Credentialing Specialist (ABA / Insurance Credentialing VA)

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

• At least 2 years experience in US medical cred...