What are the responsibilities and job description for the Credentialing Specialist position at Dentive, LLC?

Job Description

Dentive is currently seeking a full-time Credentialing Specialist to add to our amazing team in Provo, UT!

Looking to join a team that you can grow with and values your work? Look no further! We're a growing Dental Support Organization that prioritizes company culture and rewards hard work.

What You Will Do...

Manage and oversee the entire credentialing process for both existing and newly affiliated offices and providers, ensuring compliance with industry standards and Dentive’s organizational policies.
Foster effective communication and collaboration between the Dentive support team, practice teams, and credentialing vendors to ensure seamless operations.
Respond promptly and accurately to credentialing-related requests, questions, and concerns from internal and external stakeholders.
Maintain and optimize the credentialing database and associated tools, ensuring data accuracy, timely reporting, and efficient distribution to relevant parties.
Leverage Asana or similar project management system to organize, track, and streamline credentialing workflows and projects effectively.
Collaborate with credentialing vendors to facilitate and monitor the timely submission, processing, and completion of credentialing applications for insurance payers.
Proactively monitor and coordinate the renewal of clinical provider licenses and certifications, working closely with vendors to ensure compliance and prevent lapses.
Track and analyze turnaround times for credentialing projects, providing regular reports to highlight efficiency and areas for improvement.
Update and manage insurance rosters for all participating and non-participating providers and facilities, ensuring accurate records across payers.
Stay informed about evolving credentialing regulations, trends, and best practices within the dental industry.
Undertake additional responsibilities and special projects as assigned to support organizational goals.

What You Bring...

Education and Experience :

High School Diploma required; Associate’s Degree preferred.

A minimum of 5 years of experience in dental credentialing, preferably within a multi-site practice or DSO / DPO setting.

Knowledge, Skills, and Abilities :

Deep understanding of accreditation standards, certification processes, and dental credentialing requirements.

Exceptional verbal and written communication skills, with a strong focus on clarity, professionalism, and grammatical precision.

Advanced proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams), project management software and PDF tools, with demonstrated ability to create, format, and analyze detailed reports.

Strong analytical and investigative abilities, enabling accurate data interpretation and decision-making.

Proven ability to build and sustain a collaborative and positive work environment.

Exceptional interpersonal skills, with the capacity to work effectively across multiple teams and with diverse stakeholders.

Proficiency in managing credentialing databases and other relevant software systems.

What We Offer...

A comprehensive benefits package – We offer medical, dental, vision, and a variety of other supplemental benefits like short term disability, long term disability, Life and AD&D.

Competitive salary – We believe in paying our employees what they are worth while still providing space to grow.

Work / Life Balance - Paid Time Off, Paid Holidays, Company activities, a generous Dental benefit, and Bon Voyage Program (ask us about this!).

Flexible schedule – As long as you are getting work done, we offer in office and hybrid schedules.

Opportunities for growth – We are an industry disruptor which calls for out-of-the-box thinking and chances to grow professionally alongside other hard working Dentivians.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. If this sounds like what you've been looking for, we'd love to meet! Please reply to this ad with an updated resume for consideration!

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Credentialing Specialist

What are the responsibilities and job description for the Credentialing Specialist position at Dentive, LLC?

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