We're Hiring: Credentialing Specialist

Are you experienced in provider enrollment or credentialing within a behavioral health or medical clinic setting?

Join our fast-growing company and play a key role in ensuring clinicians are credentialed and enrolled with commercial and government payors to maximize reimbursement.

Apply today and be part of a team making a difference in healthcare!

Location: Addison, TX (Near Beltline & Tollway)

Schedule: Full-Time | Monday-Friday | Onsite In-Office, with ability to go to the RCM hybrid schedule based on performance.

About Behavioral Innovations:

Celebrating 25 Years of Service: Behavioral Innovations (BI) is a leading provider committed to transforming lives by providing compassionate, center-based Applied Behavioral Analysis (ABA) therapy for children with autism, ages 18 months to 10 years. With more than 100+ locations across TX, OK, CO, VA, MD - and more to come - we’re continuing to expand rapidly. Join our dynamic team and make a meaningful difference in the lives of the families we serve.

Your Work and How You'll Make a Difference:

We are seeking a Credentialing Specialist to coordinate and execute the provider credentialing and enrollment process. This role ensures clinicians are enrolled with commercial and government payors, maximizing reimbursement for services delivered. You’ll collaborate with internal teams — including revenue cycle, HR recruitment, clinical departments, and leadership — and interact with payors to resolve issues and maintain compliance. As a key member of our team, your work directly supports timely provider onboarding, accurate reimbursement, and smooth operations across our behavioral health services.

Key Responsibilities:

• Communicate and collaborate effectively with team leaders, direct reports, and leadership to optimize payor enrollment processes and department performance.

• Enroll and revalidate providers with commercial and government payors, including out-of-state Medicaid programs.

• Obtain, complete, and submit provider enrollment applications and supporting documents accurately.

• Conduct regular follow-ups with payors to ensure timely application processing.

• Maintain provider information in credentialing databases and software; audit payor directories for accuracy.

• Facilitate payor communications to resolve credentialing and contracting issues.

• Ensure all sensitive information is handled confidentially and in compliance with HIPAA regulations.

• Verify enrollment status, instructions, and applications using calls, web portals, and email communication.

• Coordinate with the revenue cycle team to ensure provider numbers and effective enrollment dates are entered for timely claim submissions.

• Maintain up-to-date knowledge of health plans, regulatory requirements, and credentialing procedures.

• Prepare and manage commercial, Medicaid, and third-party application forms for new and existing providers.

• Track and manage provider re-credentialing, re-validation, and expirable documents.

• Respond to provider, client, or center inquiries within 24 hours.

• Utilize Electronic Medical Records (EMR) and billing systems effectively.

• Demonstrate strong interpersonal and communication skills to work collaboratively across teams and leadership.

Requirements:

• Associates degree and three (3) years relevant experience in credentialing or related work experience may be substituted in lieu of educational qualifications.
• 1-3 years of knowledge in a behavioral health or medical clinic setting preferred, but not necessary.
• Take the initiative to identify and resolve issues
• Experience in provider enrollment, credentialing, or revenue cycle management (preferred).
• Strong understanding of commercial and government payor enrollment processes.
• Exhibit high quality work
• Use excellent judgment
• Communicate clearly
• Willing to learn and take on new tasks
• Demonstrate resourcefulness and cooperation
• Exhibit BI’s core values in all interactions

Why Choose Behavioral Innovations:

• Compensation: Competitive Hourly rate

• Work-Life Balance: 10 days PTO, 7 paid holidays

• Insurance: Medical, Vision, Dental, and Supplemental Plans

• Wellbeing: Tools and programs to support physical, mental, and emotional wellness

• Employee Assistance Program (EAP): Comprehensive support

• Family-Centric Culture: Caring, collaborative environment

• Award-Winning Culture: Recognized for clinical excellence and ethical standards

• Mission-Driven Work: Help children with autism reach their full potential

• Values-Driven Organization: Integrity, accountability, collaboration, and family-focused care

Ready to Make a Difference?

Join Behavioral Innovations as a Credentialing Specialist and contribute to a mission-driven team dedicated to helping children with autism thrive.

Apply today and be part of a growing, purpose-driven organization where your work directly impacts families and communities.

CORP2025