Credentialing Specialist

Credentialing SpecialistApplicants must have at least 3 years of recent provider credentialing and enrollment experience.Location: Plano, TX (Park/Tollway)Schedule: Monday-Friday | Full-Time | Hybrid-role, starts onsite full-time during initial 90 day training period, with ability to transition to RCM hybrid scheduled based on performance.Why Choose Behavioral Innovations:Competitive Hourly Rate10 days PTO, 7 paid holidaysMedical, Vision, Dental, and Supplemental Insurance PoliciesTools and programs to support physical, mental, and emotional wellnessComprehensive support through Employee Assistance Program (EAP)Caring, collaborative environmentRecognized for clinical excellence and ethical standardsHelp children with autism reach their full potentialCaring, accountability, collaboration, and family-focused careNamed Company of the Year in 2022Ranked on the Inc. 5000 list for 3 consecutive years!Your Work and How You'll Make a Difference:We are seeking a Credentialing Specialist to oversee the full credentialing and enrollment process for our providers in Behavioral Healthcare. This role ensures clinicians are accurately enrolled with commercial and government payors so services can be reimbursed on time. Responsibilities include maintaining and auditing provider records, processing enrollment and revalidation applications, and conducting consistent follow-up with payors. This position partners closely with revenue cycle, clinical leadership, HR recruitment, and providers to support smooth onboarding and resolve credentialing issues. The role also manages provider contracting, ensures HIPAA and regulatory compliance, assists with out-of-state Medicaid enrollments, and responds to provider inquiries within 24 hours. Your work directly strengthens operational efficiency, reimbursement accuracy, and timely access to care.Qualifications:Minimum of 3 years of direct experience managing provider credentialing and enrollment processes within a healthcare environment, including payer enrollment, recredentialing, and compliance with applicable regulatory requirements.Associates degree or related work experience may be substituted in lieu of educational qualifications.1-3 years of knowledge in a behavioral health or medical clinic setting preferred, but not necessary.Familiarity with Electronic Medical Records (EMR) and billing systems.Strong communication and interpersonal skills to collaborate with internal teams and external payors.Take the initiative to identify and resolve issuesExcellent organizational, problem-solving, and follow-up skills.Proficiency in Microsoft Word and Excel.About Behavioral Innovations:Since 2000, Behavioral Innovations (BI) has been a leading provider committed to transforming lives by providing compassionate, center-based Applied Behavioral Analysis (ABA) therapy for children with autism, ages 18 months to 10 years. With more than 100+ locations across TX, OK, CO, VA, MD, NC - and more to come - we're continuing to expand rapidly. Join our dynamic team and make a meaningful difference in the lives of the families we serve.Ready to make an impact? Apply today and become a vital part of our mission at Behavioral Innovations!Be a Credentialing Specialist at Behavioral Innovations. Where Potential Thrives.