Credentialing Specialist - ABA (Applied Behavior Analysis)

We are seeking a detail-oriented and experienced Credentialing Specialist with a strong background in ABA therapy services to manage the credentialing and re-credentialing processes for our clinicians and facilities. The ideal candidate is well-versed in payer enrollment requirements, particularly for ABA providers, and can navigate commercial and Medicaid insurance portals with ease. This role ensures that all clinicians are properly credentialed and compliant, allowing uninterrupted service delivery and reimbursement.

Key Responsibilities:

• Complete and maintain credentialing and re-credentialing applications for BCBAs, RBTs, and other ABA clinicians
• Submit applications to commercial and Medicaid payers, including CAQH, NPI, PECOS, and individual payer portals
• Track credentialing statuses, follow up on delays, and maintain regular communication with insurance companies
• Maintain up-to-date records of licensur...