Offer summary

Qualifications:

High school diploma or equivalent required; Bachelor's Degree in a related field is a plus., Two years of relevant credentialing experience is necessary., Certification as a Certified Provider Credentialing Specialist (CPCS) is preferred., Excellent verbal and written communication skills, along with proficiency in Microsoft Office applications. .

Key responsabilities:

Maintain up-to-date data for each provider in credentialing databases and online systems.

Complete provider credentialing and re-credentialing applications, monitoring and following up as needed.

Track license and certification expirations for all providers to ensure timely renewals.

Communicate effectively with both internal and external customers while maintaining confidentiality of provider information.

Job description

CHANGING THE WORLD FOR CHILDREN WITH AUTISM

At BlueSprig our mission has always been to change the world for children with autism. For us this means all children – regardless of whether or not they receive services from us.

We are driven by our values and they are the foundation for every decision we make. Our clinicians are committed to delivering the highest quality ABA therapy services and maintain the highest ethical standards. We offer the best in training and ongoing professional development and are dedicated to leading the way in ABA research. We are devoted to advocating for the rights of all children with autism. We are proud of our Great Place to Work certification and our company culture that starts with a level playing field for all. BlueSprig is a community of professionals who are focused on living our values and serving our clients and families with compassion.

If you’re serious about quality, commitment to care, and leading with compassion, we guarantee you'll love being a part of the BlueSprig family!

Job Overview

The Credentialing Specialist is responsible for all aspects of the credentialing, re-credentialing processes for all therapists and certified professionals. Responsible for ensuring providers are credentialed or appointed with health plans and governing agencies. This can be a remote position.

Pay: $22-$25 hourly - depending on experience

Responsibilities:

Job Responsibilities

Maintain up-to-date data for each provider in credentialing databases and online systems
Compile and maintain current and accurate data for all providers
Complete provider credentialing and re-credentialing applications; monitor applications and follow up as needed. Maintain copies of current state licenses, certificates, malpractice coverage and any other required credentialing documents for all providers
Maintain knowledge of current health care and agency requirements for credentialing providers
Track license and certification expirations for all providers to ensure timely renewals
Ensures practice addresses are current with health plans, agencies and other entities
Complete primary source verification of credentialing data elements and document accordingly
Support credentialing committee activities as requested to prepare and follow up on file reviews
Communicate effectively and partner with both internal and external customers
Maintain confidentiality of provider information

Qualifications:

Job Requirements

Educational Background

High school diploma or equivalent required
Bachelor’s Degree in related field a plus; relevant experience replaces need for degree

Required Knowledge, Skills and Qualifications

Certification/Licensure: Certified Provider Credentialing Specialist (CPCS) preferred.
Two years of relevant credentialing experience
Knowledge and understanding of the credentialing process
Ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills including, letters, memos and emails.
Excellent attention to detail
Ability to research and analyze data
Ability to work independently with minimal supervision
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization
Proficient use of Microsoft Office Applications (Word, Excel, etc.) and internet resources

Benefits:

Compensation & Benefits

Competitive salary commensurate with experience
Collaborative and team-oriented work environment
Ongoing professional and career development
Medical, dental, and vision benefits 60 days after hire
Retirement plan
Paid time off
7 paid holidays
Flexible schedule

BlueSprig is an Equal Opportunity Employer. BlueSprig aims to be an inclusive and equitable employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are made on the basis of qualifications, merit, and business need. At BlueSprig, we level the playing field for all.

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