What are the responsibilities and job description for the Dental Credentialing Supervisor position at Specialty1 Partners?
Objective and Purpose:
The Credentialing Supervisor is responsible for administering credentialing and provider enrollment services throughout our practice network including, Provider Payor enrollment, and Provider's facility appointments and re-appointments. This role provides leadership to a team of provider enrollment specialists and leads, manages, and monitors processes and procedures that support credentialing, re-credentialing, and data management to ensure compliance with all relevant standards, state and federal regulations, and health plan compliance.
Primary Responsibilities:
- Overseas the end-to-end credentialing process for all healthcare providers
- Leads the credentialing team, cultivating a work environment that encourages teamwork, professional growth, and adherence to annual performance goals and metrics while focusing on delivering value to the company.
- Develops, Implements, and continuously improves credentialing, recredentialing, and privileging processes, policies, and procedures to ensure compliance with regulatory requirements.
- Audits and assesses the effectiveness and efficiency of credentialing end-to-end processes.
- Ensures compliance with and stays abreast of changes to legal and regulatory standards with the National Practitioner Data Bank.
- Collaborates with relevant stakeholders on mutual topics of interest; provides updates on changes regarding enrollment and credentialing. Specifically, participates in Payor meetings, and collaborates with RCM on credentialing and enrollment related claims projects and denials.
- Collaborate with internal departments, such as Human Resources, and Quality and Compliance to ensure alignment of credentialing processes with organizational goals and objectives.
- Leverages technology platforms and software systems to streamline the credentialing processes, maintain records, and enhance efficiency.
Requirements:
- Bachelor's Degree Healthcare Administration, Business, or related field.
- 5 Years relevant dental credentialing experience in lieu of a degree. Required
- 6 years progressive experience in provider payor enrollment, credentialing, and privileging processes; in the dental field (required).
- 4 years of management, leading, and developing high performing teams in dentistry.
- Detailed understanding of Medicare, Medicaid, and Managed Care Plan regulations.
- Experience with credentialing platforms, related software, and websites (NPPES, CAQH, etc.)
- Goal Driven with a firm understanding of credentialing department KPIs.
- Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
- Ability to multi-task and align priorities accordingly.
Benefits:
- BCBS High Deductible & PPO Medical insurance Options
- VSP Vision Coverage
- 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.
Salary: $68,000-75,000 annually
Modality: Remote
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/
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Salary : $68,000 - $75,000
