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:
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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.
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Payer Enrollment: Utilize platforms such as CAQH and various payer portals to facilitate the enrollment of ABA practitioners and to keep their records updated.
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Billing Management: Process and submit insurance claims, verify patient insurance coverage, and handle any billing inquiries or discrepancies.
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Communication: Serve as a point of contact for clinicians regarding credentialing status and billing matters, providing timely updates and support.
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Data Management: Utilize billing and credentialing software effectively, entering and updating information accurately in real-time.
Requirements
- 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.
Benefits
- Purely work-from-home
- Morning Shift (EST)
- Weekly pay
