Credentialing Specialist

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 Free Telehealth: Free 24/7 access to a doctor via telehealth for you and your dependents with no limits and no co-pays Free Telehealth Mental Health: Free access to a mental health counselor via telehealth for you and your dependents (over age 13) with no limits or co-pays 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. #J-18808-Ljbffr Behavior-Frontiers