[Hiring] Credentialing Manager @ReWorks Solutions

Role Description

ReWorks Solutions is seeking a dedicated Credentialing Manager specializing in Applied Behavior Analysis (ABA) to lead and manage our credentialing operations. This role requires a proactive professional to ensure our providers meet all necessary credentialing requirements with insurance payers and regulatory bodies, maintaining compliance and facilitating smooth onboarding processes.

Key Responsibilities

• 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.

Qualifications

• 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.
• Comfortable working U.S. hours.

Benefits

• Remote work from home.

Fraud Disclaimer

ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.