Full-Time Credentialing Specialist

• Ensure that providers are credentialed, appointed, and privileged with dental plans
• Maintain up-to-date data for each provider in credentialing databases and online systems, ensuring timely renewal of licenses and certificates
• Compile and maintain current and accurate data for all providers
• Complete credentialing and recredentialing applications, and monitor applications to follow-up as needed
• Maintain copies of current state licenses, certificates, and any other required credentialing documents for all providers
• Track license and certification expirations for all providers to ensure timely renewals
• Maintain knowledge of current dental plan and agency requirements for providers
• Set up and maintain provider information in online credentialing databases and systems
• Maintain strict confidentiality of provider information
• Ensure practice addresses and provider & billing information is current with dental plans, agencies, and other entities
• Work towards continuous quality improvement
• Stay current with changing technology and dental industry trends
• Uphold, support, and promote all company policies and procedures

Requirements:

• Associate degree preferred
• 1-3 years of medical/dental credentialing experience ideal
• Proficient use of Microsoft Office Suite, computer and office equipment, e-mail, and internet-based portals
• Excellent verbal and written communication skills
• Ability to research and analyze data
• Skilled in ability to organize and prioritize work and manage multiple projects/priorities
• Place a high emphasis on attention to detail
• Ability to work independently with minimal supervision
• Seek to establish and maintain effective working relationships with providers, management, office and corporate team, and contacts outside the organization
• Certified Provider Credentialing Specialist (CPCS) preferred, but not required

Working conditions include those typically seen in an office environment. Prolonged periods of sitting at a desk and working on a computer. Must be able to lift to 15 pounds at times.

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