Credentialing Specialist - Hybrid Role

Golden Steps ABA•Englewood Cliffs, NJ

2d•Hybrid

About The Position

Golden Steps ABA is on a mission to change lives—one step at a time. We’re not just building a team; we’re creating a community where inclusion, impact, and growth are the norm for our teammates and our patients. If you're ready to take the next step forward and want to be part of a crew that celebrates heart, hustle, and high standards, come thrive with us. We are a small, employee-centric organization driven by our collective commitment to ABA excellence.

Requirements

Must be able to thrive in a fast-paced environment.
2 years of credentialing experience preferred.
Quick learner.
Must have the ability to multitask and manage time effectively.
Excellent written and verbal communication skills.
Outstanding problem-solving and organizational abilities.
Self-motivated and self-directed; able to work without supervision.
Experience with NPI registry, and CAQH.
High school diploma or equivalent.

Responsibilities

Acquire contracts for all insurances that we will be partnering within the applicable states.
Assess the needs of each state to comply with state regulations.
Create individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
Maintain internal provider framework to ensure all information is accurate and logins are available.
Update and maintain CAQH accounts.
Complete revalidation requests issued by government payers.
Process credentialing applications to add therapists to commercial payers, Medicare, and Medicaid.
Creating NPI’s when necessary for individual therapists.
Process re-credentialing applications for commercial payers.
Working closely with the billing department to negotiate contract rates.
Meet deadlines and communicate updates regularly with leadership and respective parties.
Other duties as assigned.