Remote

Credentialing Specialist - ABA (Applied Behavior Analysis)

Philippines

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Behavioral Health, ABA TherapyIndustries

Position Overview

  • Location Type: Remote
  • Job Type: Full-time
  • Salary: Not specified

We are seeking a detail-oriented and experienced Credentialing Specialist with a strong background in ABA therapy services to manage the credentialing and re-credentialing processes for our clinicians and facilities. The ideal candidate is well-versed in payer enrollment requirements, particularly for ABA providers, and can navigate commercial and Medicaid insurance portals with ease. This role ensures that all clinicians are properly credentialed and compliant, allowing uninterrupted service delivery and reimbursement.

Responsibilities

  • Complete and maintain credentialing and re-credentialing applications for BCBAs, RBTs, and other ABA clinicians
  • Submit applications to commercial and Medicaid payers, including CAQH, NPI, PECOS, and individual payer portals
  • Track credentialing statuses, follow up on delays, and maintain regular communication with insurance companies
  • Maintain up-to-date records of licensure, certifications, background checks, liability insurance, and other compliance documentation
  • Coordinate start dates with HR and scheduling teams to ensure clinicians are active before seeing clients
  • Ensure accuracy and timely submission of demographic updates, reassignment of benefits, and provider termination notices
  • Monitor credentialing expiration dates and initiate renewals in advance
  • Assist billing team with credentialing-related claim denials and payer issues
  • Stay updated with payer policy changes and credentialing guidelines, especially those impacting ABA services

Requirements

  • Credentialing experience, preferably in ABA or behavioral health
  • Strong knowledge of credentialing processes and insurance requirements (Medicaid, private payers, CAQH, etc.)
  • Familiarity with BACB and state licensing requirements for ABA professionals
  • Excellent organizational and time management skills
  • Strong written and verbal communication skills
  • Proficiency with EMR systems like CentralReach, Rethink, or Catalyst
  • Ability to manage sensitive information with a high level of confidentiality and accuracy
  • Knowledge of ABA-specific billing and compliance processes

Benefits

  • Purely work-from-home
  • Night Shift (EST)
  • Weekly pay

Additional Details

  • Employment Type: Full-time
  • Workplace: Remote
  • Language: English
  • Department: Not specified
  • Published: 2025-06-13

Skills

Credentialing
Re-credentialing
Payer Enrollment
Insurance Portals
CAQH
NPI
PECOS
Licensure
Certifications
Background Checks
Liability Insurance
Compliance Documentation
Credentialing Processes
Medicaid
Private Payers
EMR Systems
Communication Skills
Organizational Skills
Time Management

Remote

Global employment platform for payroll management

About Remote

Remote.com is a global employment platform that helps businesses hire, manage, and pay employees in various countries. It simplifies international human resources tasks such as compliance, payroll, and benefits management, allowing companies to focus on their core operations. Remote.com stands out by prioritizing data security with ISO27001 certification and SOC 2 compliance, while offering a flexible pricing model that reduces manual work. The company's goal is to provide a comprehensive solution for efficiently managing international talent.

San Francisco, CaliforniaHeadquarters
2019Year Founded
$482.5MTotal Funding
SERIES_CCompany Stage
Consulting, CybersecurityIndustries
5,001-10,000Employees

Benefits

Remote Work Options
Unlimited Paid Time Off
Flexible Work Hours
Paid Parental Leave
Mental Health Support
Stock Options
Professional Development Budget
Home Office Stipend
Company Social Events

Risks

AI-powered HR platforms like Borderless AI could threaten Remote's market share.
Competitors like Deel show rapid growth, indicating a highly competitive market.
Stablecoin payments trend could pose a risk if Remote doesn't adapt quickly.

Differentiation

Remote offers a unified platform for managing global payroll and compliance.
Remote's ISO27001 and SOC 2 certifications ensure high standards of data security.
Remote Global Benefits simplifies multi-country health insurance management with Kota's integration.

Upsides

Remote's stablecoin payments feature addresses demand for flexible international contractor payments.
Remote's entry into Japan expands its reach in high-demand international employment markets.
The global payroll solutions market is projected to reach $10.5 billion by 2030.

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