Overview
We’re hiring a Credentialing Specialist with healthcare or behavioral health experience! Join Behavioral Innovations, a leading provider of Applied Behavior Analysis (ABA) therapy.
Location: Corporate Home Office is located in Addison, TX (Near Beltline & Tollway)
Schedule: Monday-Friday | Full-Time | Onsite In-Office, with ability to go to the RCM hybrid scheduled based on performance
About Behavioral Innovations:
Celebrating 25 Years of Service: Behavioral Innovations (BI) is a leading provider committed to transforming lives by providing compassionate, center-based ABA therapy for children with autism, ages 18 months to 10 years. With over 90 locations across Texas, Oklahoma, and Colorado—and upcoming expansions into Virginia and Maryland—we’re growing rapidly. Join our dynamic team and use your expertise to streamline processes and strengthen the financial health of our organization, enabling us to stay focused on what matters most: making a meaningful difference in the lives of the families we serve.
Position Summary:
We are seeking a Credentialing Specialist to coordinate and execute the credentialing and enrollment process for our providers within Behavioral Healthcare. This role is essential in ensuring our clinicians are enrolled with commercial and government payors, maximizing reimbursement for services rendered. The Credentialing Sepcialist will interact extensively with providers, enrollment staff, insurance plans, HR recruitment, clinical departmetns, and leadership.
Your Work and How You'll Make a Difference:
- Process provider enrollment and revalidation applications with commercial and government payors.
- Maintain and audit provider payor information in credentialing databases and software.
- Perform regular follow-ups with payors to ensure timely application processing.
- Coordinate with revenue cycle and clinical teams to ensure smooth onboarding and credentialing.
- Facilitate provider contracting and credentialing issue resolution with payors.
- Ensure compliance with HIPAA and regulatory guidelines.
- Support provider enrollment in out-of-state Medicaid programs.
- Respond to provider inquiries within a 24-hour timeframe.
- Perform any other duties assigned
Qualifications:
- Associates degree and three (3) years relevant experience in credentialing or related work experience may be substituted in lieu of educational qualifications.
- 1-3 years of knowledge in a behavioral health or medical clinic setting preferred, but not necessary.
- Take the initiative to identify and resolve issues
- Experience in provider enrollment, credentialing, or revenue cycle management (preferred).
- Strong understanding of commercial and government payor enrollment processes.
- Excellent organizational, problem-solving, and follow-up skills.
- Proficiency in Microsoft Word and Excel.
- Familiarity with Electronic Medical Records (EMR) and billing systems.
- Strong communication and interpersonal skills to collaborate with internal teams and external payors.
Why Choose Behavioral Innovations:
- Compensation: Hourly Pay
- Insurance Benefits: Medical, Vision, Dental, and Supplemental Insurance Policies.
- Wellbeing Program: Equipping you with tools to achieve your wellness goals.
- OVIA Health: A Women's Health App supporting you throughout the entire Parenthood Journey.
- Employee Assistance Program (EAP): Comprehensive support for your mental, emotional, and physical health.
- Daily Pay: Access your pay when you need it!
- University Partnerships: Enjoy tuition rate discounts.
- Supportive Team Structure: Our clients and families are our top priority, and we foster a collaborative and expert team environment.
- Family-Centric Culture – We foster a caring and collaborative work environment.
- Professional Growth – We invest in training, development, and career advancement opportunities.
- Recognition & Support – Your contributions matter, and we celebrate your achievements.
Award-Winning Culture – Honored with the Clinical Excellence Award in 2021 for our commitment to ethical standards and compassionate care.
Recognized Industry Leader – Named Company of the Year in 2022, reflecting our continued growth and impact in the ABA field.
National Recognition – Proudly ranked on the Inc. 5000 list as one of America’s Fastest Growing Private Companies.
Mission-Driven Work – Dedicated to transforming the lives of children with autism through high-quality, center-based ABA therapy.
Values-Driven Organization – Guided daily by our Core Values, with integrity at the heart of everything we do.
Team Unity & Trust – Achievements are made possible by a collaborative, purpose-driven team and strong partnerships.
Ready to make an impact? Apply today and become a vital part of our mission at Behavioral Innovations!
Be a Credentialing Specialist at Behavioral Innovations.Where Potential Thrives.
CORP2025
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