Credentialing Specialist

Department is Credentialing

Reports to Manager of Credentialing

FLSA Status is non-exempt

Objective and Purpose:

We are excited to be on the search for our newest Provider Credentialing Specialist.  The provider Credentialing Specialist is responsible for facilitating centralized credentialing process for our providers. The Credentialing Specialist is responsible for managing their workload, addressing all functions for initial and re-credentialing of Specailty1 Partners providers in accordance with departmental policies and procedures. All expiries must be maintained, and current. Data must be accurate in our database.

Responsibilities

• Facilitates maintaining a comprehensive credentialing program


• Ensures all expired credentials are reviewed, obtained, and managed on a timely basis according to the credentialing processes and policies.


• Collect and verify provider information and documentation for credentialing


• Prepare and submit credentialing applications to insurance companies


• Track and follow up on credentialing applications and re-credentialing processes


• Maintain accurate and up-to-date credentialing records


• Provide and engage in excellent customer service with practices and other entities related to the organization


• Stay informed about changes in credentialing requirements and regulations

 Requirements

• High School Diploma or equivalent


• 2 years year of Credentialing experience


• 2-5 years Excellent Customer Service Skills


• Proficiency in all Microsoft Office applications, including Word and Excel


• Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems


• Database management skills, including querying, reporting and document generation


• Ability to work independently and determine work priorities


• Excellent attention to detail

Benefits

• BCBS High Deductible & PPO Medical insurance Options 


• VSP Vision Coverage   


• Principal PPO Dental Insurance   


• Complimentary Life Insurance Policy   


• Short-term & Long-Term Disability   


• Pet Insurance Coverage  


• 401(k) plan 


• HSA / FSA Account Access 


• Identity Theft Protection 


• Legal Services Package 


• Hospital/Accident/Critical Care Coverage 


• Paid Time Off   


• Diverse and Inclusive Work Environment   

About Us

Specialty1 Partners is a practice services organization committed to providing non-clinical, business support services to the nation's leading specialty dental practices. The company was founded in 2019 by four endodontists who wanted to provide unique and differentiated support to specialty dental practices. Originally focusing on support to endodontics practices (under the Endo1 brand), Specialty1 Partners quickly expanded its support to periodontics and oral surgery practices.

Since its founding, Specialty1 Partners has grown rapidly to become one of the largest private owners of specialty dental practices in the US. Headquartered in Houston, TX, Specialty1 Partners is led by its founders and a management team that is focused on ongoing growth and delivery of best-in-class services across its network of practices. Specialty1 Partners currently has over 224 locations across 28 states.

Specialty1 Partners and its affiliates are equal-opportunity employers who recognize the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment based on objective criteria and without regard to the following (which is a non-exhaustive list): race, color, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws. Specialty1 Partners' Privacy Policy and CCPA statement are available for view and download at https://www.specialty1partners.com/privacy-policy/ 

Specialty1 Partners and all its affiliates participate in the federal government’s E-Verify program. Specialty1 further participates in the E-Verify Program on behalf of the clinical practice entities which are supported by Specialty1. E-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. The E-Verify process is completed in conjunction with a new hire’s completion of Form I-9, Employment Eligibility Verification upon commencement of employment. E-Verify is not used as a tool to pre-screen candidates. For up-to-date information on E-Verify, go to www.e-verify.gov and click on the Employees Link to learn more.

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