Delegated Credentialing Specialist
About The Position
Delegated Credentialing Specialist, Dental Insurance Administration As a Credentialing Coordinator at Heartland Dental, you must be capable of handling a substantial amount of work in a fast-paced environment. Must apply a high degree of accuracy and exhibit excellent organizational skills. We are looking for a flexible team player who is professional and service-oriented at all times. The Credentialing Coordinator will play a critical role supporting the Dental Insurance Administration team processes and projects. The credentialing coordinator is responsible for organizing, maintaining, and verifying all aspects of the credentialing process for our supported doctors. Heartland Dental is the nation's largest dental support organization, providing non-clinical administrative support services to more than 3,000 supported doctors across 39 states and the District of Columbia in 1,900+ dental offices. Each Heartland Dental supported office is unique to the community and the patients they serve. Supported doctors are the clinical leaders of their practice, retain full clinical autonomy, and establish their own care philosophies. All Heartland Dental supported doctors are united by a common goal: delivering the highest quality dental care and patient experiences.
Requirements
- Capable of handling a substantial amount of work in a fast-paced environment.
- Apply a high degree of accuracy.
- Exhibit excellent organizational skills.
- Be a flexible team player.
- Be professional and service-oriented at all times.
Responsibilities
- Support all new doctors to Heartland by completing all verifications and paperwork.
- Complete a delegated credentialing file for each provider.
- Maintain spreadsheets for the delegated insurance companies.
- Prepare documents for our delegated committee for review.
- Complete audits for our delegated companies
- Maintain doctor’s re-credentialing for delegated companies.
- Communicate with insurance administrators to maintain up to date files on supported dentists
- Ensure accuracy of files by tracking the expiration of licenses and certifications
- Maintain up-to-date knowledge and understanding different insurance plans and Medicaid
- Support special projects for the Dental Insurance Administration team, reports, and other such projects to support the work of the Dental Insurance Administration Department
- Other projects as assigned
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
