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Credentialing Specialist (Remote)

5 days ago

Pay$50000.00 - $60000.00 / year
LocationChicago/Illinois
Employment typeFull-Time

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  • Job Description

      Req#: 4736391007
      Employer Industry: Dental Services

      Why consider this job opportunity:
      - Salary up to $60,000
      - Unlimited Paid Time Off (PTO) for a healthy work-life balance
      - Comprehensive benefits package including Medical, Dental, and Vision coverage
      - Opportunity for career advancement and growth within the organization
      - Supportive and collaborative work environment
      - Work remotely with limited travel required to the employer's support center in Chicago, IL

      What to Expect (Job Responsibilities):
      - Conduct and maintain credentialing processes for dental practitioners
      - Analyze credentialing applications and communicate status updates to practitioners
      - Perform primary source verification and manage recredentialing for eligible providers
      - Act as a liaison with third-party payors to ensure accurate provider setup
      - Maintain detailed records of all credentialing activities and communications

      What is Required (Qualifications):
      - High School Diploma required; Bachelor's Degree preferred
      - 2-3 years of Dental or Medical Credentialing experience required
      - Understanding of NCQA credentialing standards
      - Demonstrated experience auditing and maintaining detailed complex credentialing records
      - Proficient with Word and Excel, and credentialing software platforms

      How to Stand Out (Preferred Qualifications):
      - CPCS certification (preferred not required)
      - Knowledge of dental insurance credentialing, ADA recommendations, CAQH Proview, and NPPES
      - Ability to interpret and apply third-party payor credentialing requirements
      - Excellent communication skills, both oral and written
      - Experience in a fast-paced environment and ability to remain calm under pressure

      #DentalServices #Credentialing #CareerOpportunity #RemoteWork #ProfessionalDevelopment
  • About the company

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