D4C Dental
The
Credentialing Specialist
will be responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process. Liaise between practitioners, health plans, hospitals, patient care facilities, and all related entities regarding credentialing, malpractice coverage, and practitioner enrollment. Manage credentialing and re-credentialing processes, complete applications for Commercial and Medicaid dental plans, contact doctors for additional documentation if required, and monitor applications for timely approval and follow-up. Manage CAQH applications, including completion and updates. Maintain provider information in online credentialing databases and systems. Update provider information such as address changes and NPI updates. Ensure facility addresses and provider information are current with health plans, agencies, and other entities. Coordinate, compile, and prepare reports related to doctors as requested, and prepare correspondence associated with the credentialing process. Maintain knowledge of current health plan and agency requirements for credentialing doctors. Track license and certification expirations for all practitioners to ensure timely renewals and follow up with practitioners regarding expiring documents. Perform other duties as assigned. Education and Experience: High school diploma; Bachelor's degree preferred. 2-3 years of experience in Managed Care credentialing and Medicaid enrollment. Experience with integrating dental practices and acquisitions. NAMMS Certifications is a plus. We take care of our valued employees by offering: Paid Time Off Paid Holidays Medical, Dental, and Vision benefits Health Savings Account, Flex Spending 401K Short and Long Term Disability Insurance Life Insurance Opportunities for Community Service About D4C Dental Brands Work that Matters At D4C Dental Brands, team members are positioned to make a difference in the lives of patients. As the leading and fastest growing support organization for specialty dental practices, we aim to enhance and advance the overall patient experience. Our success stems from our focus on supporting high-quality patient care and our shared vision of "Raising the Standard in children's oral health." If you're ready to make a difference in the lives of children and positively impact the healthcare system, there's no better place to do so. We believe that committed teams working with dedicated dentists to help children achieve a lifetime of great oral health results in tremendous outcomes. This shared commitment underpins everything we do. #J-18808-Ljbffr
Credentialing Specialist
will be responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process. Liaise between practitioners, health plans, hospitals, patient care facilities, and all related entities regarding credentialing, malpractice coverage, and practitioner enrollment. Manage credentialing and re-credentialing processes, complete applications for Commercial and Medicaid dental plans, contact doctors for additional documentation if required, and monitor applications for timely approval and follow-up. Manage CAQH applications, including completion and updates. Maintain provider information in online credentialing databases and systems. Update provider information such as address changes and NPI updates. Ensure facility addresses and provider information are current with health plans, agencies, and other entities. Coordinate, compile, and prepare reports related to doctors as requested, and prepare correspondence associated with the credentialing process. Maintain knowledge of current health plan and agency requirements for credentialing doctors. Track license and certification expirations for all practitioners to ensure timely renewals and follow up with practitioners regarding expiring documents. Perform other duties as assigned. Education and Experience: High school diploma; Bachelor's degree preferred. 2-3 years of experience in Managed Care credentialing and Medicaid enrollment. Experience with integrating dental practices and acquisitions. NAMMS Certifications is a plus. We take care of our valued employees by offering: Paid Time Off Paid Holidays Medical, Dental, and Vision benefits Health Savings Account, Flex Spending 401K Short and Long Term Disability Insurance Life Insurance Opportunities for Community Service About D4C Dental Brands Work that Matters At D4C Dental Brands, team members are positioned to make a difference in the lives of patients. As the leading and fastest growing support organization for specialty dental practices, we aim to enhance and advance the overall patient experience. Our success stems from our focus on supporting high-quality patient care and our shared vision of "Raising the Standard in children's oral health." If you're ready to make a difference in the lives of children and positively impact the healthcare system, there's no better place to do so. We believe that committed teams working with dedicated dentists to help children achieve a lifetime of great oral health results in tremendous outcomes. This shared commitment underpins everything we do. #J-18808-Ljbffr