Senior Credentialing & Insurance Specialist
ESPIRE DENTAL•Greenwood Village, CO
•$26 - $31•Onsite
About The Position
The Senior Credentialing and Insurance Specialist will be the in-house insurance expert on plan details, provider credentialing and provider licensure. The Senior Credentialing and Insurance Specialist will impact results by delivering the Espire mission to team members and patients by living joyfully, leading bravely, and creating greatness.
Requirements
- 5+ years’ experience in the dental insurance field, required
- Expert level knowledge in dental insurance
- Proactive problem solving
- Analytical approach to providing recommendations
- Strong organizational skills
- Understanding of compliance and regulatory standards pertinent to scope of activities of job
- Ability to work in a team environment required
- Excellent coaching skills
- High school diploma or GED, required
Nice To Haves
- Bachelor’s Degree in Business or related field, or equivalent experience, preferred
Responsibilities
- Manage all insurance payor relationships
- Provide strategic analysis on insurance plan utilization
- Ensure all providers are appropriately credentialed
- Manage all provider malpractice enrollment
- Track all provider licensure
- Input all fee schedules
- Provide support on local market fee analysis
- RCM functions including but not limited to, insurance plan strategy, claims management, insurance payment posting, verifications, and aging reports
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
