Credentialing Specialist

SGA Dental Partners
Any Location, GA
Category Healthcare
Job Description
Role Overview

Manage end-to-end credentialing and recredentialing of dentists/providers, ensuring accurate records, compliance with dental plan and regulatory requirements, timely application processing, and ongoing maintenance of provider data and documentation systems.

What You Will Do

Manage credentialing and recredentialing, maintain accurate provider records, track expirations, and communicate status updates.

Why It Might Be a Fit

Ideal candidate has 1-3 years of medical/dental credentialing experience, strong understanding of insurance payor processes, and ability to maintain confidentiality.

Requirements

  • Associate Degree preferred
  • 1-3 years of medical/dental credentialing experience ideal
  • Strong understanding of insurance payor processes, credentialing standards, and provider data management preferred
  • Knowledge of English composition, grammar, spelling and punctuation
  • Proficient in Microsoft Excel
  • Ability to be professional and maintain composure when dealing with stressful situations
  • Ability to cooperatively work with the doctors, co-workers, various facilities, and patients and build relationships of trust
  • Ability to prioritize, organize and complete tasks timely
  • Ability to accept constructive criticism
  • Ability to understand and follow written and verbal instructions
  • Ability to collect data, establish facts and maintain confidentiality
  • Ability to communicate and express thoughts and ideas clearly and competently
  • Ability to quickly grasp relevant concepts regarding duties and responsibilities
  • Treat patients, co-workers, and doctors professionally and courteously

Benefits

  • Paid Holidays
  • Paid Time Off (PTO)
  • 401(k) Retirement Plan
  • Health and Vision Insurance
  • Employer-Paid Dental Insurance
  • Life Insurance
  • Care.com Membership
  • Employee Assistance Program
  • Supplemental Coverage (Disability, Critical Illness, Accident)
  • Career Growth and Development Opportunities
]]>