Credentialing Specialist – ABA, Insurance Credentialing
Location
Philippines
Posted
82 days ago
Salary
0
Seniority
Mid Level
Job Description
Credentialing Specialist – ABA, Insurance Credentialing
Genius Agency
• Process provider credentialing applications • Manage CAQH provider profiles and updates • Credential providers with insurance networks such as: • Aetna • Cigna • UnitedHealthcare • Blue Cross Blue Shield • Tricare • Maintain credentialing documents and licenses • Track credentialing status and payer approvals • Follow up with insurance companies regarding applications • Ensure compliance with payer and regulatory requirements
Job Requirements
- At least 2 years experience in US medical credentialing
- Experience credentialing Board Certified Behavior Analysts (BCBA), therapists, or healthcare providers
- Experience with CAQH, NPI registration, and payer enrollment
- Strong knowledge of US insurance credentialing process
- Excellent documentation and communication skills
- Ability to work independently
- ABA therapy credentialing experience (Preferred)
- Familiarity with CPT codes and ABA billing (Preferred)
- Experience working with US healthcare practices (Preferred)
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