Credentialing Specialist
Butterfly Effects · Deerfield Beach, FL · 2 wk ago
HealthcareFull-time
About the role
Butterfly Effects is seeking a Credentialing Specialist to join their corporate office in Deerfield Beach, FL.
Responsibilities
- Receive and process all initial credentialing and re-credentialing applications for the Company's healthcare practitioners.
- Monitor work queue to ensure applications are processed within expected turnaround times.
- Responsible for collecting credentialing documentation and accurately building provider credentialing files according to contractual CAQH and payor standards.
- Accurate and timely data entry for all primary source verifications and maintaining up-to-date provider information for all providers in systems.
- Utilizes, maintains, and manages providers CAQH ProView profiles to ensure data is maintained and accurate for health plan use.
Qualifications
- A High School Diploma or GED.
- Experience in healthcare credentialing or administration preferred.
- Experience with electronic medical records is preferred.
- Excellent interpersonal, written, and verbal communication skills including active listening.
- A high level of commitment/ownership to one's work product.
- A commitment to self-accountability, collaboration, and teamwork.
- A critical thinking approach with a drive for continuous process and system improvement.
- A commitment to service excellence philosophy and interdisciplinary therapy for clients on the Autism spectrum.
Why Butterfly Effects
Families are at the heart of our work, and we take care of the people who make all the difference. Butterfly Effects mission is to make a socially meaningful change in the lives of children and families.
What's In It For You
- A mission you can get behind.
- A competitive compensation and benefits package.
- An opportunity to work at a mission-driven organization where your efforts directly help our children and families.
- An open and transparent company culture.
- Opportunities for advancement.