- Manage the credentialing process for oral surgeons and general dentists
- Complete roster verifications and CAQH attestations on a regular basis to maintain network status for surgeons
- Maintain clean and accurate records within credentialing platform
- Coordinate with internal departments and external agencies to obtain and update relevant provider information.
- Maintain accurate and up-to-date electronic and hard copy files of all credentialing documentation.
- Communicate with providers to address any discrepancies or missing information.
- Monitor expiring licenses and credentials, proactively initiating the renewal process to avoid any disruption in services.
- Any other duties assigned.
- High school diploma or equivalent required.
- Minimum of 2 years of experience in credentialing or provider enrollment in a healthcare setting required.
- Strong knowledge of industry regulations, such as CAQH attestations and payer protocols.
- Proficient in using credentialing software and databases for data entry and maintenance.
- Excellent attention to detail and ability to work with complex documents.
- Strong analytical and problem-solving skills.
- Exceptional organizational and time management abilities.
- Effective communication and interpersonal skills.
- Ability to work independently and collaboratively within a team.
- Proficient in Microsoft office applications including Word, Excel, Adobe and Outlook.
- Professional business attire, appearance, and phone etiquette.
- Experience working in a dental or surgical setting preferred.
- Some project management experience a plus
- Working in-office is an essential function to this job.
- Physical requirements include sitting, stooping, turning, standing, bending, walking, hearing, reading, writing, and keyboarding.
- Ability to sit behind a desk approximately 80% of the workday required.
- This is not an all-inclusive list of job-related responsibilities, duties, skills, efforts, requirements or working conditions. Management may require that other or different tasks be performed as assigned.
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Credentialing Coordinator - Dallas - RPC Company
Description
Are you looking for a company that you can call home and have opportunities to grow? We are looking for a Credentialing Specialist to join our growing organization. As a Credentialing Specialist, you'll work closely with a variety of healthcare organizations to ensure the credentials of medical professionals are impeccable. By verifying and auditing credentials, you'll be part of a team devoted to upholding standards of excellence and providing the highest level of care to patients.
Job Description:
Required Qualifications:
Preferred Qualifications:
Schedule: Monday – Friday, 8 hour shift
Special Requirements:
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