ABA Credentialing Specialist: Payer & Compliance
Children's Specialized ABA
Children’s Specialized ABA is seeking a Credentialing Specialist to support credentialing and re-credentialing of providers across the organization. The role ensures compliance with insurance payer requirements, state and federal regulations, and company policies. You will manage documentation accuracy, navigate payer portals, and collaborate with internal teams to maintain up-to-date credentials and timely renewals. Strong communication with providers and payers is essential. #J-18808-Ljbffr Children's Specialized ABA
- ...nationwide. To achieve our ambitious goals, we're looking for a Payer Credentialing Specialist to join our Operations team. This role will support all... ...and up-to-date credentialing files and records in compliance with internal standards and regulatory requirements. Collaborate...SuggestedLocal areaRemote workWork from home
- ...ABA Credentialing Specialist Description** This role is open to candidates in NJ, MD, AZ, NC, NY, PA, TX, VA, IL, MI, or MO**ABA Credentialing... ...the Behavioral Health and ABA field, ensuring compliance with insurance payer requirements, state and federal regulations, and...SuggestedWork at office
- ...A healthcare technology company is seeking a Payer Credentialing Specialist to support its Operations team. This fully remote role involves managing... ...processes for healthcare providers and ensuring compliance with standards. The ideal candidate will have at least 2...SuggestedRemote work
- ...Remote The Credentialing & Payer Enrollment Specialist is responsible for coordinating and maintaining timely and accurate provider credentialing, recredentialing and payer enrollment activities for CMEP physicians, advanced practice providers and other applicable providers...SuggestedContract workRemote work
- HelpSquad is seeking an experienced Credentialing Specialist to manage provider credentialing and payer enrollment from start to finish. This role owns the full credentialing lifecycle across multiple payers and states, ensuring providers remain active and in-network with...SuggestedRemote job
- Pomelo Care is seeking a Payer Enrollments professional to manage provider enrollments and re-enrollments across clinician types for... ...Payer Enrollments Manager and cross-functional teams to license, credential, and enroll clinicians with payers, including Medicaid managed...Remote job
- ...leading primary care focused medical group serving the Asian community in New York City, is seeking a Credentialing Coordinator to support provider credentialing and payer enrollment workflows. In this role you will assemble credentialing documentation, reconcile payer...
- ...Practice Management Services Organization is seeking a Credentialing Specialist for a fully remote, full-time role. You will manage provider... ...qualifications, and submit applications while ensuring compliance with payer and regulatory standards. Responsibilities include...Remote jobFull time
- Richmond University Medical Center in New York, NY is seeking a Credentialing Coordinator to manage practitioner applications, verify documentation, ensure eligibility and payer enrollment compliance, and coordinate onboarding timelines with internal teams. The role requires...
$23 - $33 per hour
We are seeking an ABA Billing & Credentialing Specialist to support our billing and revenue cycle operations. This role will primarily focus on Verification... .... Ideally has experience working with health insurance, payer processes, authorizations, credentialing, or healthcare...Part timeWork at office$50 per hour
Remote Part-time Payer Contracting & Credentialing Specialist Remote | Approximately 10 hours per week | $50 per hour | W-2 employment About the Organization... ..., reimbursement analysis, and focused billing compliance reviews. The Specialist helps protect revenue integrity...Remote jobHourly payContract workPart time10 hours per weekFlexible hours- H2 Health is seeking a Credentialing Specialist for a full-time remote role. You will coordinate provider credentialing, enrollments, and recredentialing across Medicare, Medicaid, and commercial plans, ensuring accuracy and up-to-date credentials for therapy providers...Remote jobFull time
$23 - $33 per hour
BALP is seeking an ABA Billing & Credentialing Specialist to support our billing and revenue cycle operations from an in-office Queens location. The role focuses on verification of benefits, ABA authorizations, and provider credentialing with commercial plans and Medicaid...Hourly payPart timeWork at office- ...services, including insurance contracting and credentialing. Role Description The Credentialing Specialist is a full-time remote role responsible for all... ...submits credentialing applications and ensures compliance with payer, regulatory, and organizational requirements....Full timeWork at officeRemote work
- ...Remote Credentialing Specialist (Provider Credentialing) Get providers credentialed and in-network - CAQH, PECOS, Medicaid and commercial panels... ...is a confirmed effective date. A practice cannot bill a payer it isn't enrolled with, and claims dated before an effective...Remote work
$56k - $61k
...Overview BerryDunn is seeking a Credentialing Specialist to join our Healthcare Compliance and Credentialing Practice Area. Under the supervision of the Credentialing... ...and facilities or groups with third-party payers and governmental programs (Medicare and Medicaid) as...Work at officeRemote work- ...applications and supporting documentation to ensure eligibility and compliance. Conduct thorough background investigation, research and primary source verification of all components within credentialing/payer enrollment files. Identify credentialing and enrollment...Monday to FridayShift workDay shift
- ...Specialty Dental Brands is seeking a detail-oriented Credentialing Specialist to manage credentialing and recredentialing activities for providers... ...timely submissions. The role involves coordinating with payers, tracking progress in internal dashboards, and supporting onboarding...
