ABA Operations & Credentialing Specialist

Job title: ABA Operations & Credentialing Specialist

Type of employment: Part-time

Shift Schedule: 10:00 AM - 2:00 PM EST

High-Level Summary

We are seeking an ABA Operations & Credentialing Specialist with direct experience supporting an Applied Behavior Analysis (ABA) organization or clinical program.
This position will support the restart and continuing operations of an ABA program, including provider credentialing and enrollment, compliance documentation, insurance verification, intake coordination, billing support, EHR administration, and provider/staff qualification tracking.
The ideal candidate already understands how ABA organizations operate and can step into established healthcare administrative workflows without requiring training on the fundamentals of ABA credentialing, payer processes, intake, billing, and provider requirements.

About the Company:

The company provides healthcare-related services and is relaunching and expanding its ABA program across Washington, D.C. and Maryland.

The organization previously operated ABA services in Washington, D.C. and is now working to reactivate and update the program after a period of inactivity. It is also looking to expand its ABA services and payer relationships in Maryland.

This role will help establish the operational infrastructure needed to support provider credentialing, payer enrollment, BCBA and RBT staffing, referral relationships, client and provider management, compliance, documentation, and long-term program growth.

Company core values:

• Accuracy and compliance — committed to maintaining complete, accurate, and up-to-date provider and program documentation.
• Confidentiality — protects sensitive healthcare, provider, and organizational information with professionalism and discretion.
• Accountability — takes ownership of applications, deadlines, follow-ups, and outstanding requirements.
• Organization and consistency — values structured processes, accurate tracking, and reliable execution.
• Proactive collaboration — communicates regularly with internal staff, providers, payers, and referral sources to keep processes moving.

Objective of the Role

• Support the restart and continuing operation of the company's ABA program.
• Manage ABA provider credentialing, enrollment, recredentialing, and payer documentation.
• Support insurance verification, intake, billing, and EHR-related administrative processes.
• Maintain ABA compliance documentation and track regulatory and payer requirements.
• Support qualification and documentation processes for BCBAs, RBTs, and other ABA providers.
• Maintain accurate operational trackers and consistently follow through on outstanding requirements.

Core Responsibilities

ABA Credentialing & Provider Enrollment

• Manage credentialing, enrollment, and recredentialing for ABA providers.
• Prepare, submit, and track provider applications with Medicaid and commercial payers.
• Maintain provider credentialing documentation and payer records.
• Follow up with payers and credentialing entities regarding outstanding applications and requirements.
• Monitor enrollment status, expiration dates, renewals, and missing documentation.
• Work with systems such as CAQH, NPPES/NPI, Medicaid enrollment portals, and payer portals.
  

ABA Program Operations & Compliance

• Support operational requirements involved in restarting and maintaining an ABA program.
• Organize documentation required by regulators, payers, and other governing entities.
• Maintain program compliance trackers, checklists, and records.
• Track outstanding approvals, documentation, and operational requirements.
• Support development and maintenance of recurring ABA administrative workflows and SOPs.
  

Intake, Insurance & Billing Support

• Support client intake workflows for ABA services.
• Conduct or coordinate insurance eligibility and benefits verification.
• Communicate with payers regarding coverage, enrollment, and related requirements.
• Support billing-related administrative processes and follow-ups.
• Track intake status, outstanding documentation, authorizations, and payer requirements.
  

EHR & Administrative Operations

• Maintain accurate client/provider information within EHR systems.
• Support documentation management and administrative workflows within the ABA EHR.
• Maintain organized digital provider and client records.
• Monitor outstanding tasks, deadlines, and follow-ups.
• Prepare clear operational status updates for management.
  

ABA Provider & Staffing Support

• Support administrative processes related to onboarding BCBAs, RBTs, and other ABA personnel.
• Verify required qualifications, credentials, documentation, and eligibility.
• Track outstanding provider requirements and onboarding documentation.
• Coordinate with management regarding staffing needs and provider readiness.
  

Required Qualifications

• Direct professional experience working for an Applied Behavior Analysis (ABA) provider, ABA therapy organization, or ABA clinical program.
• Hands-on experience with ABA operations, credentialing, provider enrollment, intake, billing, insurance verification, or related ABA administrative functions.
• ABA industry experience is mandatory; general healthcare experience alone is not sufficient.
• Experience working with Medicaid and/or commercial payer credentialing and provider enrollment.
• Experience supporting payer, insurance, authorization, or benefits-verification workflows.
• Experience using healthcare or ABA EHR systems.
• Understanding of BCBA and RBT provider documentation and qualification requirements.
• Familiarity with CAQH, NPPES/NPI, Medicaid enrollment systems, and payer portals.
• Strong written and verbal English communication skills.
• Strong documentation, organization, follow-up, and task-management ability.
• Ability to manage multiple deadlines and outstanding requirements independently.
• Strong attention to detail when handling provider, payer, billing, and compliance information.
  

Preferred Qualifications

• Previous responsibility for helping launch, restart, or expand an ABA program.
• Experience with D.C. Medicaid.
• Experience with ePREP or MPRIME.
• Experience with Carelon or other behavioral-health payer portals.
• Experience supporting ABA billing and revenue-cycle workflows.
• Experience supporting BCBA/RBT onboarding or staffing.
• Experience creating ABA operational SOPs, trackers, and process documentation.