• Credentialing Specialist

    Job Locations US-IL-Effingham
    Requisition ID
    2018-28067
    Category
    Dental Insurance Administration
  • Overview

     

    Credentialing Specialist

     

    Heartland Dental is looking to expand our team!  As a Credentialing Specialist at Heartland Dental, you must be capable of handling a substantial amount of work in a fast-paced environment.  Must apply a high degree of accuracy and exhibit excellent organizational skills.  We are looking for a flexible team player who is professional and service-oriented at all times.

     

    The Credentialing Specialist will play a critical role supporting the Dental Insurance Administration team processes and projects.  The Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the credentialing process for our supported doctors. The position reports to the Credentialing Manager and will support key initiatives (goals) of the department.

     

    Heartland Dental proudly supports 850+ dental offices and more than 10,000 team members across the country. We are hard-working, fun-loving and fast-growing – looking for our next perfect fit

    Responsibilities

    Below is an overview of the duties and responsibilities you would take on in this role:

    • Complete insurance applications and contracts for over 1200 supported dentists
    • Verify professional licensures to meet the requirements of our delegated insurance contracts.
    • Communicate with insurance administrators to maintain up to date files on supported dentists
    • Ensure accuracy of files by tracking the expiration of licenses and certifications
    • Maintain up-to-date knowledge and understanding different insurance plans and Medicaid
    • Assist supported offices and administration with Explanation of Benefits, Claims, and other insurance related issues
    • Support special projects for the Dental Insurance Administration team, reports, and other such projects to support the work of the Dental Insurance Administration Department

     

    Qualifications

    Minimum Requirements:

    • Maintain accuracy and attention to detail in a fast-paced environment
    • Intermediate experience with Microsoft Excel, Outlook, and Word
    • Strong verbal communication skills and the ability to remain professional and courteous over the phone with customers at all times
    • Ability to prioritize, problem solve and multitask
    • High level of maturity, personal initiative, and sound judgment

     

     

    We put our people first at Heartland Dental, and that shows in our generous benefits package.

     

     We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.

     

    Company retains the sole discretion to change the duties of the position at any time.

     

    We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.

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