Credentialing Specialist

Job Title:  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 stake holders


• 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