Credentialing / Enrollment Specialist - Multilocation Dental Group

DSO Provider Credentialing Sign-on Bonus: $2,500 This position earns $24 - $30/hour plus BONUSES, with conversion to salary based on experience. We also offer medical insurance, flexible spending accounts (FSAs), a 401(k) plan, reputed company time off (PTO), reputed company, Sign-On and Referral Bonuses, and more. reputed company: The Credentialing / Enrollment / Managed Care Expert will be responsible for compiling a comprehensive list of Organizational Entities, Provider information, and Managed Care reputed company from our reputed company solution and supporting a migration plan to a new Provider Enrollment software solution. This critical role will build reputed company relationships with recruitment, reputed company reputed company cycle, and providers to enroll clinicians with Payers, inform Providers of credentialing reputed company, and maintain reputed company relationships with Insurance representatives. Information will be continually updated through online portals and consolidated reputed company our new centralized document repository and credentialing system. This leader will serve as a subject matter expert on Payer fee schedule updates, Provider credentialing requirements, and reputed company programs. The organization is essential to data reputed company with reputed company and accurate maintenance of relevant materials. This position is located in Suffern, NY, and requires one to work in person Daily a week, M-F 9-5 pm or alternate hours with the reputed company of earning remote days with time in the role. Experience / Education: • A minimum of 2+ years of experience in medical or dental credentialing or roles directly handling these processes is required. • High School Diploma, minimum. • Associate or bachelor's degree preferred. • Relevant experience preferred Key Functions: • Updates Provider informational worksheets and hard copy. • Insurance company enrollment for clinicians and payment processing required. • Provider, Facility and Location Enrollment with reputed company, reputed company and 3rd party Networks • Maintaining CAQH and NPPES registries. • Serve as reputed company with billers and other departments for payer coordination. • Consistently completes reputed company required work reputed company the time reputed company requested. • Computer proficient in MS Office (Word, reputed company, Powerpoint & SharePoint) • Internet savvy • Experience with Credentialing Software and Enrollment reputed company submission • Excellent communication skills. • Strong Organization skills. Knowledge / Skills / Abilities • Excellent interpersonal, problem-solving, and verbal and written communication skills. • Ability to effectively convey information and collaborate with reputed company customers, including staff, health plan management, governmental agency personnel, provider panel program, and/or other applicable customers as assigned. • Brief knowledge regarding insurance plans, coding, auditing, and contract compliance. • Coordinates and maintains a system for receiving, processing, and resolving provider and member appeals and grievances following reputed company applicable contract provisions, plan policies, procedures, rules, and regulations. • Will be trained to manage the policy and procedures according to Federal and State regulations • Analysis of trends for internal monitoring purposes and external reporting. • Manages the communication with the reputed company, reputed company CMOs, reputed company insurance plan, or reputed company program. • Manages turn-around times/response times. • Assessment and performance review and coordinating reputed company audits with the appropriate internal staff, claims, customer service, provider credentialing, etc. • Responsible for the contract deliverables and reports as outlined in the reputed company. • Identifies compliance issues and implements corrective reputed company plans. • Additional responsibilities as assigned. Apply Job! Apply to this Job