Credentialing Specialist

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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