Credentialing Specialist - Dental Network

BizTek People, Inc. | APA International Placement Consultants•Evansville, IN

2d•Onsite

About The Position

We are seeking an experienced Credentialing Specialist to support our client in Evansville, IN! Job Title: Credentialing Specialist (Dental Network) – Contract Job Type: 13-Week Contract | Onsite Schedule: Day Shift – 5x8s 8:00 AM – 4:30 PM No on-call or weekends Overview: This role manages provider data, verifies documentation, and ensures compliance with credentialing standards and regulatory requirements. The position also supports provider directory maintenance and network reporting.

Requirements

3+ years of provider credentialing experience required
Experience with credentialing platforms (CAQH, NPDB or similar)
Strong Excel and technical skills
Knowledge of insurance industry terminology
High School Diploma or GED required
COVID-19 vaccination required (medical/religious exemptions accepted)
Flu vaccination required (medical/religious exemptions accepted)

Responsibilities

Coordinate initial credentialing and re-credentialing for network dentists
Verify credentials through primary sources including CAQH and NPDB
Maintain accurate provider records including licensure, DEA, malpractice coverage, and claims history
Track credentialing documentation and maintain audit trails
Prepare credentialing documentation for leadership approval
Manage provider contracts and fee schedules
Maintain and update Commercial and Medicare provider directories
Upload updated directories to health plans monthly
Run provider adequacy and accessibility reports
Process provider updates and notify providers upon completion
Support accounting with TIN verification as needed
Assist with provider termination notifications to members
Serve as a point of contact for provider offices and leased network partners