INTERNAL ONLY Credentialing Auditor

Action Behavior Centers • Austin, TX

6d

About The Position

Action Behavior Centers is a leading provider of ABA therapy services for children on the Autism Spectrum. Founded in Austin, Texas, we are looking for a motivated, top-notch Credentialing Auditor who wants to be a part of a stellar team and deliver exceptional results. We are a smart, fun place to work. Simply put, we are different, and we aim to be the best.

If you are an overachiever with an excellent attitude and a team player personality, this might be the right position for you! The right candidate will be a natural self-starter with extremely strong attention to detail. We will train on specific task items listed below, although the right fit will quickly and easily pick up responsibilities and manage them on their own.

Requirements

• When you upload your resume, please upload in PDF format
• Ability to speak eloquently about past accomplishments
• 2-10 years of previous job experience
• 1-5 years of credentialing experience preferred
• 2 + years of experience in an administrative role required (preferably Behavioral Health or Healthcare)
• Delegated Credentialing experience preferred
• Fully understand CAQH Attestations and processing
• Proficient at using Excel and Word (Google Suite Products preferred)

Responsibilities

• Prioritize and complete work accurately and efficiently, with strong attention to detail.
• Manage the credentialing inbox, including responding to messages and coordinating with internal teams and external contacts as needed.
• Follow up with payers to keep credentialing items moving and ensure timely resolution.
• Maintain and review provider data to keep everything accurate and up to date across systems, including Salesforce.
• Support data quality efforts by maintaining standards, identifying issues, and assisting with cleanup as needed.
• Pull and organize data for reporting and team needs.
• Review credentialing records for committee purposes, providing feedback and supporting training for Specialists when needed.
• Help with backlog and re-credentialing work as needed.
• Support committee-related tasks, including reassigning files and coordinating with leadership when needed.
• Assist with special projects, including at least one ongoing project per month.
• Work with internal teams to improve processes and keep systems running smoothly.
• Be a team player and support overall team success.

Benefits

• Competitive Salary
• PTO and 14 days of paid holidays
• Health, dental, and vision insurance are covered at up to 90% by the employer
• A fun, relaxed work environment with a great team
• Job training

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees