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...