Credentialing Specialist

Aspen Dental; United States; Remote; USD 50,000 - 60,000; Full time

Job summary

Aspen Dental is seeking a Credentialing Specialist to join their Insurance Operations Team. This role is crucial for ensuring the procurement of provider licenses and credentialing documents. The ideal candidate will possess strong communication and organizational skills. Candidates will be responsible for managing licensure processes, maintaining regulatory compliance, and supporting the enrollment team in ensuring proper credentialing for various dental plans. A keen attention to detail is essential.

Qualifications

• High School Diploma or equivalent required; College Degree preferred.
• Excellent verbal & written communication and customer service skills.
• Detail-oriented with strong analytical and problem-solving skills.

Responsibilities

• Execute licensure and credentialing processes for new and existing providers.
• Source and maintain information on state and federal licensing requirements.
• Work closely with the enrollment team to ensure proper processing of credentials.

Skills

Communication

Time Management

Organizational Skills

Analytical Skills

Problem-Solving Skills

Education

High School Diploma or equivalent

College Degree preferred

Tools

Microsoft Office Suite

Job description

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U. S. and has supported over 16,000 healthcare professionals and team members at more than 1,200 health and wellness offices across 46 states in four distinct categories: Dental care, urgent care, medical aesthetics and veterinary. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and AZPetVet. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.

As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as Credentialing Specialist .

Job Summary:

The Credentialing Specialist plays a vital role within our Insurance Operations Team. This position will be responsible for ensuring the expeditious procurement of provider licenses and credentialing documents. Successful candidates will have excellent time management and communication skills. The position will report to and maintain full support of the Credentialing Manager.

Essential Responsibilities:

• Execute licensure and credentialing processes for new and existing providers including but not limited to obtaining or requesting required documentation from various third-party sources and regular communication with appropriate state board representatives and the Field Management Team

• Source and maintain up-to-date information regarding all new and existing state and federal requirements as they pertain to professional licensing and credentialing requirements, processes, schedules, etc.

• Report licensure and credentialing expiration dates and renewal requirements to the providers as well as the appropriate members of the Field Operations Management Team, Compliance & Risk Management, etc.

• Work closely with the enrollment team to ensure proper processing of Provider credentials for enrollment in various dental plans

• Perform other clerical and administrative responsibilities as assigned

Position requirements:

• High School Diploma or equivalent, College Degree preferred

• Excellent verbal & written communications & customer service skills

• Excellent time management, prioritization, and organizational skills a must

• Detail oriented with a strong analytical, and problem-solving skills

• Proficient use of Microsoft Office Suite

Pay rate: $25 / hr

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