Clifton, NJ · Remote
$21 - $28/hr
About the Role The Credentialing & VOB/Authorizations Specialist will manage provider credentialing, verification of benefits, and prior authorization submissions to ensure clinicians remain actively ...
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Clifton, NJ · Remote
$21 - $28/hr
About the Role The Credentialing & VOB/Authorizations Specialist will manage provider credentialing, verification of benefits, and prior authorization submissions to ensure clinicians remain actively ...
Conducts/reviews primary source verification and validation of credentialing documents including clinical education/training, board certification and eligibility, licensure, accreditation, work ...
Conducts/reviews primary source verification and validation of credentialing documents including clinical education/training, board certification and eligibility, licensure, accreditation, work ...
Conducts/reviews primary source verification and validation of credentialing documents including clinical education/training, board certification and eligibility, licensure, accreditation, work ...
Conducts/reviews primary source verification and validation of credentialing documents including clinical education/training, board certification and eligibility, licensure, accreditation, work ...
Conducts/reviews primary source verification and validation of credentialing documents including clinical education/training, board certification and eligibility, licensure, accreditation, work ...
Conducts/reviews primary source verification and validation of credentialing documents including clinical education/training, board certification and eligibility, licensure, accreditation, work ...
New York, NY · On-site
$60K/yr
Provide credentialing verification to other institutions upon request and release from current or past medical staff members. * Provides routine reports to Providers and support staff regarding the ...
New York, NY · On-site
$60K/yr
Provide credentialing verification to other institutions upon request and release from current or past medical staff members. * Provides routine reports to Providers and support staff regarding the ...
New York, NY · On-site
$26.65 - $40.87/hr
What you will be doing • EPIC approvals - verify credentialed provider's DEA in Cactus Minimum Qualifications: • Bachelor's Degree with one to three years credentialing experience in a healthcare ...
New York, NY · On-site
$26.65 - $40.87/hr
What you will be doing • EPIC approvals - verify credentialed provider's DEA in Cactus Minimum Qualifications: • Bachelor's Degree with one to three years credentialing experience in a healthcare ...
Manhattan, NY · On-site
$26.65 - $40.87/hr
What You Will Be Doing • EPIC approvals - verify credentialed provider's DEA in Cactus Minimum Qualifications: * Bachelor's Degree with one to three years credentialing experience in a healthcare ...
Manhattan, NY · On-site
$26.65 - $40.87/hr
What You Will Be Doing • EPIC approvals - verify credentialed provider's DEA in Cactus Minimum Qualifications: * Bachelor's Degree with one to three years credentialing experience in a healthcare ...
The Carrier credentials function is part of Operations and works closely with World Insurance ... Research, verify and validate carrier codes to ensure accurate recordkeeping and timely processing.
The Carrier credentials function is part of Operations and works closely with World Insurance ... Research, verify and validate carrier codes to ensure accurate recordkeeping and timely processing.
Manhattan, NY · On-site
$26.65 - $40.87/hr
What you will be doing • EPIC approvals - verify credentialed provider's DEA in Cactus Minimum Qualifications: • Bachelor's Degree with one to three years credentialing experience in a healthcare ...
Manhattan, NY · On-site
$26.65 - $40.87/hr
What you will be doing • EPIC approvals - verify credentialed provider's DEA in Cactus Minimum Qualifications: • Bachelor's Degree with one to three years credentialing experience in a healthcare ...
Manhattan, NY · On-site
The Credentialing Coordinator is responsible for document collection, review, verification, and provider credentialing file maintenance. This position also ensures that all credentialing supporting ...
Manhattan, NY · On-site
The Credentialing Coordinator is responsible for document collection, review, verification, and provider credentialing file maintenance. This position also ensures that all credentialing supporting ...
Manhattan, NY · On-site
$30 - $32/hr
Perform primary source verification on required elements and in accordance regulatory guidelines and policies and procedures * Data entry and upkeep of provider information in the credentialing and ...
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Manhattan, NY · On-site
$30 - $32/hr
Perform primary source verification on required elements and in accordance regulatory guidelines and policies and procedures * Data entry and upkeep of provider information in the credentialing and ...
$30 - $32/hr
Perform primary source verification on required elements and in accordance regulatory guidelines and policies and procedures Data entry and upkeep of provider information in the credentialing and ...
