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Credentialing & Insurance Authorization Specialist (ABA)

Real Hires

3.0
3 reviews
Real Hires
Job Type   /   Job Level
Full-time   /   Others/Any
Company Location
Philippines

You know how frustrating insurance processes can be.

Delays, missing information, endless follow-ups, and patients waiting.


We’re looking for someone who can bring order, speed, and clarity to that chaos.

If you understand ABA credentialing, know how to work with insurance companies, and take pride in getting things approved and moving forward, this role is for you.


What You’ll Own

You will be the person who makes sure providers are credentialed, services are authorized, and nothing falls through the cracks.

  • Manage the full credentialing process from start to finish
  • Verify patient insurance benefits accurately and quickly
  • Secure prior authorizations for ABA services
  • Handle out-of-network billing when needed
  • Communicate directly with insurance reps to resolve issues
  • Track and maintain clean, accurate records
  • Follow up on pending applications and approvals
  • Ensure compliance with payer requirements
  • Work closely with internal teams to keep onboarding smooth


What Success Looks Like

  • Providers are credentialed without delays
  • Authorizations are secured on time
  • Patients start services faster
  • Internal teams trust your process because nothing gets missed


What You Bring

  • Strong experience in ABA credentialing, VOB, and authorizations
  • Deep understanding of insurance workflows and payer requirements
  • Experience working directly with insurance companies (calls + follow-ups)
  • Ability to manage multiple tasks without losing attention to detail
  • Clear, professional communication


Bonus:

  • Experience with out-of-network billing
  • Familiarity with insurance processes in Indiana and New Jersey


Why This Role Matters

Behind every authorization is a patient waiting for care.

Your work helps remove delays and makes sure people get the services they need, when they need them.


If you’re someone who takes ownership, follows through, and knows how to navigate insurance without getting stuck, we’d like to meet you.

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