Credentialing Specialist

Job Title:

Credentialing Specialist

Job Type: Full-Time, Remote

Hours:

US Hours (9am-5pm EST)

• Manages provider credentialing and recredentialing with payers and networks
• Collects, verifies, and maintains clinician licenses, certifications, and required documents
• Submits and tracks applications for BCBAs, RBTs, and supervising clinicians
• Ensures compliance with payer, state, and regulatory requirements
• Monitors expiration dates and proactively renews credentials
• Maintains accurate credentialing records and supports audits
• Coordinates with billing, HR, and clinical leadership to prevent service delays
• Receiving new hire and termination updates
• Verifying licenses and certifications from onboarding files
• Aligning start dates with payer approval
• Alerting HR to expirations or issues
• Sharing credential status for staffing and payroll

Requirements

• Previous experience in provider credentialing, ideally within an ABA, healthcare, or behavioral health setting.
• Knowledge of insurance enrollment processes and common payer requirements.
• Strong administrative and organizational skills with high attention to detail.
• Ability to manage multiple applications and deadlines simultaneously.
• Excellent written and verbal communication skills.
• Proficient in Microsoft Office / Google Workspace; experience with credentialing software is a plus.
• Ability to work independently in a remote environment.

Benefits

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