About AnswersNow
Our mission is to empower and enhance the lives of those affected by autism by providing accessible and personalized care through innovative virtual platforms. We are a rapidly growing, venture-backed digital health company delivering virtual autism care to families. Founded in 2017, we have secured funding from prominent venture capital and growth equity firms.In the last year, our technology and network of dozens of licensed clinicians have facilitated thousands of hours of therapy to families and their children with autism.
We’re driven by the tangible impact we’re having on families’ lives and are passionate about scaling our services nationally to serve even more. Our proprietary digital product:
- Provides clients access to virtual therapy, anytime and anywhere: Bring families from assessment to therapy in as soon as 3 weeks without a waitlist or commute
- Improves client outcomes: 97% of parents report dramatic improvements in their loved ones socially significant behaviors
- Connects clients with expert care: Pair families with a dedicated, expert-level clinician who has a master’s degree or PhD, board certification, and over 1,000 hours of supervised fieldwork
Credentialing Specialist
Remote, Anywhere in the US
About the role
AnswersNow is looking to bring on a Credentialing Specialist in to coordinate and perform a variety of operational duties required for provider credentialing and enrollment. You will interact extensively with BCBAs, Care Coordinators, Health Plans, People Ops recruitment, clinical departments and leadership and will contribute significantly to the Company’s mission of delivering ABA therapy to our families by facilitating provider enrollment and maximizing reimbursement for services rendered.
What you'll do
- Work in conjunction with BCBAs to maintain CAQH profiles for clean credentialing.
- Maintain BCBA documentation to include onboarding documents needed for credentialing.
- Enroll providers with commercial and government payors; and revalidate providers with government and contracted health plans.
- Obtain, accurately complete, and submit enrollment applications and related documents to health plans.
- Audit payor directories for current and accurate provider information.
- Facilitate payor calls to address contracting and credentialing issues.
- Ensure all regulatory requirements are met with commercial health plans and state agencies.
- Prepare all commercial, Medicaid and/or third-party application forms required for credentialing and enrollment purposes for new providers; run reports and manage existing provider accounts for re-credentialing, re-validation and working expirables (e.g. licensure, certifications, credentials, etc.).
- Attend Health Plan training to keep Clinical and Ops teams informed of insurance process changes/requirements regarding provider enrollment.
About you
- Looking to join a mission-driven organization that is poised to shape the future of ABA service delivery
- Highly effective communicator who works to establish trust and team buy-in
- Takes pride in delivering high quality work
- Proactive problem-solver who takes the initiative to identify and resolve issues and operates with a sense of urgency
- Unafraid to ask questions, has a strong desire to learn and a passion for taking on new challenges
- Ability to manage multiple tasks simultaneously
Requirements
- 3 years of relevant experience in ABA credentialing preferred
- 1 year of previous ABA work experience is required
- 1 year of previous credentialing experience is required
Our benefits include
At AnswersNow, you’ll have the opportunity to be part of a company that is revolutionizing the ABA industry. Other benefits to working at AnswersNow include competitive pay, meaningful investment in the company via stock options, generous time-off (please use it!), health, vision, and dental care options, and more.
More About AnswersNow
At AnswersNow, we’re committed to cultivating a diverse and inclusive workplace. We welcome people of all backgrounds, experiences, abilities, and perspectives. We are an equal opportunity employer and a pleasant and supportive place to work. We'd love to have you come join us here! AnswersNow is fully remote and open to hiring folks within the US. For more information, please visit getanswersnow.com.
