Credentialing Specialist
Gen4 Dental
- Tempe, AZ
- Permanent
- Full-time
- Ensure that providers are credentialed, appointed, and privileged with dental plans
- Maintain up-to-date data for each provider in credentialing databases and online systems, ensuring timely renewal of licenses and certificates
- Compile and maintain current and accurate data for all providers
- Complete credentialing and recredentialing applications, and monitor applications to follow-up as needed
- Maintain copies of current state licenses, certificates, and any other required credentialing documents for all providers
- Track license and certification expirations for all providers to ensure timely renewals
- Maintain knowledge of current dental plan and agency requirements for providers
- Set up and maintain provider information in online credentialing databases and systems
- Maintain strict confidentiality of provider information
- Ensure practice addresses and provider & billing information is current with dental plans, agencies, and other entities
- Work towards continuous quality improvement
- Stay current with changing technology and dental industry trends
- Uphold, support, and promote all company policies and procedures
- Associate degree preferred
- 1-3 years of medical/dental credentialing experience ideal
- Proficient use of Microsoft Office Suite, computer and office equipment, e-mail, and internet-based portals
- Excellent verbal and written communication skills
- Ability to research and analyze data
- Skilled in ability to organize and prioritize work and manage multiple projects/priorities
- Place a high emphasis on attention to detail
- Ability to work independently with minimal supervision
- Seek to establish and maintain effective working relationships with providers, management, office and corporate team, and contacts outside the organization
- Certified Provider Credentialing Specialist (CPCS) preferred, but not required