Credentialing Specialist

Credentialing Specialist

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.

Why Choose Behavioral Innovations:

• Competitive Hourly Rate
• 10 days PTO, 7 paid holidays
• Medical, Vision, Dental, and Supplemental Insurance Policies
• Tools and programs to support physical, mental, and emotional wellness
• Comprehensive support through Employee Assistance Program (EAP)
• Caring, collaborative environment
• Recognized for clinical excellence and ethical standards
• Help children with autism reach their full potential
• Caring, accountability, collaboration, and family-focused care
• Named Company of the Year in 2022
• Ranked on the Inc. 5000 list for 3 consecutive years!

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.