ABA Credentialing Specialist Job at Behavioral Health Field, Remote

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  • Behavioral Health Field
  • Remote

Job Description

The Health Insurance Liaison plays a critical role in supporting BH Field's ABA operations by leading BCBA credentialing and enrollments  with a strong emphasis on Georgia-based insurance plans . This role ensures clinicians are properly credentialed, authorized, and maintained with payers so services can begin and continue without delays.

The ideal candidate has hands-on experience credentialing BCBAs for ABA services , understands Georgia insurance requirements, and is proactive, organized, and comfortable communicating directly with payer representatives.

This is a fully remote position requiring strong follow-through, attention to detail, and clear communication.

ABA Credentialing & Enrollment (BCBA-Focused)

  • Complete, submit, and maintain BCBA credentialing and recredentialing with commercial insurance payers.

  • Manage and maintain CAQH profiles , attestations, and supporting documentation.

  • Handle Georgia-specific payer enrollment for new and existing clinicians.

  • Track credentialing timelines, approvals, denials, and expirations.

  • Communicate credentialing status updates to leadership and clinical teams.

Rate Negotiations & Contract Support

  • Assist with ABA reimbursement rate negotiations , amendments, and contract discussions.

  • Maintain records of fee schedules, contracts, and payer correspondence.

  • Support leadership with data and documentation related to payer performance and rates.

Compliance & Documentation

  • Ensure credentialing, contracting, and authorization processes meet ABA and payer compliance standards .

  • Support audits and ensure alignment with regulatory and payer requirements.

Communication & Process Improvement

  • Communicate updates, policy changes, and requirements to internal teams.

  • Provide reports and summaries related to credentialing, authorizations, and others.

  • Help develop and refine internal ABA credentialing workflows and systems .

Qualifications

Required

  • 2+ years of experience credentialing BCBAs or working in ABA-focused insurance credentialing.

  • Direct experience with Georgia commercial insurance plans .

  • Experience working with CAQH and payer portals.

  • Excellent organization, time-management, and follow-through skills.

Preferred

  • Experience working with Georgia payers such as BCBS GA, Aetna, Cigna, UHC, and Medicaid plans .

  • Experience with rate negotiations or payer contract management.

  • Background in ABA agencies or behavioral health organizations.

What We Offer

  • 100% remote position

  • Medical, dental, and vision benefits

  • PTO

  • 11 paid holidays

  • Opportunity to directly support BCBA operations and expand access to high-quality ABA services

Job Tags

Full time, Contract work,

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