Credentialing Coordinator

Are you looking for a company that you can call home and have opportunities to grow? We are looking for a Credentialing Specialist to join our growing organization. As a Credentialing Specialist, you'll work closely with a variety of healthcare organizations to ensure the credentials of medical professionals are impeccable. By verifying and auditing credentials, you'll be part of a team devoted to upholding standards of excellence and providing the highest level of care to patients.

Job Description:

• Manage the credentialing process for oral surgeons and general dentists
• Complete roster verifications and CAQH attestations on a regular basis to maintain network status for surgeons
• Maintain clean and accurate records within credentialing platform
• Coordinate with internal departments and external agencies to obtain and update relevant provider information.
• Maintain accurate and up-to-date electronic and hard copy files of all credentialing documentation.
• Communicate with providers to address any discrepancies or missing information.
• Monitor expiring licenses and credentials, proactively initiating the renewal process to avoid any disruption in services.
• Any other duties assigned.

Required Qualifications:

• High school diploma or equivalent required.
• Minimum of 2 years of experience in credentialing or provider enrollment in a healthcare setting required.
• Strong knowledge of industry regulations, such as CAQH attestations and payer protocols.
• Proficient in using credentialing software and databases for data entry and maintenance.
• Excellent attention to detail and ability to work with complex documents.
• Strong analytical and problem-solving skills.
• Exceptional organizational and time management abilities.
• Effective communication and interpersonal skills.
• Ability to work independently and collaboratively within a team.
• Proficient in Microsoft office applications including Word, Excel, Adobe and Outlook.
• Professional business attire, appearance, and phone etiquette.

Preferred Qualifications:

• Experience working in a dental or surgical setting preferred.
• Some project management experience a plus

Schedule: Monday – Friday, 8 hour shift

Special Requirements:

• Working in-office is an essential function to this job.
• Physical requirements include sitting, stooping, turning, standing, bending, walking, hearing, reading, writing, and keyboarding.
• Ability to sit behind a desk approximately 80% of the workday required.
• This is not an all-inclusive list of job-related responsibilities, duties, skills, efforts, requirements or working conditions. Management may require that other or different tasks be performed as assigned.