... contractual CAQH and payor standards. * Accurate and timely data entry for all primary source ... Utilizes, maintains, and manages providers CAQH ProView profiles to ensure data is maintained and ...
... contractual CAQH and payor standards. * Accurate and timely data entry for all primary source ... Utilizes, maintains, and manages providers CAQH ProView profiles to ensure data is maintained and ...
Credentialing Coordinator
Alameda, CA · On-site
... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal ... Comply with the organization's Code of Conduct, all regulatory and contractual requirements ...
Credentialing Coordinator
Alameda, CA · On-site
... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal ... Comply with the organization's Code of Conduct, all regulatory and contractual requirements ...
Credentialing Coordinator
Alameda, CA · On-site
... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal ... Comply with the organization's Code of Conduct, all regulatory and contractual requirements ...
Credentialing Coordinator
Alameda, CA · On-site
... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal ... Comply with the organization's Code of Conduct, all regulatory and contractual requirements ...
... contractual CAQH and payor standards. * Accurate and timely data entry for all primary source ... Utilizes, maintains, and manages providers CAQH ProView profiles to ensure data is maintained and ...
Quick apply
... contractual CAQH and payor standards. * Accurate and timely data entry for all primary source ... Utilizes, maintains, and manages providers CAQH ProView profiles to ensure data is maintained and ...
Facilitates pre-delegation and delegation vendor audits to ensure adherence to contractual ... Raises issues to management and assists in resolution. * Additional duties as assigned. Minimum ...
Facilitates pre-delegation and delegation vendor audits to ensure adherence to contractual ... Raises issues to management and assists in resolution. * Additional duties as assigned. Minimum ...
Credentialing Specialist
Portland, ME · On-site
This individual is also responsible for assisting with the daily management of an external ... contractual status * Receives primary source verification information from CVO. Acts as point ...
Credentialing Specialist
Portland, ME · On-site
This individual is also responsible for assisting with the daily management of an external ... contractual status * Receives primary source verification information from CVO. Acts as point ...
Credentialing Specialist
Portland, ME · On-site
This individual is also responsible for assisting with the daily management of an external ... contractual status * Receives primary source verification information from CVO. Acts as point ...
Credentialing Specialist
Portland, ME · On-site
This individual is also responsible for assisting with the daily management of an external ... contractual status * Receives primary source verification information from CVO. Acts as point ...
Credentialing Specialist
$56K - $63K/yr
... contractual obligations. This position is planned to be remote. Travel Expectations: This role ... Continuously inform Credentialing leadership of the project status and assist in managing ...
New
Credentialing Specialist
$56K - $63K/yr
... contractual obligations. This position is planned to be remote. Travel Expectations: This role ... Continuously inform Credentialing leadership of the project status and assist in managing ...
New
Credentialing Specialist
$56K - $63K/yr
... contractual obligations. This position is planned to be remote. Travel Expectations: This role ... Continuously inform Credentialing leadership of the project status and assist in managing ...
Credentialing Specialist
$56K - $63K/yr
... contractual obligations. This position is planned to be remote. Travel Expectations: This role ... Continuously inform Credentialing leadership of the project status and assist in managing ...
Credentialing & QI Reporting Specialist
Eugene, OR · On-site +1
$18.68 - $26.15/hr
... contractual requirements. The position also supports the agency's Measurable Outcomes Tracking ... Ability to work independently and manage multiple priorities * Ability to meet deadlines and ...
Credentialing & QI Reporting Specialist
Eugene, OR · On-site +1
$18.68 - $26.15/hr
... contractual requirements. The position also supports the agency's Measurable Outcomes Tracking ... Ability to work independently and manage multiple priorities * Ability to meet deadlines and ...
Credentialing & Contract Management Specialist
Syracuse, NY · On-site
$19.96 - $24.96/hr
Maintain database in support of credentialing functions to manage information effectively and ... contractual questions, and administrative policy and procedure. * Responsible for updating and ...
Credentialing & Contract Management Specialist
Syracuse, NY · On-site
$19.96 - $24.96/hr
Maintain database in support of credentialing functions to manage information effectively and ... contractual questions, and administrative policy and procedure. * Responsible for updating and ...
Collect, organize, file, and manage license applications and renewals documentation to ensure ease ... Assure contractual arrangements meet financial targets and legal/regulatory compliance requirements.
Collect, organize, file, and manage license applications and renewals documentation to ensure ease ... Assure contractual arrangements meet financial targets and legal/regulatory compliance requirements.
Credentialing & Contract Management Specialist
Syracuse, NY · On-site
$19.96 - $24.96/hr
Maintain database in support of credentialing functions to manage information effectively and ... contractual questions, and administrative policy and procedure. * Responsible for updating and ...
Credentialing & Contract Management Specialist
Syracuse, NY · On-site
$19.96 - $24.96/hr
Maintain database in support of credentialing functions to manage information effectively and ... contractual questions, and administrative policy and procedure. * Responsible for updating and ...
Credentialing Data Analyst - SHP Health Services - Telecommuter - Day Shift - Full Time
San Diego, CA · Remote
$32.73 - $40.91/hr
What You Will Do Under the direction of the Network Management and Application Optimization ... Maintains current knowledge of delegation, contractual agreement(s), and reimbursement models.
