidate will be a natural self-starter with extremely strong attention to detail. We will train on specific task items listed below, although the right fit will quickly and easily pick up responsibilities and manage them on their own.

Job Title:

Credentialing Specialist

Department:

Revenue Cycle Management

Reports to:

Credentialing Manager

Duties & Responsibilities:

• Prioritize and complete work accurately, efficiently, and within established deadlines
• Maintain Availity database additions, changes, and verification requests
• Maintain provider/group demographic information and process updates accurately
• Participate in delegated credentialing projects and complete assigned special projects
• Resolve payer information requests in a timely manner
• Review provider/group demographic changes, identify credentialing concerns, and obtain additional information as needed
• Facilitate payer calls to address contracting or credentialing issues
• Train Specialists and support enrollment processes across dual markets
• Contribute to team efforts and complete additional duties as needed

Qualifications:

• 2-10 years of professional experience
• 2+ years of administrative experience, preferably in Behavioral Health or Healthcare
• 1-5 years of credentialing experience preferred
• Delegated Credentialing experience preferred
• Strong understanding of CAQH attestations and processing
• Proficient in Excel and Word; Google Suite experience preferred
• Ability to communicate confidently and professionally about past accomplishments

Critical Traits:

• Maintain a high level of accuracy and attention to detail
• Stay organized and effectively manage priorities
• Communicate proactively and regularly with the Credentialing Manager
• Be approachable, receptive to feedback, and open to learning
• Consistently meet deadlines and team goals
• Demonstrate strong problem-solving skills and look for opportunities to improve processes

Perks:

• 10 Days of PTO, 10 Paid Holidays, 2 Flex Days + More with Tenure
• Student Loan Repayment Employer Contributions
• Maternity/Paternity Award of up to $3,000 & FSA Options for Childcare
• Door Dash Pass, Team Happy Hours, and Regional Night of Honors
• Up to $600 Student Loan Repayment Options & Tuition Discounts.

Additional Rewards :

• Quarterly Team outings and events to bond and celebrate our wins both big and small!
• Professional development: we want to pour into you as you pour into ABC
• Leadership opportunities: To be the best, we have to continually keep learning and you get to push yourself here to learn more and take on more responsibilities, and show what you can do!
• 401K Retirement Plans with company matching

Compensation & Schedule:

• Full-Time: $18- 22 hourly
• Austin, TX (on-site position), Remote if outside of the Austin area
  • Located at 6300 Bee Caves Rd BLDG 2 - 100, Austin, TX 78746

Our Community & Culture:

• Instagram: https://instagram.com/actionbehaviorcenters
• Facebook: https://facebook.com/actionbehaviorcenters

ABC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, disability, marital status, genetic information, veteran status, or any other status protected by applicable federal, state, or local laws, including the Pennsylvania Human Relations Act (PHRA). We are committed to creating an inclusive environment for all employees.

Pay Range:

$18 - $22 per hour