Credentialing Manager (ABA)

Job Title: ABA Claims Specialist

Job Type: Full-Time, Remote

Working Hours: US Hours (9am-5pm EST)

Salary: South African Rand (ZAR)

Key Responsibilities

• Prepare, submit, and track insurance claims for Applied Behavior Analysis (ABA) services.
• Review claims for accuracy and completeness prior to submission.
• Follow up on outstanding, rejected, or denied claims with insurance providers.
• Investigate and resolve claim discrepancies, denials, and payment issues.
• Work closely with billing, scheduling, and clinical teams to ensure services are billed correctly.
• Verify client insurance information and ensure authorizations align with billed services.
• Maintain accurate records of claims, payments, and correspondence with payers.
• Ensure compliance with payer requirements, company policies, and healthcare billing regulations.