Credentialing Specialist

Credentialing Specialist

Reporting to: VP of Revenue Cycle

Location: Chicago, IL

The Company: Premier Dentist Partners

Job Summary:

As Credentialing Specialist, you will play a pivotal role in ensuring smooth operations within the dental office by ensuring accurate and complete payer enrollment, participation and fee schedule management.

Responsibilities:

• Manage payer participation for all Premier partner dentists and locations
• Maintain accurate effective date tracker for submitted applications and provide follow-up to stakeholders
• Maintain inventory of fee schedules, including annual updates, etc
• Ensure correct Fee schedule attachment by payers to providers
• Manage Fee Schedule assignments in PMS system
• Work with billing team to resolve claims related to credentialing issues
• Manage vendor relationships as required.
• Additional projects or initiatives as needed.

Qualifications:

• Bachelors Degree or experience equivalent; healthcare administration, finance or related field is a plus.
• 3+ years of experience in dental credentialing in a multi-state DSO.
• Experience with credentialing application software, DentalxChange preferred
• Proficiency in various practice management software, as well as Microsoft Office.
• Must be able to multi-task and meet agreed upon deadlines.
• Excellent verbal and written communication skills.
• Must work collaboratively with Operations and other RCM team members.

Compensation:

Highly competitive compensation consisting of base salary and performance bonus