$30 - $32/hr
Perform primary source verification on required elements and in accordance regulatory guidelines and policies and procedures Data entry and upkeep of provider information in the credentialing and ...
Manhattan, NY · On-site
$32/hr
... verification on required elements and in accordance regulatory guidelines and policies and procedures • Data entry and upkeep of provider information in the credentialing and other pertinent ...
Manhattan, NY · On-site
$32/hr
... verification on required elements and in accordance regulatory guidelines and policies and procedures • Data entry and upkeep of provider information in the credentialing and other pertinent ...
New York, NY · On-site
$27 - $29/hr
Completes primary source verification for new and existing providers to ensure due diligence ... Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent ...
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New York, NY · On-site
$27 - $29/hr
Completes primary source verification for new and existing providers to ensure due diligence ... Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent ...
FlexStaff is seeking a highly talented Medical Insurance Verification/Data Entry Clerk for their ... credentials, negotiated contracts, budget and internal equity)
New
FlexStaff is seeking a highly talented Medical Insurance Verification/Data Entry Clerk for their ... credentials, negotiated contracts, budget and internal equity)
New
Lake Success, NY · On-site
$22/hr
FlexStaff is seeking a highly talented Medical Insurance Verification/Data Entry Clerk for their ... credentials, negotiated contracts, budget and internal equity)
New
Lake Success, NY · On-site
$22/hr
FlexStaff is seeking a highly talented Medical Insurance Verification/Data Entry Clerk for their ... credentials, negotiated contracts, budget and internal equity)
New
FlexStaff is seeking a highly talented Medical Insurance Verification/Data Entry Clerk for their ... credentials, negotiated contracts, budget and internal equity)
New
FlexStaff is seeking a highly talented Medical Insurance Verification/Data Entry Clerk for their ... credentials, negotiated contracts, budget and internal equity)
New
Chappaqua, NY · Hybrid
$22 - $25/hr
FlexStaff is seeking a highly talented Medical Insurance Verification/Data Entry Clerk for their ... credentials, negotiated contracts, budget and internal equity)
New
Chappaqua, NY · Hybrid
$22 - $25/hr
FlexStaff is seeking a highly talented Medical Insurance Verification/Data Entry Clerk for their ... credentials, negotiated contracts, budget and internal equity)
New
New York, NY · On-site
$25 - $27/hr
Completes primary source verification for new and existing providers to ensure due diligence ... Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent ...
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New York, NY · On-site
$25 - $27/hr
Completes primary source verification for new and existing providers to ensure due diligence ... Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent ...
Be Seen First
Bronx, NY · On-site
$75K - $90K/yr
Key Responsibilities Credentialing Committee & Compliance Oversight Application Review & Verification Monitoring & Compliance Leadership & Operational Oversight * * Oversee preparation of ...
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Be Seen First
Bronx, NY · On-site
$75K - $90K/yr
Key Responsibilities Credentialing Committee & Compliance Oversight Application Review & Verification Monitoring & Compliance Leadership & Operational Oversight * * Oversee preparation of ...
| Aspect | Credentials Verification | Medical Assistant |
|---|---|---|
| Required credentials | Verifies licenses, certifications, and educational credentials | Requires completion of accredited training, certification (e.g., CMA), and sometimes licenses |
| Work environment | Administrative, verification agencies, healthcare organizations | Clinical and administrative settings in healthcare facilities |
| Employer usage | Used by HR, licensing boards, and healthcare providers for credential validation | Employers hire for patient care, administrative tasks, and clinical support |
| Search and comparison intent | Focuses on credential validation processes | Focuses on clinical support and patient interaction roles |
Credentials Verification primarily involves confirming the validity of healthcare professionals' licenses and certifications, ensuring compliance and eligibility. Medical Assistants perform clinical and administrative tasks in healthcare settings, often requiring specific certifications. While both are integral to healthcare, Credentials Verification centers on validation processes, whereas Medical Assistants focus on patient care and support roles.
For Credentials Verification jobs in New York, the most frequently searched job titles are:
The top searched job categories for Credentials Verification jobs in New York are:
$21 - $28/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 18 days ago
Pay: $21–$28 per hour (DOE)
About RightWay ABARightWay 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 RoleThe 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
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.
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.
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
