# Credentialing Specialist (ABA / Insurance Credentialing VA)

**Company:** [Global Pacific Support](http://jobs.workable.com/companies/vaVLELKAp1hecgRaS8vLGE.md)
**Location:** Remote
**Workplace:** remote

[Apply for this job](http://jobs.workable.com/view/3bd27e25-d002-4e15-9817-dc37e69ab016)

## Description

**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**

-   Process provider credentialing applications
-   Manage CAQH provider profiles and updates
-   Credential providers with insurance networks such as:

-   Aetna
-   Cigna
-   UnitedHealthcare
-   Blue Cross Blue Shield
-   Tricare

-   Maintain credentialing documents and licenses
-   Track credentialing status and payer approvals
-   Follow up with insurance companies regarding applications
-   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**

-   ABA therapy credentialing experience
-   Familiarity with CPT codes and ABA billing
-   Experience working with US healthcare practices