- ...Credentialing Specialist | Full-Time | Remote Join Our Team at H2 Health! H2 Health is seeking a detail... ...provider credentialing, insurance payer enrollments, and recredentialing processes... ...Support additional administrative and compliance-related tasks as needed. Requirements...Full timeWork at officeRemote work
- # Credentialing SpecialistOwn provider enrollment and recredentialing from start to finish,... ...managementExperience: 1–3+ years of credentialing or payer enrollment experience## About Solv... ...the roleWe are hiring a Credentialing Specialist to manage provider enrollment and...Full timeRemote work
- ...Rockstar is seeking an experienced Provider Credentialing Specialist to support U.S.-based healthcare... ...application through re-credentialing and payer follow-up, and who take pride in... ...trackers accordingly CAQH, Sanctions & Compliance Create and maintain CAQH profiles for...Full timeContract workWork at officeRemote workHome office
$45k - $55k
...driven technology platform. Overview The Credentialing Specialist is responsible for coordinating and... ...providers meet regulatory, accreditation and payer requirements while maintaining... ...certifications to prevent lapses Ensure compliance with state, federal and accreditation...Work experience placementLocal areaRemote work- ...Connections Health Solutions is seeking a Credentialing Coordinator for a fully remote role supporting providers nationwide. You will manage end-to-end credentialing, re-credentialing, and payer enrollment for behavioral health providers and staff, ensuring accurate,...Remote work
$40k - $53k
...care they deserve, we'd love to meet you. About the Role The Credentialing Specialist will be responsible for owning health plan enrollment... ...and individual submissions across Medicaid and Commercial payers. Communicate directly with providers to gather necessary information...Full timeLocal areaRemote work$1,000 per month
...Enrollment Manager and partnering closely with our Credentialing, Onboarding, and Claims teams, the Enrollment Specialist will own how our clinicians are enrolled with... ...teams to solve provider inquiries regarding their payer credentialing status or changes to their...Full timeRemote workWorldwideSleeping nights- ...About the role HelpSquad is hiring an experienced Credentialing Specialist to manage provider credentialing and payer enrollment from start to finish. This role owns the full credentialing lifecycle across multiple payers and states, ensuring providers remain active and...For contractorsRemote work
- Dean Dorton is seeking a Credentialing Services Specialist to manage provider credentialing and enrollment across Medicare, Medicaid, and commercial payers, ensuring accurate licensure, certifications, and compliance. You will handle applications, track renewals, and maintain...Flexible hours
- ...highly organized and detail-oriented Credentialing Specialist to join our growing team. This role is... ...processes Track renewals, expirations, and compliance documentation Maintain accurate... ...documentation meets organizational and payer requirements Qualifications: Experience...
- ...partnership with Cardinal Health, seeks a Coordinator for Managed Care Credentialing to maintain active credentialing/enrollment across contracted... ...as needed. The role requires 3+ years in credentialing or payer enrollment, strong communication, and the ability to work a...Flexible hours
- ...patients as quickly and efficiently as possible. As a Sr. Credentialing & Enrollment Specialist, you\'ll play a critical role in shaping and scaling the... ...Whether you\'re scoping enrollment requirements for new payer implementations, submitting applications, or guiding...Remote jobFull timeLive inCurrently hiringHome office
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