Senior Credentialing Specialist
$30 - $35 per hourChord Specialty Dental Partners
Overview Location: Nashville, TN
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 moving-ensuring 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
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 moving-ensuring 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
- 3-5 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
Vacancy posted 1 day ago
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