AR Credentialing Specialist

Butterfly Effects Deerfield Beach , FL 33442

Posted 2 months ago

AR Credentialing Specialist

POSITION OVERVIEW:

Butterfly Effects is hiring for an AR Credentialing Specialist to join our corporate team in Deerfield Beach, FL! The AR Credentialing Specialist will assist the Collections Manager in credentialing providers for the company and seek out collections from our contracted payors.

If you are ready to join a bright, compassionate team of seasoned and committed professionals focused on people, passion, and purpose, then come join the Butterfly Effects family!

PRIMARY RESPONSIBILITIES:

  • Assist with data entry on credentialing providers.

  • Follow up with payor contacts to confirm credentialing paperwork has processed.

  • Follow up with providers to ensure all relevant forms have been submitted.

  • Work cohesively with the collections department to troubleshoot credentialing issues.

  • Create spreadsheets and organize priority payors that require follow up.

  • Verify client demographics, authorizations, correct CPT codes, and all claim details relating to claim denials or underpayments.

  • Ensure all research is done in insurance portals, Central Reach, and EOBs to resolve claim issues.

  • Review clearing house for denials and corrected claims submitted.

  • Correct and resubmit claims denied for billing errors when needed to assist the billing team.

  • Identify time sheet, coding, documentation errors, and report them to management for correction if needed to help resolve a claim issue.

  • Identify trends in payors that are not paying correctly or are incorrectly denying claims on a regular basis, and work with management to develop a plan of action to obtain a resolution on these accounts.

QUALIFICATIONS:

  • High School Diploma

  • 1-2 years of previous experience in collections

  • Proficient with Microsoft Office Suite (Word, Excel, Outlook)

  • Experience with electronic medical records is preferred

  • Strong attention to detail

COMPANY OVERVIEW:

Butterfly Effects, headquartered in Deerfield Beach, Florida, is a leading provider of client-centric in-home and in-school ABA therapy for those experiencing life on the Autism spectrum. Butterfly Effects currently serves clients in 12 states, employing over 1,000 passionate team members focused on a singular purpose - to create a collaborative environment that promotes meaningful learning opportunities and experiences through individualized ABA therapy, for clients and their circle of support.

Butterfly Effects is an Equal Opportunity Employer and it is our policy to provide equal employment opportunities to all people without regard to age, race, color, creed, religion, national origin, disability, gender, sexual orientation, veteran status, or any other basis prohibited by statute, and to promote the full realization of an inclusive employment and service policy

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AR Credentialing Specialist

Butterfly Effects