Credentialing Specialist

Children's Specialized ABA

. Manage the credentialing and re-credentialing process for ABA professionals .

Posted 10/9/2026full-timeKearny • New Jersey • United StatesJuniorMid-Level💰 $24 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing the credentialing and re-credentialing processes for ABA professionals, ensuring compliance with payer and regulatory requirements while maintaining accurate records. Proficient in communication with providers and insurance payers to resolve issues and support credentialing audits.

Highest-signal resume keywords

Credentialing ManagementEHR System NavigationInsurance Payer CommunicationAttention to DetailCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CredentialingClaims ProcessingMedical InsuranceBillingABA ExperienceBehavioral Health ExperienceAnalytical SkillsProblem-Solving SkillsMultitaskingTime Management

Soft Skills

Organizational SkillsVerbal CommunicationWritten CommunicationInterpersonal Communication

Tools & Technologies

Microsoft OfficeGoogle SheetsGoogle DocsEHR SystemsCredentialing Platforms

Industry Keywords

Board Certified Behavior AnalystsMedicaid GuidelinesPayer RequirementsHealthcare AdministrationCredentialing Audits

About the role

Key responsibilities & impact

Manage the credentialing and re-credentialing process for ABA professionals
Verify and maintain credentials for Board Certified Behavior Analysts (BCBAs), licensed ABA professionals, and other applicable practitioners
Communicate with providers and insurance payers to obtain required information and resolve outstanding items
Review and process initial credentialing and re-credentialing applications
Ensure credentialing records are accurate, complete, current, and aligned with payer and regulatory requirements
Maintain approval dates, expiration dates, and other credentialing information within the EHR system
Follow up with providers regarding missing documentation, upcoming expirations, renewals, and credentialing deadlines
Respond to credentialing inquiries and provide timely status updates to providers and internal stakeholders
Assist providers with credentialing profiles and payer portals, including troubleshooting issues and answering questions
Stay current on Medicaid guidelines, payer requirements, regulatory changes, and policies impacting ABA credentialing
Support credentialing audits and communicate provider statuses to appropriate departments
Maintain organized records and track multiple credentialing items simultaneously to ensure deadlines are met

Requirements

What you’ll need

High school diploma or equivalent (GED) required
2+ years of experience in authorizations, medical insurance, billing, claims processing, credentialing, or a related healthcare administrative function
Experience working with insurance payers and/or healthcare provider documentation preferred
ABA or Behavioral Health experience preferred
Strong attention to detail with excellent organizational and time-management skills
Strong analytical, problem-solving, and customer service skills
Ability to multitask and effectively track multiple providers, applications, deadlines, and outstanding items simultaneously
Exceptional verbal, written, and interpersonal communication skills, including professional phone and email communication
Proficiency in Microsoft Office, Google Sheets, and Google Docs, with strong overall computer skills
Ability to learn and navigate EHR systems, insurance portals, and other credentialing platforms
Visual and auditory ability to work on a computer and use a phone for extended periods of time
Ability to perform the physical requirements of the position for extended periods, including sitting, standing, bending, squatting, and kneeling