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Credentialing Manager – ABA
ReWorks SolutionsCredentialing Manager leading and managing ABA credentialing operations at ReWorks Solutions. Ensuring provider compliance with insurance payers and regulatory bodies while facilitating efficient onboarding.
About the role
Key responsibilities & impact- - Manage and lead the ABA credentialing team to ensure timely completion of credentialing and recredentialing tasks.
- - Maintain and develop relationships with insurance payers, providers, and regulatory agencies.
- - Stay current on ABA credentialing standards, payer policies, and regulatory requirements.
- - Identify and implement process improvements to increase efficiency.
- - Provide training and support for credentialing staff to uphold best practices.
- - Monitor credentialing metrics and generate regular compliance reports.
- - Coordinate with HR and leadership on provider onboarding and terminations relating to credentialing.
- - Handle audits and respond to credentialing inquiries from external entities.
Requirements
What you’ll need- - Bachelor’s degree in healthcare administration, business, or related field preferred.
- - 3-5 years of experience in credentialing, preferably within ABA or behavioral health.
- - Leadership experience in managing credentialing teams or projects.
- - Strong understanding of insurance payer credentialing processes and regulatory compliance in ABA.
- - Excellent organizational, multitasking, and communication skills.
- - Proficiency with credentialing software, Microsoft Office, and database management.
- - Ability to work effectively in a remote environment and collaborate with a diverse team.
Benefits
Comp & perks- - Comfortable working U.S. hours
- - Remote work from home
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
credentialingrecredentialingprocess improvementscompliance reportinginsurance payer credentialingregulatory compliancedatabase management
Soft Skills
leadershiporganizational skillsmultitaskingcommunication skills
Certifications
Bachelor’s degree in healthcare administrationBachelor’s degree in business