Provider Enrollment and Credentialing Support Specialist

4 days ago

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Founded 1865

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Description

• The Provider Enrollment and Credentialing Specialist reviews initial and re-apply credentialing. • Responsibilities include verifying credentialing criteria for practitioners and following up as needed. • Verify provider’s licensure, NPI, insurance, and other credentials. • Review reports for exclusions from Medicaid or Medicare programs. • Maintain provider information integrity in databases. • Ensure credentialing files are in order and meet required turnaround times. • Assist with other duties and management processes as assigned.

Requirements

• High School Diploma or equivalent. • 1 year job related experience. • Previous experience working with files or data collection and coordination preferred. • Knowledge of Dental terminology preferred. • Good interpersonal skills. • Ability to work independently. • Excellent oral and written communication skills. • Efficient PC skills (Word, Excel, Outlook, Work Flow Software, Time Tracking Systems). • Ability to learn new software programs quickly. • Ability to prioritize and organize multiple tasks. • Ability to remain organized with multiple interruptions. • Good customer service and problem resolution skills. • Ability to navigate websites needed for credentialing. • Ability to adapt to a constantly changing environment. • Must be able to work in excess of 40 hours a week. • Required to attend additional training as requested.

Benefits

• Excellent benefits and wellness programs to support mental, physical, and financial well-being. • Generous vacation and sick time. • Market-leading paid family, parental, and adoption leave. • Partially-paid sabbatical program. • Medical plans, company paid life and AD&D insurance, disability programs. • Retirement and Stock Purchase programs including a 401(k) with employer-paid match. • Flexible work environment with a collaborative culture. • Great Place to Work® Certified in Canada and the U.S.