Credentialing Specialist

Butterfly Effects•Deerfield Beach, FL

60d•Onsite

About The Position

The Credentialing Specialist is responsible for coordinating all functions related to the credentialing and re-credentialing of providers and maintaining provider credentialing files. If you are ready to join a bright, compassionate team of professionals that are focused on enabling our organization to be able to offer high-quality services to families with special needs, then come join the Butterfly Effects family!

Requirements

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.
High level of commitment/ownership to one's work product.
Commitment to self-accountability, collaboration, and teamwork.
Critical thinking, with a drive for continuous process and system improvement.
Commitment to service excellence philosophy and interdisciplinary therapy for clients on the Autism spectrum.

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 maintain up-to-date provider information for all providers in systems.
Utilizes, maintains, and manages providers with CAQH ProView profiles to ensure data is maintained and accurate for health plan use.