Credentialing Assistant

Department: Revenue Cycle / Compliance / Human Resources
Reports To: Credentialing Manager / Revenue Cycle Director / HR Director FLSA Status: Exempt

Position Summary
The Credentialing Assistant supports the credentialing and re-credentialing processes for clinical staff within the ABA therapy organization. This role ensures that all providers meet payer and regulatory requirements to deliver and bill for services. The Credentialing Assistant maintains accurate records, tracks application statuses, and collaborates with internal teams and insurance payers to ensure timely credentialing and enrollment.
Key Responsibilities
Credentialing & Enrollment Support
● Assist with initial credentialing and re-credentialing for clinical staff, including: ○ Board Certified Behavior Analysts (BCBAs)
○ Board Certified Assistant Behavior Analysts (BCaBAs)
○ Registered Behavior Technicians (RBTs), as required by payers
● Prepare and submit provider enrollment applications to insurance payers (Medicaid, commercial plans, TRICARE)
● Gather and verify required documentation,



such as:
○ Licenses and certifications
○ Education and training records
○ Work history and references
● Maintain credentialing files and ensure completeness and accuracy

Tracking & Data Management
● Maintain credentialing databases and tracking systems
● Monitor application and re-credentialing timelines to ensure timely submission and follow-up
● Track expirations for licenses, certifications, and payer enrollments
● Ensure all provider information is up to date in internal systems and payer portals Payer Communication
● Communicate with insurance companies to verify application status and resolve issues ● Follow up on pending applications and escalate delays as needed
● Respond to payer requests for additional information in a timely manner Compliance & Documentation
● Ensure compliance with payer, state, and federal requirements
● Maintain organized and audit-ready credentialing record

📌 Credentialing Assistant (Bengaluru)
🏢 Ārohana Support
📍 Bengaluru