Credentialing Specialist

Credentialing SpecialistWe are seeking an experienced Credentialing Specialist to support our client in Evansville, IN or Toledo, OH! Job Title: Credentialing Specialist (Dental Network) – Contract Job Type: 13-Week Contract | Onsite Schedule: Day Shift – 5x8s 8:00 AM – 4:30 PM No on-call or weekends Overview: This role manages provider data, verifies documentation, and ensures compliance with credentialing standards and regulatory requirements. The position also supports provider directory maintenance and network reporting. Key Responsibilities: Coordinate initial credentialing and re-credentialing for network dentists Verify credentials through primary sources including CAQH and NPDB Maintain accurate provider records including licensure, DEA, malpractice coverage, and claims history Track credentialing documentation and maintain audit trails Prepare credentialing documentation for leadership approval Manage provider contracts and fee schedules Maintain and update Commercial and Medicare provider directories Upload updated directories to health plans monthly Run provider adequacy and accessibility reports Process provider updates and notify providers upon completion Support accounting with TIN verification as needed Assist with provider termination notifications to members Serve as a point of contact for provider offices and leased network partners Qualifications: Must have at least 1+ years of credentialing experience (medical or provider experience accepted) Must be tech savvy with credentialing software and Excel Must have HS Diploma or GED Prior insurance industry knowledge and familiarity with terminology is preferred Additional Details: Business casual dress code (back-office setting) Free parking Assignment may extend depending on coverage needs Potential for temp-to-perm, though not guaranteed Health Requirements: COVID-19 vaccination required (medical/religious exemptions accepted) Flu vaccination required (medical/religious exemptions accepted)