ABA Credentialing and Billing specialists at Remote VA. We are seeking dedicated and detail-oriented . ABA Credentialing and Billing Specialists. to join our team at Remote VA. This dual-role position will focus on managing the complete credentialing process for our ABA clinicians while also handling their billing needs. The successful candidates will play a crucial role in ensuring that all clinicians are fully credentialed and that billing processes run smoothly, allowing uninterrupted service delivery and compliance with insurance requirements.. Key Responsibilities:. Credentialing: . Manage the credentialing and re-credentialing process for ABA therapists through various insurance payers, ensuring all necessary documents are completed and submitted on time.. Payer Enrollment:. Utilize platforms such as CAQH and various payer portals to facilitate the enrollment of ABA practitioners and to keep their records updated.. Billing Management:. Process and submit insurance claims, verify patient insurance coverage, and handle any billing inquiries or discrepancies.. Communication:. Serve as a point of contact for clinicians regarding credentialing status and billing matters, providing timely updates and support.. Data Management:. Utilize billing and credentialing software effectively, entering and updating information accurately in real-time.. . Minimum of 2 years' experience in credentialing and/or billing within the ABA or healthcare field.. . Strong understanding of ABA billing practices, insurance reimbursement, and credentialing guidelines.. . Proficiency in using credentialing databases, billing software, and EMR systems.. . Excellent attention to detail and organizational skills to manage multiple tasks effectively.. . Strong written and verbal communication skills for liaising with practitioners and insurance providers.. . Ability to work independently while also being an effective team member in a remote environment.. . Knowledge of state licensure requirements and accreditation standards for ABA providers.. . Company Location: Philippines.
ABA Credentialing and Billing specialists at Remote VA