Credentialing Specialist

Behavior Frontiers

  • El Segundo, CA
  • 30+ days ago

    Highlights

    Manage and update provider profiles in credentialing databases such as CAQH (Council for Affordable Quality Healthcare) to ensure data accuracy and completeness. Our recruiting position plays a critical role in our company and we need an individual with great interpersonal skills, detail oriented, is great at multi-tasking and time management.

    Numbers & Facts

    LocationEl Segundo, CA

    Description

    Hours: Full Time (Monday – Friday/40hrs a week)
    Office Location: El Segundo, CA (In-Person)
    Compensation: $21.00 – $23.00 per/hour DOE 

     

    Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are on a continuous journey to explore, assess, and develop only the highest quality ABA treatments and solutions delivered by best-in-class clinical professionals. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare. Our recruiting position plays a critical role in our company and we need an individual with great interpersonal skills, detail oriented, is great at multi-tasking and time management. 

     

    How will you help create a World Without Limits: 

    • Facilitate end-to-end credentialing and enrollment processes for ABA providers with contracted health plans, ensuring timely and compliant submissions.
    • Process and track initial credentialing and re-credentialing (reappointments) applications for clinicians across multiple insurance networks.
    • Maintain accurate, up-to-date provider credentialing files, including but not limited to licenses (e.g., LBA), certifications (e.g., BCBA, RBT), and supporting documentation.
    • Manage and update provider profiles in credentialing databases such as CAQH (Council for Affordable Quality Healthcare) to ensure data accuracy and completeness.
    • Monitor credentialing statuses, proactively follow up on outstanding items, and ensure deadlines and payer requirements are met.
    • Respond to internal and external requests for credentialing information, documentation, and status updates in a timely and professional manner.
    • Coordinate cross-functionally with Recruitment, HR, Onboarding, Compliance, and Hiring Managers to communicate credentialing requirements, timelines, and status updates.
    • Liaise with external vendors, payors, and regulatory agencies to facilitate credentialing, resolve issues, and ensure compliance with all applicable standards.
    • Maintain strong attention to detail while managing multiple credentialing workflows, ensuring data integrity across systems and trackers.
    • Support audits and compliance reviews by ensuring all credentialing documentation is complete, accurate, and readily accessible.
    • Assist in developing, updating, and improving credentialing processes, SOPs, and tracking mechanisms.
    • Provide administrative support across all aspects of credentialing operations.
    • Any other duties as assigned

    Qualifications and Skills:

    • Bachelor's Degree preferred, but not necessary
    • At least one year of Credentialing/Data Entry Experience
    • Experience working with insurance networks, healthcare credentialing, or ABA providers preferred
    • Excellent organizational skills with a strong ability to multi-task and navigate multiple systems simultaneously in a fast-paced environment.
    • Proficiency in self-managing time and priorities
    • Excellent customer service, must have exceptional communication skills over the phone and via email
    • Exceptional attention to detail
    • A professional, yet friendly demeanor
    • Knowledge of Microsoft Office applications (e.g. Word, Excel, Outlook, Teams)
    • Proficiency in data management and systems (e.g., CAQH, internal HRIS/credentialing trackers)

    Why Behavior Frontiers is perfect for you: 

    • Competitive pay with optional On-demand paychecks thru DailyPay - get paid on your own schedule! 
    • 401K Plan with company match after 6 months of employment 
    • Paid Personal Time Off 
    • Paid Holidays 
    • Paid Sick Leave 
    • Medical, Dental and Vision insurance 
    • Opportunities for career advancement 
    • Performance and promotion raise  
    • Employee Assistance Program: Free access to some support services (financial, legal, counseling, etc.) 
    • Fitness: Discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videos 
    • Deals: Exclusive discounts and savings to 500+ companies and more! 
    • Travel: Discounts on travel essentials including hotels, rental cars, flights, excursions, and more! 
    • Lab Testing Discounts: 10-80% off costs of routine lab work 
    • New Benefits Rx: Discounts on prescription medications from 10-80% at 60,000+ locations nationwide 

    Why work for Behavior Frontiers? Visit our benefits & perks page to learn more!

    Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.

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