Credentialing Specialist

Credentialing Specialist Butterfly Effects - Headquarters in Deerfield Beach Full-Time Opportunity

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 transformed the lives of over 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.