Key Facts

Remote From:

Full time

English

Hard Skills

Worksoft Certify Regulatory Compliance Google Workspace Auditing Digital File Management Benefits Administration Credential Manager Online Communication

Other Skills

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Non-Verbal Communication
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Organizational Skills
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Detail Oriented

Roles & Responsibilities

Previous experience in provider credentialing, ideally within an ABA, healthcare, or behavioral health setting.
Knowledge of insurance enrollment processes and common payer requirements.
Strong administrative and organizational skills with high attention to detail.
Ability to manage multiple applications and deadlines simultaneously.

Requirements:

Manages provider credentialing and recredentialing with payers and networks
Collects, verifies, and maintains clinician licenses, certifications, and required documents
Submits and tracks applications for BCBAs, RBTs, and supervising clinicians
Ensures compliance with payer, state, and regulatory requirements

ReWorks Solutions

About ReWorks Solutions

At ReWorks Solutions, we help businesses scale smarter by blending cost-effective outsourcing with high-performance teams and strategic operations. We don’t just fill positions—we handpick top talent and seamlessly integrate them into your workflow, ensuring efficiency, quality, and real results. Our proven process streamlines operations, reduces costs, and boosts productivity, giving U.S. and international businesses access to highly skilled professionals without compromising on quality. Whether you need a dedicated remote team or specialized support, we tailor our solutions to fit your business needs. Why Choose Us? ✅ Top-Tier Talent: We carefully curate professionals who match your company’s culture and expertise requirements. ✅ Cost-Effective Solutions: Reduce overhead costs without sacrificing quality or efficiency. ✅ Seamless Integration: We make outsourcing easy, ensuring smooth collaboration with your in-house team. ✅ Scalable & Flexible: Whether you need a small team or a full-scale operation, we grow with your business. ✅ Results-Driven Approach: We focus on real impact—helping you optimize operations and achieve your goals. Let’s Build Your Dream Team! Ready to unlock the power of smart outsourcing? Connect with us today and let’s build a high-performing, cost-efficient team that drives your business forward.

Founded: 2018

Company size: 11 - 50

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Job description

Job Title: Credentialing Specialist

Job Type: Full-Time, Remote

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

Responsibilities

Manages provider credentialing and recredentialing with payers and networks
Collects, verifies, and maintains clinician licenses, certifications, and required documents
Submits and tracks applications for BCBAs, RBTs, and supervising clinicians
Ensures compliance with payer, state, and regulatory requirements
Monitors expiration dates and proactively renews credentials
Maintains accurate credentialing records and supports audits
Coordinates with billing, HR, and clinical leadership to prevent service delays
Receiving new hire and termination updates
Verifying licenses and certifications from onboarding files
Aligning start dates with payer approval
Alerting HR to expirations or issues
Sharing credential status for staffing and payroll

Requirements

Previous experience in provider credentialing, ideally within an ABA, healthcare, or behavioral health setting.
Knowledge of insurance enrollment processes and common payer requirements.
Strong administrative and organizational skills with high attention to detail.
Ability to manage multiple applications and deadlines simultaneously.
Excellent written and verbal communication skills.
Proficient in Microsoft Office / Google Workspace; experience with credentialing software is a plus.
Ability to work independently in a remote environment.

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.