Credentialing Specialist
butterflyeffects
Credentialing Specialist Butterfly Effects - Headquarters in Deerfield Beach Full-Time Opportunity Onsite / Potentially Hybrid Butterfly Effects is seeking a Credentialing Specialist to join our corporate office in Deerfield Beach, FL! The Credentialing Specialist is responsible for coordinating all functions related to the credentialing and re-credentialing of providers and maintains provider credentialing files. If you are ready to join a bright, compassionate team of professionals that is 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! 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 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.
QUALIFCATIONS:
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. About Butterfly Effects Since 2005, Butterfly Effects has supported 14,000 families through individualized ABA therapy. Our butterfly logo symbolizes love, rebirth, and metamorphosis - mirroring our commitment to helping children and families thrive. We are co-founders of the National Coalition for Access to Autism Services (NCAAS) and the Louisiana Coalition for Access to Autism Services (LCAAS) - two nonprofits dedicated to expanding access to ABA regardless of socio-economic status. At Butterfly Effects, you will find more than a job - you will find a mission. Visit to learn more and apply. #J-18808-Ljbffr butterflyeffects- ...Job Type Full-time Description Summary The Credentialing Specialist is responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing processes for NuView Health. This includes facilitating initial hospital...SuggestedFull timeWork at office
- Butterfly Effects in Deerfield Beach, FL is seeking a Credentialing Specialist to coordinate credentialing and re-credentialing of providers. This role involves managing provider files and ensuring compliance with health plan requirements. The ideal candidate will possess...Suggested
$21.24 - $26.97 per hour
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$25 - $35 per hour
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$24.16 per hour
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...delivers hands-on, process-driven operational support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000 - $70,000 a year - (Based on experience) Full-time Why Join Quadrant Health Group?...Full timeWork at officeRemote work- ViewTrade in Boca Raton, FL is seeking a licensed Compliance Associate with over 5 years of brokerage experience and a Series 24 License. This role involves assisting with compliance duties, managing regulatory documentation, and supporting team operations. The ideal candidate...
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$175k - $200k
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$500 per month
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