Credentialing Specialist

Job Description:

The Credentialing Specialist plays a vital role within our Insurance Operations Team. This position will be responsible for ensuring the expeditious procurement of provider licenses and credentialing documents. Successful candidates will have excellent time management and communication skills. The position will report to and maintain full support of the Credentialing Manager.

Essential Responsibilities:

• Execute licensure and credentialing processes for new and existing providers including but not limited to obtaining or requesting required documentation from various third-party sources and regular communication with appropriate state board representatives and the Field Management Team

• Source and maintain up-to-date information regarding all new and existing state and federal requirements as they pertain to professional licensing and credentialing requirements, processes, schedules, etc.

• Report licensure and credentialing expiration dates and renewal requirements to the providers as well as the appropriate members of the Field Operations Management Team, Compliance & Risk Management, etc.

• Work closely with the enrollment team to ensure proper processing of Provider credentials for enrollment in various dental plans

• Perform other clerical and administrative responsibilities as assigned

Position requirements:

• High School Diploma or equivalent, College Degree preferred

• Excellent verbal & written communications & customer service skills

• Excellent time management, prioritization, and organizational skills a must

• Detail oriented with a strong analytical, and problem-solving skills

• Proficient use of Microsoft Office Suite

Pay rate: $25 / hr