Credentialing Specialist: Healthcare & ABA Enrollment

Above-; United States; On-site; USD 34,000 - 48,000; Full time

Job summary

Above and Beyond Therapy is seeking an experienced Credentialing Specialist to join our team. The role focuses on enrolling employees with insurance and ensuring all credentialing applications are completed, submitted, and approved.

The ideal candidate has prior credentialing experience, preferably in healthcare, behavioral health, ABA, or a similar medical setting, and can manage multiple applications at different stages while communicating with insurance companies.

Qualifications

• Previous credentialing experience is required.
• Experience with healthcare provider enrollment and insurance credentialing.
• Experience communicating directly with insurance companies and insurance portals.
• Strong organizational and follow-up skills.
• Excellent attention to detail. Ability to manage multiple employees and credentialing applications simultaneously.
• Strong written and verbal communication skills.
• Ability to work independently and stay on top of outstanding applications and follow-ups.
• Experience in ABA, behavioral health, mental health, or another healthcare setting is strongly preferred.
• Proficiency with Microsoft Office and computer-based credentialing systems.

Responsibilities

• Complete and submit credentialing and insurance enrollment applications for employees with various insurance companies.
• Follow up regularly with insurance companies to check the status of applications and ensure they are moving forward.
• Track applications from initial submission through final approval.
• Communicate with insurance providers regarding missing information, application issues, and additional documentation.
• Maintain accurate and up-to-date credentialing records and documentation.
• Ensure employees are properly enrolled with applicable insurance plans before providing services.
• Monitor credentialing deadlines, recredentialing requirements, and provider enrollment status.
• Identify and resolve credentialing issues or delays in a timely manner.
• Communicate with internal teams regarding credentialing status and outstanding items.
• Keep organized records of all submissions, follow-ups, approvals, and correspondence.
• Assist with recredentialing and updating provider information as needed.
• Other administrative and credentialing responsibilities as assigned.

Skills

Credentialing

Insurance enrollment

Organizational skills

Follow-up skills

Attention to detail

Written and verbal communication

Independence

ABA/Behavioral health experience

Microsoft Office

Tools

Microsoft Office

Credentialing systems

Job description

Above and Beyond Therapy is seeking an experienced Credentialing Specialist to join our team. The role focuses on enrolling employees with insurance and ensuring all credentialing applications are completed, submitted, and approved.

The ideal candidate has prior credentialing experience, preferably in healthcare, behavioral health, ABA, or a similar medical setting, and can manage multiple applications at different stages while communicating with insurance companies.