Credentialing Coordinator

LIBERTY Dental Plan; Tustin (CA); Remote; USD 40,000 - 52,000; Full time

Job summary

A leading company in dental healthcare is seeking a Credentialing Coordinator to support the credentialing department. The role involves processing provider applications, ensuring compliance with regulatory standards, and coordinating with dental providers. Ideal candidates will have strong organizational skills and previous experience in a dental environment.

Benefits

Competitive pay structure

Excellent 401(k) benefits

Affordable medical insurance

100% employer-paid dental coverage

Vision insurance

Flexible Spending Accounts

Generous vacation and sick leave policies

Qualifications

• High School diploma or GED required.
• 2 years of dental office management or customer service preferred.
• Experience with NCQA and URAC guidelines is a plus.

Responsibilities

• Process credentialing applications in compliance with NCQA and Liberty policies.
• Serve as point of contact for credentialing inquiries.
• Ensure accurate data entry and maintain credentialing reports.

Skills

Communication

Attention to detail

Organizational skills

Multi-tasking

Education

High School or GED

Tools

Microsoft Office

Job description

Job Details

Job Location: Remote - Corp - Tustin, CA

Position Type: Full Time

Salary Range: Undisclosed

Job Shift: Day

Description

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The Credentialing Coordinator supports the Credentialing Department by processing credentialing and re-credentialing provider applications daily within an expected timeline, accuracy and production target and in accordance with the National Committee for Quality Assurance (NCQA) guidelines using both internal and outsourced Credentialing Verification Organization (CVO). The Credentialing Coordinator will coordinate with dental providers, dental offices and internal departments to obtain necessary documentation and information.

Job Summary Details

• Collect, review and process credentialing applications for initial and re-credentialing are complete, accurate, and in compliance with NCQA, URAC, State and Federal guidelines, and in accordance with Liberty’s Policies and Procedures.

• Serve as a point of contact for providers, vendors, and internal teams regarding credentialing-related inquiries and issues.

• Communicate clearly, effectively and timely to providers upon request of credentialing questions via phone, email and fax.

• Ensure accurate data entry into credentialing database.

• Work with outsourced Credentialing Verification Organization (CVO) and Council for Affordable Quality Healthcare (CAQH) as directed.

• Monitor and maintain credentialing reports related to credentialing status and expiration dates.

• Achieve and maintain required credentialing timeframe and production standards.

• Perform other duties as assigned and deemed appropriate by management.

Qualifications

Education/Experience

• High School or GED required
• 2 Years previous network management experience in Dental environment; dental office management, managed healthcare, sales, and/or customer service experience required with a minimum of 1 year credentialing experience preferred.

Specific Skills/Knowledge

• Experience with NCQA, URAC, State and Federal regulations and guidelines preferred

• Intermediate knowledge in all Microsoft Office specifically Word, Excel, and Outlook

• Minimum typing speed of 50 wpm

• Applicant must pass position specific assessment test for consideration

• Excellent verbal and written communication skills

• Must be detail oriented, have strong organizational, prioritization, and time management skills

• Must be able to multi-task and must be able to take direction well

• Ability to identify problems, research issues and follow through until resolved.

Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.Ideal candidates will reside near one of our Office Locations in Tustin, CA, Las Vegas, NV, Oklahoma City, OK, Uniondale, NY, or Tampa, FL!

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.

Our first-class benefits package supports employees and their dependents with:

• Competitive pay structure and savings optionsto help you reach your financial goals.

• Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.

• Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.

• 100% employer-paid dental coveragefor employees and eligible dependents.

• Vision insurancewith low-cost premiums for employee-only coverage and dependents.

• Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.

• Flexible Spending Accountsfor healthcare and dependent care expenses.

• Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.

• Long-term disability coverage.

• Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.

• Employee Assistance Program (EAP)to support mental health and well-being.

• Generous vacation and sick leavepolicies, with the ability to roll over unused time.

• 10 paid company holidays.

• Tuition reimbursementfor eligible educational expenses.

• Remote or hybrid work optionsavailable for various positions.

Compensation

In the spirit of pay transparency, the base hourly rate for this position is $20.00 - $24.00, not including fringe benefits or potential bonuses. At Liberty, your final base pay will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.

Please note that the range listed represents the full base pay range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.