Senior Credentialing Specialist

Credentialing Specialist

Location: Nashville, TN or West Chester, PA

Schedule: Monday - Friday 8:00am - 5:00pm

Pay: $30 - $35 based on experience

At Chord Specialty Dental Partners, exceptional patient care starts with the behind-the-scenes work of our Credentialing team. We're looking for a Credentialing Specialist to join our close-knit, collaborative department that plays a vital role in supporting clinical operations and the revenue cycle.

This role involves managing initial and ongoing credentialing, maintaining relationships with insurance payers, and working closely with our Revenue Cycle Management team to resolve claims issues. Organization, adaptability, and strong communication skills are key as you help ensure our providers are always ready to deliver care.

Our team is the engine that keeps everything movingensuring our doctors are credentialed and ready to deliver care. Your work directly supports our mission to create healthy, confident, and beautiful smiles every day. If you're detail-oriented and thrive in a fast-paced environment, we'd love to have you on our team.

Responsibilities

• Onboard new providers and ensure all checklist items are completed and up to date
• Manage credentialing with assigned payers, including tracking and follow-up
• Enroll providers and offices with State Medicaid agencies and insurance companies
• Coordinate new office openings and update payer/internal rosters
• Maintain accurate credentialing records
• Submit specialty contract requests and upload fee schedules
• Complete recredentialing every three years and ensure timely submissions
• Review and update payer rosters for accuracy
• Communicate credentialing updates and special requests to internal teams
• Support the development of SOPs and assist the RCM team with credentialing-related issues

Qualifications

• 35 years of credentialing and enrollment experience required
• Proficient in Microsoft Office and credentialing databases
• Strong time management, multitasking, and organizational skills
• Knowledge of administrative processes and business operations
• Excellent written communication, grammar, and proofreading skills
• Experience producing professional documents and managing information systems

We believe that taking care of our employees and their families is paramount. That's why we offer a comprehensive benefits package designed to support you in every aspect of your life. Here's what we provide:

• Medical and Vision Insurance: You're eligible starting the first month after you join.
• In-house Dental Coverage: Enjoy this benefit with $0 premium.
• 401(k) Plan with Company Match: We help you plan for your future with our matching program.
• Generous Paid Time Off and Holidays: Take the time you need to relax and recharge.
• Employee Referral Program: Earn rewards for bringing talented individuals to our team.
• Big savings, big perks: Enjoy exclusive discounts on everything from restaurants and travel to movies and more with our employee discount program.
• Pet Insurance: We understand the importance of furry family members too.
• Cutting-edge Technology and Training: We provide the tools and resources you need to excel in your role.
• Life and Disability Insurance Options: Protect yourself and your loved ones with our coverage options.

At Chord Specialty Dental Partners, our goal is for every employee to cultivate a fulfilling career. From serving patients in one of our many multi-specialty dental practices to serving our Home Office based out of Nashville, TN- we have something for everyone. We're always looking for talented, driven individuals who have a desire to make an impact. #IND