Insurance Credentialing & Contracting Agent (US Healthcare) | Remote (EST Hrs)

# Insurance Credentialing & Contracting Agent (US Healthcare) | Remote (EST Hrs)

> ISTA Personnel Solutions · South Africa (Remote) · Full-time · Posted 2026-08-03

**Workplace:** remote

**Department:** SA - Operations

## Description

ISTA Personnel Solutions South Africa is a dynamic and fast-growing BPO company based in South Africa, specializing in providing top-tier operational support to U.S.-based companies. We are not a recruitment agency - we are a dedicated extension of our clients' teams, delivering high-quality service with precision, efficiency, and a personal touch.

**Role Summary**

We are seeking a detail-oriented and proactive **Insurance** **Credentialing & Contracting Specialist** for our U.S.-based client, a growing multi-state provider of Applied Behaviour Analysis (ABA) therapy services for children with autism. This role sits at the intersection of compliance and negotiation: you'll manage the credentialing of newly hired clinicians with insurance providers, and drive the research and outreach needed to get the company in-network with new insurers as they expand into new states.

**PLEASE NOTE:**

• **Working Hours:** Monday to Friday, 15:00 PM – 00:00 AM South African time – subject to changes due to daylight saving.
• **Public Holidays:** This role requires you to work on both South African and US public holidays (compensation for SA public holidays in accordance with the BCEA).
• **Internet Requirements:** A fixed fibre line with a minimum speed of 25 Mbps (upload & download), capable of supporting a wired Ethernet connection, is mandatory. LTE, satellite internet (e.g. Starlink), Rain wireless/mobile broadband, and mobile hotspots will **not** be considered.
• **Power Backup:** A reliable power backup solution - solar, an inverter, or a UPS - capable of sustaining your internet and workstation through load shedding and power outages is required. Applicants without one cannot be considered.
• **Work Environment:** _This is a fully remote working role._

**Key Responsibilities:**

• Manage insurance credentialing for newly hired clinicians, updating documentation and portal profiles with individual insurers to ensure compliance and correct billing
• Research insurance landscapes in new states as the company expands, identifying which insurers to prioritize for network participation
• Reach out to insurance companies to understand credentialing requirements, application processes, and reimbursement rate structures
• Negotiate reimbursement rates with insurers where offered rates fall below competitive benchmarks
• Track credentialing and contracting progress, flagging delays or issues proactively
• Maintain accurate, audit-ready records across multiple insurer portals and systems
• Follow established workflows and escalate matters appropriately when required
• Complete other ad hoc coordination tasks as needed

**Requirements**

• U.S. health insurance experience, including private insurers and Medicaid
• Excellent communication skills and strong English fluency (verbal and written)
• Strong critical thinking and independent problem-solving skills, particularly for the contracting/negotiation side of the role
• A confident, proactive attitude - comfortable initiating contact with insurers and pushing for better terms
• Detail-oriented and highly organized, with the discipline to manage multiple portals and deadlines accurately
• Basic computer literacy, including MS Office and Outlook (no advanced Excel skills required)
• Experience with ABA-specific insurance processes is a strong plus, but not required
• Ability to work independently with minimal day-to-day supervision

If you are not contacted within 14 working days, please consider your application unsuccessful.
## Apply
[Apply at ISTA Personnel Solutions](https://apply.workable.com/ista-2/j/CA973D2957/apply)
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