Credentialing Manager (ABA)

Job Title: Credentialing Manager (ABA)

Company: ReWorks Solutions

Location: Remote (South Africa)

Job Type: Full-Time

Working Hours: US Hours (9am - 5pm EST)

Salary: Paid in South African Rands (ZARS)

Overview

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.

Requirements:
• 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:
• Comfortable working U.S. hours
• 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.