Top 13 Credentialing specialist remote Jobs in Queens Ny

Credentialing & VOB/Authorizations Specialist ABA (Remote)
RightWay ABA —Clifton, NJ
- $21 - $28 an hour
- Full-time
- Remote
- Applied behavior analysis
- Mid-level
- 2 years
- Health insurance
- Dental insurance
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13d
Credentialing Specialist
Ivy Rehab Network —White Plains, NY
- $25 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid holidays
- Paid time off
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Credentialing Specialist
CAIPA MSO LLC —Canal Street, NY
- $40,000 - $55,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Writing skills
- Research
- Health insurance
- Dental insurance
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Credentialing Manager
Charlie Health —New York, NY
- $70,000 - $77,500 a year
- Full-time
- Remote
- English
- Bachelor's degree
- Senior level
- Health insurance
Medical Billing Specialist ABA
RightWay ABA —Clifton, NJ
- $21 - $28 an hour
- Full-time
- Remote
- Applied behavior analysis
- Mid-level
- 2 years
- Health insurance
- Dental insurance
Quick Apply
13d
Sr Offshore Operational Specialist
NYU Langone Health —New York, NY
- $75,000 - $105,000 a year
- Online Application
- Office
- Finance
- Analysis skills
- Wellness program
Freelance Dental Billing Specialist
Radia Elidriss DDS, LLC —Fort Lee, NJ
- $20 - $25 an hour
- Temporary
- Mid-level
- In-person
- Commercial
- Flexible schedule
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6d

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Clinical Provider Credentialing & Enrollment Specialist, 2+ years exp
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Credentialing Specialist-(Day)FT
Adena Health System —Chillicothe, OH
Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified…
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Provider Enrollment Specialist-Day(FT)
Adena Health System —Chillicothe, OH
Minimum Qualifications Required Educational Degree: High School Diploma or GED Major/Area of Concentration: Preferred Education: Associates Degree in Business…
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Credentialing & VOB/Authorizations Specialist ABA (Remote)

RightWay ABA
Clifton, NJ

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Job Details

Full-time
$21 - $28 an hour
13 days ago

Benefits

Health insurance
Unlimited paid time off
Dental insurance
401(k)
Vision insurance

Qualifications

Medicaid health insurance
Medicaid

Full Job Description

Pay: $21–$28 per hour (DOE)

About RightWay ABA

RightWay ABA is a growing Applied Behavior Analysis (ABA) therapy practice serving families across New Jersey through five center locations—Paramus, Piscataway, Jersey City, Pompton Plains, and Tinton Falls—as well as in-home and daycare-based services.

We're expanding our in-house revenue cycle team and are seeking a detail-oriented Credentialing & VOB/Authorizations Specialist to take ownership of provider credentialing, benefits verification, and authorization workflows in a fully remote environment.

About the Role

The Credentialing & VOB/Authorizations Specialist will manage provider credentialing, verification of benefits, and prior authorization submissions to ensure clinicians remain actively paneled and clients can begin services without delay. This role works closely with the Director of Billing and Intake team and offers clear ownership of a critical function within the organization.

Benefits & Perks

Unlimited PTO — Enjoy flexible, unlimited paid time off, provided weekly, monthly, and annual billable requirements are consistently met.
401(k) Retirement Plan — Invest in your future with access to our company-sponsored 401(k) program.
Comprehensive Health Coverage — Medical, dental, and vision insurance available to all eligible full-time employees, with the company covering a portion of the monthly premium.
Fully remote

Responsibilities

Manage provider credentialing and recredentialing with commercial payers and Medicaid MCOs, including initial applications, CAQH maintenance, revalidations, and roster updates.
Verify patient benefits, including deductibles, coinsurance, out-of-pocket maximums, and ABA-specific coverage details.
Submit and track initial and renewal prior authorizations for ABA services.
Monitor authorization expiration dates and proactively coordinate renewals to prevent gaps in care.
Maintain accurate payer, provider, and authorization records within the practice management system.
Communicate with payers to resolve credentialing delays, panel status inquiries, and benefit discrepancies.
Partner with billing and intake teams through phone, email, and workflow tools to identify and resolve coverage issues early.

Requirements

Minimum of 2 years of experience in healthcare credentialing, verification of benefits, and/or prior authorizations.
Working knowledge of commercial and Medicaid payer processes, CAQH, and authorization workflows.
Strong attention to detail and the ability to manage deadlines across multiple providers and payers.
Excellent written and verbal communication skills.
Ability to work independently and remain organized in a remote environment.
Reliable high-speed internet connection and a private, HIPAA-compliant workspace.

Preferred Qualifications

Experience in ABA or behavioral health settings.
Familiarity with New Jersey payers, including Horizon, Aetna, UnitedHealthcare, and Medicaid MCOs.
Experience using EMR/practice management systems and workflow tools such as Monday.com.
Knowledge of ABA service authorization requirements and CPT codes, including 97151, 97153, 97155, and 97156.

To apply, please submit your resume along with a brief note describing your relevant experience.

RightWay ABA is an Equal Opportunity Employer.
INDBILLING

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credentialing specialist remote jobs in queens ny

Credentialing & VOB/Authorizations Specialist ABA (Remote)

Credentialing Specialist

Credentialing Specialist

Credentialing Manager

Medical Billing Specialist ABA

Sr Offshore Operational Specialist

Freelance Dental Billing Specialist

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