Job Description

The Credentialing Specialist will be responsible for all aspects of credentialing and recredentialing for all dental providers at Gen4 Dental Partners. This individual will be responsible for ensuring providers are credentialed, appointed, and privileged with dental plans.

• 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

Qualifications

• 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

Additional Information

Working conditions include those typically seen in an office environment. Prolonged periods of sitting at a desk and working on a computer. Must be able to lift to 15 pounds at times.

Equal Opportunity Employer

Gen4 Dental Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

It is expected that the Credentialing Specialist will perform any function asked of them, knowing that they will never be asked to do anything that is illegal, immoral, or unethical. We stand by the vision of Gen4 Dental to provide an atmosphere of continuous learning and mutual support. An environment where everyone bands together as a team to provide the utmost quality in patient care and support to one another.