Credentialing Specialist

Behavior Frontiers; El Segundo (CA); On-site; USD 29,000 - 32,000; Full time

Benefits offered by this job

Competitive pay through DailyPay

401K Plan with company match

Paid Time Off

Paid Holidays

Paid Sick Leave

Medical, Dental & Vision insurance

Career advancement opportunities

Performance raises

Employee Assistance Program

Gym/fitness discounts

Job summary

Behavior Frontiers is seeking a Credentialing Coordinator to manage end-to-end credentialing for ABA providers. This in-person role in El Segundo requires attention to detail and strong organizational skills to ensure timely and compliant submissions.

You will handle initial credentialing, re-credentialing, and maintain CAQH provider profiles, while coordinating with Recruitment, HR, Onboarding, Compliance, and Hiring Managers to meet deadlines and payer requirements.

Qualifications

• Bachelor's Degree preferred, but not necessary.
• At least one year of Credentialing/Data Entry Experience.
• Experience with insurance networks, healthcare credentialing, or ABA providers preferred.
• Excellent organizational skills with ability to multi-task in a fast-paced environment.

Responsibilities

• Facilitate end-to-end credentialing and enrollment processes for ABA providers with contracted health plans.
• Process and track initial credentialing and re-credentialing applications for clinicians across insurance networks.
• Maintain credentialing files including licenses and certifications.
• Manage provider profiles in CAQH and ensure data accuracy.

Skills

Organizational skills

Communication skills

Time management

Customer service

Attention to detail

Professional demeanor

Multi-tasking

Education

Bachelor's Degree preferred

Tools

CAQH

MS Office

HRIS/credentialing trackers

Job description

Hours:Full Time (Monday – Friday/40hrs a week)
Office Location:El Segundo, CA (In-Person)
Compensation:$21.00 – $23.00 per/hour DOE

Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are on a continuous journey to explore, assess, and develop only the highest quality ABA treatments and solutions delivered by best-in-class clinical professionals. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare. Our recruiting position plays a critical role in our company and we need an individual with great interpersonal skills, detail oriented, is great at multi-tasking and time management.

How will you help create a World Without Limits:

• Facilitate end-to-end credentialing and enrollment processes for ABA providers with contracted health plans, ensuring timely and compliant submissions.


• Process and track initial credentialing and re-credentialing (reappointments) applications for clinicians across multiple insurance networks.


• Maintain accurate, up-to-date provider credentialing files, including but not limited to licenses (e.g., LBA), certifications (e.g., BCBA, RBT), and supporting documentation.


• Manage and update provider profiles in credentialing databases such as CAQH (Council for Affordable Quality Healthcare) to ensure data accuracy and completeness.


• Monitor credentialing statuses, proactively follow up on outstanding items, and ensure deadlines and payer requirements are met.


• Respond to internal and external requests for credentialing information, documentation, and status updates in a timely and professional manner.


• Coordinate cross-functionally with Recruitment, HR, Onboarding, Compliance, and Hiring Managers to communicate credentialing requirements, timelines, and status updates.


• Liaise with external vendors, payors, and regulatory agencies to facilitate credentialing, resolve issues, and ensure compliance with all applicable standards.


• Maintain strong attention to detail while managing multiple credentialing workflows, ensuring data integrity across systems and trackers.


• Support audits and compliance reviews by ensuring all credentialing documentation is complete, accurate, and readily accessible.


• Assist in developing, updating, and improving credentialing processes, SOPs, and tracking mechanisms.


• Provide administrative support across all aspects of credentialing operations.


• Any other duties as assigned

Qualifications and Skills:

• Bachelor's Degree preferred, but not necessary


• At least one year of Credentialing/Data Entry Experience


• Experience working with insurance networks, healthcare credentialing, or ABA providers preferred


• Excellent organizational skills with a strong ability to multi-task and navigate multiple systems simultaneously in a fast-paced environment.


• Proficiency in self-managing time and priorities


• Excellent customer service, must have exceptional communication skills over the phone and via email


• Exceptional attention to detail


• A professional, yet friendly demeanor


• Knowledge of Microsoft Office applications (e.g. Word, Excel, Outlook, Teams)


• Proficiency in data management and systems (e.g., CAQH, internal HRIS/credentialing trackers)

Why Behavior Frontiers is perfect for you:

• Competitive pay with optional On-demand paychecks thru DailyPay - get paid on your own schedule!


• 401K Plan with company match after 6 months of employment


• Paid Personal Time Off


• Paid Holidays


• Paid Sick Leave


• Medical, Dental and Vision insurance


• Opportunities for career advancement


• Performance and promotion raise


• Employee Assistance Program:Free access to some support services (financial, legal, counseling, etc.)


• Fitness:Discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videos


• Deals:Exclusive discounts and savings to 500+ companies and more!


• Travel:Discounts on travel essentials including hotels, rental cars, flights, excursions, and more!


• Lab Testing Discounts:10-80% off costs of routine lab work


• New Benefits Rx:Discounts on prescription medications from 10-80% at 60,000+ locations nationwide

Why work for Behavior Frontiers? Visit our benefits & perks page to learn more!

Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.