Credentialing Project Specialist @ Action Behavior Centers - ABA Therapy for Autism | Jobright.ai
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Action Behavior Centers - ABA Therapy for Autism · 7 hours ago

Credentialing Project Specialist

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Responsibilities

Prioritizes and completes all work in an accurate, effective and efficient manner
Researches new market/payer opportunities
Submits new market group/provider enrollment
Establishes and maintains processes and workflows appropriate to each new market/payer
Trains assigned specialists on enrollment requirements and processes in each new market and with new payers in established markets
Works with outsourced teammates and assigns task as appropriate
Timely resolution on payor information requests
Facilitate new payer calls to establish connections between payer and various RCM departments
Able to act independently to review and assess provider/group enrollment for accuracy, identify credentialing concerns and request appropriate follow up information from providers or other sources as needed
Contributes to team effort by accomplishing related tasks or other duties as needed
Works closely with contracting specialist to complete group updates and demographic changes
Assists credentialing team with overflow files/onboards and enrollments
Acts as liaison between credentialing department and all other rcm departments regarding resolution of payer issues
Complete all assigned special projects as needed

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Credentialing experienceAdministrative experienceCAQH AttestationsExcel proficiencyWord proficiencyGoogle Suite ProductsDelegated Credentialing

Required

When you upload your resume, please upload in PDF format
Ability to speak eloquently about past accomplishments
2-10 years of previous job experience
2 + years of experience in an administrative role required (preferably Behavioral Health or Healthcare)
Fully understand CAQH Attestations and processing
Proficient at using Excel and Word

Preferred

1-5 years of credentialing experience preferred
Delegated Credentialing experience preferred
Google Suite Products preferred

Benefits

Competitive Salary
PTO and 14 days of paid holidays
Health, dental and vision insurance covered at up to 90% by employer
A fun, relaxed work environment with a great team
Job training

Company

Action Behavior Centers - ABA Therapy for Autism

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Action Behavior Centers - ABA therapy for Autism is the largest and leading provider of Applied Behavior Analysis (ABA) therapy in the country.

H1B Sponsorship

Action Behavior Centers - ABA Therapy for Autism has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (2)

Funding

Current Stage
Late Stage
Total Funding
unknown
2023-06-01Debt Financing· Undisclosed
2022-08-17Acquired· by Charlesbank Capital Partners ($840M)

Leadership Team

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Hersh Sanghavi
Chief Executive Officer and Board Member
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H
Holly Lambert
Co-Founder
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Company data provided by crunchbase
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