ABA Credentialing and Billing specialists
Company:Remote VA
Location:Davao Region, Philippines, Region XII, Philippines, Calabarzon, Philippines, Metro Manila, Philippines, Central Visayas, Philippines, Western Visayas, Philippines, EST
Languages:English
Seniority level:Junior, 2 years
Experience:2 years
Skills:
AWSBackend DevelopmentDockerGraphQLLeadershipNode.jsPHPPostgreSQLProject ManagementPythonSoftware DevelopmentSQL3D Modeling - RhinoAbapAdobe After EffectsAdobe Creative SuiteAdobe DPSAdobe IllustratorAdobe InDesignAdobe LightroomAdobe PhotoshopAgileAmazon FBAAmazon RDSAndroidApache AirflowApache CXFApache HadoopApache HbaseApache MXNetApache TomcatArtificial IntelligenceAspect eWFMASP.NETAutodesk AutocadAWS EKSBashBlockchainBusiness AnalysisBusiness DevelopmentBusiness IntelligenceBVA AnalysisCiscoCitrixCloud ComputingCybersecurityCypressData AnalysisData MiningDesign PatternsDifferential EquationsDjangoDqlDrupalDynamoDBEclipseEgnyteElasticSearchEmbedded SystemsErlangErwinEs6EthereumETLExcel VBAExpress.jsEye TrackingFGPA ArchitectureFigmaFlashFlaskFlutterFortranFrontend DevelopmentFsharpFull Stack DevelopmentGame DesignGame DevelopmentGCPGitGraphic DesignGulpHadoopHadoop HDFSHibernateHTMLCSSImage ProcessingiOS DevelopmentIoTJavaJava EEJavaFX & FXMLJava J2EEJava RmiJavascriptJenkinsJestJMeterjQueryJUNITJVMKafkaKerasKibanaKiCADKnockout.jsKotlinKubeflowKubernetesLDAPLotus NotesMachine LearningMac OS XMatlabMicrosoft AccessMicrosoft Active DirectoryMicrosoft AzureMicrosoft DynamicsMicrosoft ExchangeMicrosoft .NETMicrosoft Power BIMicrosoft SQL ServerMLFlowMongoDBMySQLNetbeans IDENginxNhibernate*NixNLTKNumpyNUnitOAuthObjective-COpen Api QzoneOpenCVOracleOracle EBSOracle ERPOracle RDBMSOracle RMANPeople ManagementProduct ManagementPyTorchQAQA AutomationQliksenseQlikViewQtRabbitmqReact.jsReact NativeRubyRuby on RailsRxJSRxSwiftSalesforceSAPSAP ABAPSAP EWMSAS EGSCRUMSharePointShopifySnowflakeSoftware ArchitectureSpringSpring BootSpring MVCSQLiteSwiftTypeScriptUI DesignUnity3DUser Experience DesignVBAVB.NETVisual BasicVue.JsXamarinXbox 360 DevelopmentXbox One DevelopmentYarnYii2 PHP FrameworkZabbixZend FrameworkAssemblerC#C++Project CoordinationHR ManagementGoogle AnalyticsJiraProduct OperationsCross-functional Team LeadershipOperations ManagementAmplitude AnalyticsTableauAdministrative ManagementProduct DevelopmentStrategyJQLBusiness OperationsFinancial ManagementProduct AnalyticsActiveMQAirflowAlgorithmsAmazon Web ServicesApache KafkaAPI testingASP.NET MVCASP.NET Web APIAxiosAzureBeanstalkBehavioral economicsBehavioral scienceBlenderCassandraClickhouseContent creationContent managementData engineeringData scienceData StructuresDelphiFastAPIFirebaseGoGrafanaGroovygRPCHaskellJava Enterprise EditionJava SpringJDBCKoajs.NET.NET coreAngularManual testingMavenMobile testingPostgresProduct designPrometheusRDBMSREST APIRedisReduxRegression testingRelease ManagementResource PlanningServerlessStrategic ManagementSymfonyTestRailTomcatUnreal engineWebRTCNest.jsNext.jsNosqlPandasReactRubyOnRailsRustSeleniumSparkTensorflowWeb3.jsMicrosoft ExcelSEOMicrosoft OfficeAgile methodologiesRESTful APIsLinuxDevOpsTerraformDocumentationCommunication SkillsAnalytical SkillsProblem SolvingCustomer serviceMentoringNegotiationAccountingAttention to detailOrganizational skillsWritten communicationMultitaskingComplianceJSONQuality AssuranceData visualizationFinancial analysisData modelingFinanceScriptingSoftware EngineeringDebuggingBookkeepingPowerPointTeamworkResearchFluency in EnglishVerbal communicationReportingTroubleshootingWritingActive listeningStrong work ethicAbility to learnClient relationship managementBudgetingStrong communication skillsCross-functional collaborationData entryRelationship managementProcess improvementResearch skillsCRMAnalytical thinkingData analyticsData managementCustomer support
Requirements:
Minimum of 2 years' experience in credentialing and/or billing within the ABA or healthcare field. Strong understanding of ABA billing practices, insurance reimbursement, and credentialing guidelines. Proficiency in using credentialing databases, billing software, and EMR systems. Excellent attention to detail and organizational skills. Strong written and verbal communication skills. Ability to work independently and as part of a remote team. Knowledge of state licensure requirements and accreditation standards for ABA providers.
Responsibilities:
Manage the credentialing and re-credentialing process for ABA therapists through various insurance payers. Utilize CAQH and payer portals for practitioner enrollment and record updates. Process and submit insurance claims, verify patient insurance coverage, and handle billing inquiries. Serve as a point of contact for clinicians regarding credentialing status and billing matters. Utilize billing and credentialing software effectively, entering and updating information accurately.
