Remote Dental Credentialing Specialist Needed With Insurance Company
Remote Temporary (Possibly Temporary to Hire) F / T Dental Credentialing Specialists Needed For Insurance Company $25 / hrOur client, a growing Insurance Company located in Lombard, Illinois, is looking to hire a temporary (until the end of the year), possibly temp-to-hire Remote Credentialing Coordinator.The Credentialing Coordinator ensures the delivery of high-quality care to the client's members by monitoring and maintaining the integrity of dental provider data in compliance with industry standards and regulatory requirements.You will work with the Credentialing and Clinical Review teams to ensure provider audits are completed in an accurate and timely manner.Job ResponsibilitiesCollect required data for reviews of required licensures, certifications, background searches, & training records.Ensure potential New Provider applications meet credentialing standardsEnsure accurate entry and maintenance of data utilizing various resourcesReviews initial & recredentialing applications for completeness, accuracy, and compliance with regulations, guidelines, policies, & NCQA credentialing standardsIdentify any discrepancies & convey problems to Credentialing ManagerEnters, updates & maintains data from provider applications into credentialing databasePrepare & follow up on appropriate verifications of individual applications in accordance with credentialing standards, procedural guidelines, & strict timelinesParticipate in the development a& implementation of process improvements for the system-wide credentialing processComply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policiesJob RequirementsBachelor's Degree is preferred5 years of credentialing, health provider relations, or related experienceCustomer service and effective verbal and written communication skillsInformation research skillsKnowledge of dental provider credentialing and accreditation principles, policies, processes, procedures, and documentationAbility to maintain confidentiality and discretion in all communicationsAdvanced working knowledge of Microsoft Word & Excel, spreadsheeting, and database managementIf you or anyone you know is interested, qualified, and currently available for employment please send an updated resume to us for immediate consideration.. Experience: 3 years required