Credentialing Data Analyst - SHP Health Services - Telecommuter - Day Shift - Full Time
San Diego, CA · Remote
$32.73 - $40.91/hr
What You Will Do Under the direction of the Network Management and Application Optimization ... Maintains current knowledge of delegation, contractual agreement(s), and reimbursement models.
Credentialing Data Analyst - SHP Health Services - Telecommuter - Day Shift - Full Time
San Diego, CA · On-site
$32.73 - $40.91/hr
What You Will Do Under the direction of the Network Management and Application Optimization ... Maintains current knowledge of delegation, contractual agreement(s), and reimbursement models.
Credentialing Data Analyst - SHP Health Services - Telecommuter - Day Shift - Full Time
San Diego, CA · On-site
$32.73 - $40.91/hr
What You Will Do Under the direction of the Network Management and Application Optimization ... Maintains current knowledge of delegation, contractual agreement(s), and reimbursement models.
Credentialing Coordinator / Job Req 721743116
Alameda, CA · On-site
$27.11 - $40.66/hr
... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal ... Comply with the organization's Code of Conduct, all regulatory and contractual requirements ...
Credentialing Coordinator / Job Req 721743116
Alameda, CA · On-site
$27.11 - $40.66/hr
... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal ... Comply with the organization's Code of Conduct, all regulatory and contractual requirements ...
... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal ... Comply with the organization's Code of Conduct, all regulatory and contractual requirements ...
... Managed Health Care (DMHC), and the Centers for Medicare and Medicaid Services (CMS). Principal ... Comply with the organization's Code of Conduct, all regulatory and contractual requirements ...
Credentialing Specialist - Per Diem
$25 - $30/hr
... and meeting contractual obligations. The Credentialing Specialist will need to be available to ... Continuously inform Credentialing leadership of the project status and assist in managing ...
Credentialing Specialist - Per Diem
$25 - $30/hr
... and meeting contractual obligations. The Credentialing Specialist will need to be available to ... Continuously inform Credentialing leadership of the project status and assist in managing ...
... contractual state and federal requirements. Verify and track the provider's credentialing data and prepare records as instructed by management. Other clerical duties as assigned. Primary Duties and ...
... contractual state and federal requirements. Verify and track the provider's credentialing data and prepare records as instructed by management. Other clerical duties as assigned. Primary Duties and ...
Credentialing Specialist - Per Diem
$25 - $30/hr
... and meeting contractual obligations. The Credentialing Specialist will need to be available to ... Continuously inform Credentialing leadership of the project status and assist in managing ...
Credentialing Specialist - Per Diem
$25 - $30/hr
... and meeting contractual obligations. The Credentialing Specialist will need to be available to ... Continuously inform Credentialing leadership of the project status and assist in managing ...
Contractual Credentialing Manager information
See salary details
$43.5K - $51.5K
3% of jobs
$51.5K - $59.5K
4% of jobs
$64.1K is the 25th percentile. Wages below this are outliers.
$59.5K - $67.5K
30% of jobs
The median wage is $72.1K / yr.
$67.5K - $75.5K
22% of jobs
$75.5K - $83.5K
12% of jobs
$88.5K is the 75th percentile. Wages above this are outliers.
$83.5K - $91.5K
6% of jobs
$91.5K - $99.5K
6% of jobs
$99.5K - $107.5K
4% of jobs
$107.5K - $115.5K
5% of jobs
$115.5K - $123.5K
3% of jobs
$123.5K - $131.5K
3% of jobs
$43.5K
$85K
$131.5K
How much do contractual credentialing manager jobs pay per year?
What is the difference between Contractual Credentialing Manager vs Credentialing Specialist?
| Aspect | Contractual Credentialing Manager | Credentialing Specialist |
|---|---|---|
| Certifications | Healthcare credentials, industry-specific certifications | Similar healthcare credentials, certification often preferred |
| Work Environment | Healthcare organizations, insurance companies, staffing agencies | Hospitals, clinics, healthcare provider offices |
| Employer & Industry Usage | Used in healthcare management, staffing, and credentialing firms | Common in healthcare facilities managing provider credentials |
The Contractual Credentialing Manager oversees credentialing processes, often managing contracts and compliance, while the Credentialing Specialist handles day-to-day credential verification and data entry. Both roles require healthcare credentials but differ in scope and responsibilities within healthcare organizations.
Butterfly Effects rating
6.8
Based on 32 frontline employees who took The Breakroom Quiz
51st of 231 rated social care providers
Job description
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.
At Butterfly Effects, you will find more than a job - you will find a mission. Visit www.butterflyeffects.com to learn more and apply.
#INDCORP
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About Butterfly Effects
Sourced by ZipRecruiter
Butterfly Effects has served more than 10,000 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. A national leader in ASD treatment, Butterfly Effects employs more than 140 board-certified behavior analysts (BCBA) and over 1,000 behavior technicians in the 12 states we serve. Our corporate office located in Deerfield Beach, Florida is home to our leadership team and administrative staff who assist with daily operations, including client services, human resources, talent acquisition, finance, revenue cycle management, quality assurance, compliance, professional development, and professional ethics. 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.
Industry
Individual, family and community social assistance
Company size
501 - 1,000 Employees
Headquarters location
Deerfield Beach, FL, US
Year founded
2005