Credentialing Auditor

About Action Behavior Centers
Action Behavior Centers is a leading provider of ABA therapy services for children on the Autism Spectrum. Founded in Austin, Texas, we are committed to delivering exceptional care and creating a supportive, collaborative workplace. We pride ourselves on being different—smart, fun, and driven to be the best at what we do.

About the Role
We are seeking a motivated and detail-oriented Credentialing Auditor to join our growing team. This role is ideal for a proactive self-starter who thrives in a fast-paced environment and enjoys working both independently and collaboratively. While we provide thorough training on the specific tasks listed below, the right candidate will quickly take ownership of responsibilities and manage them with accuracy and efficiency.

What We’re Looking For
If you have a positive attitude, a team-player mindset, and a strong eye for detail, this could be the perfect opportunity for you. The ideal candidate is adaptable, resourceful, and committed to supporting the team in delivering outstanding results.

Required:

• When you upload your resume, please upload in PDF format
• Ability to speak eloquently about past accomplishments
• 2-10 years of previous job experience
• 1-5 years of credentialing experience preferred
• 2 + years of experience in an administrative role required (preferably Behavioral Health or Healthcare)
• Delegated Credentialing experience preferred
• Fully understand CAQH Attestations and processing
• Proficient at using Excel and Word (Google Suite Products preferred)

Responsibilities:

• Prioritize and complete all work with accuracy, efficiency, and attention to detail.
• Support overall team success by assisting with related tasks and projects as needed.
• Monitor and manage the credentialing inbox, responding to inquiries and coordinating with representatives for clarification when necessary.
• Maintain and update provider data to ensure accuracy and integrity within credentialing databases.
• Generate and extract reports from various data sources to support credentialing functions.
• Manage portal registrations and access, including setup and troubleshooting.
• Triage and address basic Revenue Cycle Management (RCM) inquiries received through the credentialing inbox.
• Track, organize, and maintain inbox communications for accurate documentation.
• Assist with reporting needs, including retention reporting/processing and new location tracking.
• Provide overflow support for backlog management and re-credentialing activities.
• Support committee operations, including reassignment of files and coordinating with leadership as needed.
• Assist with special projects, including 1 running project a month
• Conduct research to support BCBA hiring and credentialing processes.

Expectations: