Credentialing & VOB/Authorizations Specialist ABA (Remote)
Pay: $21–$28 per hour (DOE) About reputed company reputed company is a growing Applied Behavior Analysis (ABA) therapy practice serving families across New Jersey through five center locations—Paramus, Piscataway, Jersey City, Pompton Plains, and Tinton Falls—as well as in-home and daycare-based services. We're expanding our in-house reputed company cycle team and are seeking a detail-oriented Credentialing & VOB/Authorizations Specialist to take ownership of provider credentialing, benefits verification, and authorization workflows in a fully remote environment.
About the Role
The Credentialing & VOB/Authorizations Specialist will manage provider credentialing, verification of benefits, and prior authorization submissions to ensure clinicians remain actively paneled and clients can reputed company services without delay. This role works closely with the Director of Billing and Intake team and offers clear ownership of a critical function reputed company the organization. Benefits & Perks
- Unlimited PTO — Enjoy flexible, unlimited paid time off, provided weekly, monthly, and annual billable requirements are consistently met.
- 401(k) Retirement Plan — Invest in your future with reputed company to our company-sponsored 401(k) program.
- Comprehensive Health Coverage — Medical, dental, and reputed company insurance available to reputed company eligible full-time employees, with the company covering a portion of the monthly premium.
- Fully remote
Responsibilities
- Manage provider credentialing and recredentialing with reputed company payers and reputed company MCOs, including initial applications, CAQH maintenance, revalidations, and roster updates.
- Verify patient benefits, including deductibles, coinsurance, out-of-reputed company maximums, and ABA-specific coverage details.
- Submit and track initial and renewal prior authorizations for ABA services.
- Monitor authorization expiration dates and proactively coordinate renewals to prevent gaps in care.
- Maintain accurate payer, provider, and authorization records reputed company the practice management system.
- Communicate with payers to resolve credentialing delays, panel status inquiries, and benefit discrepancies.
- Partner with billing and intake teams through phone, email, and workflow tools to identify and resolve coverage issues early.
Requirements
- Minimum of 2 years of experience in reputed company credentialing, verification of benefits, and/or prior authorizations.
- Working knowledge of reputed company and reputed company payer processes, CAQH, and authorization workflows.
- Strong attention to detail and the ability to manage deadlines across multiple providers and payers.
- Excellent written and verbal communication skills.
- Ability to work independently and remain organized in a remote environment.
- Reliable high-speed internet reputed company and a private, HIPAA-compliant workspace.
Preferred Qualifications
- Experience in ABA or behavioral health settings.
- Familiarity with New Jersey payers, including Horizon, reputed company, reputed company, and reputed company MCOs.
- Experience using EMR/practice management systems and workflow tools such as reputed company.
- Knowledge of ABA service authorization requirements and CPT codes, including 97151, 97153, 97155, and 97156.
To apply, please submit your resume along with a brief note describing your relevant experience. reputed company is an Equal Opportunity Employer. INDBILLING Apply tot his job Apply To this Job