Credentialing & Contracting Specialist (ABA Services)

Department:  Billing & Authorizations

Reports To: RCM Manager

Job Summary

The Credentialing & Contracting Specialist is responsible for managing the credentialing, enrollment, and payer contracting processes for ABA providers, including BCBAs, BCaBAs, RBTs, and other clinical staff. This role ensures compliance with payer, state, and regulatory requirements while supporting timely provider onboarding, recredentialing, and reimbursement readiness. The specialist acts as a liaison between providers, payers, and internal teams to support uninterrupted service delivery.

Credentialing & Provider Enrollment

·      Manage initial and re-credentialing for ABA providers (BCBAs, BCaBAs, RBTs, etc.)

·      Complete and submit provider enrollment applications with Medicaid, Tricare, and commercial payers