Provider Credentialing Specialist

Peak Dental Services•Colorado Springs, CO

1d•$24 - $26•Remote

About The Position

Peak Dental Services is seeking a detail-oriented and highly organized Provider Credentialing Specialist to join our growing team. This fully remote position plays a critical role in ensuring our dental providers are properly credentialed, contracted, and compliant with all payer and regulatory requirements. If you thrive in a fast-paced environment, enjoy managing multiple projects, and take pride in accuracy and compliance, we would love to hear from you.

Requirements

Previous experience in healthcare or dental provider credentialing required.
Experience with MODIO software is required.
Strong understanding of credentialing, provider enrollment, and payer requirements.
Excellent organizational, communication, and problem-solving skills.
Ability to work independently in a remote environment while meeting deadlines.
Proficiency in Microsoft Office and credentialing databases.
High level of professionalism, discretion, and attention to detail.
Minimum of 2 years of experience in provider credentialing, preferably within a Dental Support Organization or healthcare setting.
Strong attention to detail and ability to maintain accurate records.
Excellent communication skills, both written and verbal.
Strong time management skills with the ability to prioritize and manage multiple tasks in a fast-paced environment.
Proficient in computer applications, including MS Office Suite (Word, Excel, Outlook).
Ability to work independently and collaboratively in a remote work environment.
High School diploma or equivalent required.

Nice To Haves

Experience with MODIO or similar credentialing software preferred.
Experience in credentialing dental providers or within a dental practice is highly desirable.
Knowledge of industry regulations and credentialing standards.
post-secondary education preferred.

Responsibilities

Manage the full provider credentialing lifecycle, including initial credentialing, recredentialing, and maintenance of provider records.
Utilize MODIO software to input, track, monitor, and update provider credentialing information.
Ensure compliance with federal, state, payer, and accreditation requirements.
Collaborate with providers and internal departments to gather and maintain required credentialing documentation.
Communicate with insurance carriers, credentialing organizations, and providers to resolve credentialing and enrollment issues.
Maintain accurate, secure, and confidential provider records and documentation.
Provide regular status updates to leadership regarding credentialing progress, timelines, and potential delays.
Manage multiple credentialing cases simultaneously while maintaining exceptional attention to detail.
Assist with reporting, audits, data analysis, and process improvement initiatives related to credentialing operations.
Support provider contracting and enrollment activities as needed.