What are the responsibilities and job description for the Credentialing Specialist position at tyreeanddangelo?
Position Title: Credentialing Specialist
Reporting To: VP of Revenue Cycle
Location: Hybrid - Chicago, IL
The Company: Premier Dentist Partners
Company Overview
Premier Dentist Partners is a Dental Support Organization (DSO) that assists dental practices with non-clinical challenges and provides industry proven business support services. Our affiliated dentists live a higher quality lifestyle with more time focused on patients and less on administrative burden.
Our mission is to improve the lives of our dentists, staff and patients by providing leading non-clinical business support services in a collaborative environment. As part of our commitment, we help our affiliated dentists to collectively achieve attractive business economies of scale resulting in improved efficiency and profitability while lowering operational risks.
Our experienced Support Center team assists dentists with management of non-clinical staffing and human resources, finance and payroll administration, marketing, payor relations, supplies and capital equipment procurement, as well as information systems. With experience and dedicated support from professional management, dental offices are free to focus their attention on providing patient care.
Premier Dentist Partners offers practice owners an alternative to the traditional practice transition model. Our affiliation program offers practice owners the opportunity to partner with a highly collaborative and experienced DSO Team.
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.
Job Responsibilities
- Manage payer participation for all Premier partner dentists and locations
- Maintain accurate effective date tracker for submitted applications
- Maintain inventory of fee schedules, including annual updates
- Work with billing team to resolve claims related to credentialing issues
- Manage vendor relationships as required.
- Additional projects or initiatives as needed.
Required Qualifications
- High School degree or experience equivalent; healthcare administration, finance or related field is a plus.
- 1 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.
