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Global Pacific Support

Credentialing Specialist (ABA / Insurance Credentialing VA)

LocationPhilippines
Company size51+ people
First seen1w ago
Last seen1h ago
About the role
Global Pacific Support is seeking an experienced Credentialing Specialist to support Ready Set And Go ABA, a provider of compassionate and evidence-based Applied Behavior Analysis (ABA) Therapy services for children with autism.
The ideal candidate has experience credentialing behavior analysts and therapists with US insurance payers.
Responsibilities
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Process provider credentialing applications
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Manage CAQH provider profiles and updates
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Credential providers with insurance networks such as:
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Aetna
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Cigna
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UnitedHealthcare
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Blue Cross Blue Shield
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Tricare
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Maintain credentialing documents and licenses
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Track credentialing status and payer approvals
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Follow up with insurance companies regarding applications
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Ensure compliance with payer and regulatory requirements
Requirements
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
Preferred
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ABA therapy credentialing experience
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Familiarity with CPT codes and ABA billing
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Experience working with US healthcare practices
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