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Credentialing Specialist

Golden Steps ABA · Englewood Cliffs, NJ · Provider credentialing, Billing, and Operations

Compensation

$60k – $70k /yr

Employment type

Full-time

Work setting

On-site

Location

Englewood Cliffs, NJ

Schedule

Day shift

Posted

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Job overview

The Credentialing Specialist role is hybrid in Englewood Cliffs, NJ, with three days in the office and two days remote. The salary is $60,000–$70,000 per year. At Golden Steps ABA, the role supports provider credentialing and payer enrollment so clinicians can begin serving children and families without unnecessary delays. The specialist manages credentialing and enrollment applications, provider records, and deadlines across a multi-state organization. The work helps maintain accurate payer participation and supports provider activation in collaboration with Billing and Operations.

What you'll do

  • Complete initial credentialing, recredentialing, and payer enrollment applications
  • enroll providers with Medicaid and commercial plans
  • research state and payer requirements
  • maintain provider files, CAQH profiles, and NPI records
  • complete revalidation requests
  • track applications and follow up with payers
  • maintain application and renewal records
  • identify missing or expired information and coordinate resolution
  • communicate status and risks to leadership and internal partners
  • assist with payer contracting documentation and audits
  • protect confidential information.

What we're looking for

Skills & competencies
credentialing specialist
englewood cliffs nj
hybrid
3 days office
2 days remote
$60k–$70k
healthcare credentialing
provider enrollment
medicaid
commercial payers
caqh
npi registry
golden steps aba
Work arrangement
  • Weekend coverage required

Why this role

Requires a high school diploma or equivalent, at least two years of healthcare credentialing or enrollment experience, and hands-on CAQH and NPI Registry experience.

About the employer

Golden Steps ABA is hiring for this role. Industry: Offices of All Other Miscellaneous Health Practitioners. Sector: 62.

Additional details

Industry sector
62
Industry
Offices of All Other Miscellaneous Health Practitioners
Occupation code
13-1071.00
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