Credentialing Specialist

Butterfly Effects; Deerfield Beach (FL); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Competitive compensation

Open and transparent culture

Advancement opportunities

Benefits package

Job summary

Butterfly Effects, located at our Corporate HQ in Deerfield Beach, Florida, seeks a Credentialing Specialist to coordinate all credentialing functions for healthcare providers and maintain credentialing files. Onsite role with a mission-driven team dedicated to autism services for families.

The Credentialing Specialist will manage CAQH ProView profiles, collect documentation, and ensure data accuracy for health plans.

Qualifications

• 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.

Skills

Interpersonal communication

Written communication

Verbal communication

Active listening

Education

High School Diploma or GED

Tools

CAQH ProView

EMR systems

Credentialing software

Job description

Onsite at Corporate HQ / Deerfield Beach, Florida

At Butterfly Effects, families are at the center of everything we do, and we recognize that our team members make all the difference. We are committed to making socially significant change in the lives of the children and families we support that are affected by autism, and we are looking for a Credentialing Specialist who shares that passion.

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!

Why Work at 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.

• 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

What Would You Be Doing?

• 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.

What Do You Bring to the Role?

• 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.

Why Work at Butterfly Effects?

• Meaningful Impact: Be part of a mission-driven organization improving the lives of children and families
• Growth Opportunities: Opportunities to expand your operational and leadership skills in a growing organization
• Collaborative Environment: Work alongside clinical and operational leaders who are passionate about what they do
• Comprehensive Benefits: Medical, dental, vision, life insurance, and supplemental coverage options
• Retirement Savings: 401(k) to help you plan for the future
• Generous Time Off: PTO and paid holidays

Who Are We?

Butterfly Effects has served more than 15,000 families since our inception in 2005. We have a long history of improving the lives of children and families affected by autism spectrum disorder through our family-centric applied behavior analysis (ABA) approach. Our mission is to deliver ABA treatment in partnership with families affected by autism to foster a more joyous life.

Our butterfly logo was chosen as a symbol of love, rebirth, and metamorphosis. Together, the name and logo represent our common purpose and deep commitment to helping families create lasting change through individualized ABA therapy.

For more information, please visit www.butterflyeffects.com

Equal Opportunity Employer

Butterfly Effects, LLC is an equal opportunity employer and does not discriminate upon the basis of actual or perceived race, color, religion, creed, national origin, citizenship status, gender, sexual orientation, gender identity or expression (including transgender status), age, ancestry, marital status, disability, veteran status, service in the military, genetic information, political affiliation, or any other characteristic protected by applicable federal, state, or local laws.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This role may assist with related special projects and perform other related duties as assigned by management.

Tailored, Family Centric ABA Therapy | Butterfly Effects

Butterfly Effects empowers families with expert ABA therapy and resources on Autism Spectrum Disorder (ASD). Get guidance, advice, and support for raising a child with autism.

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