Credentialing Specialist (ABA / Insurance Credentialing VA)

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 Requirements ✔ At least 2 years experience in US medical credentialing ✔ Experience credentialing Board Certified Behavior Analysts (BCBA), therapists, or healthcare providers ✔ Experience with CAQH, NPI registration, and payer enrollment ✔ Strong knowledge of US insurance credentialing process ✔ Excellent documentation and communication skills ✔ Ability to work independently Preferred - ABA therapy credentialing experience - Familiarity with CPT codes and ABA billing - Experience working with US healthcare practices