Dental Credentialing Coordinator: Verifications & Compliance

PDS Health; Irving (TX); On-site; USD 23,000 - 31,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401K

Paid time off

Tuition Reimbursement

Volunteer time

Job summary

PDS Health in Irving, TX is seeking a Credentialing Specialist to join our delegated credentialing team. The role focuses on verifying dentists' records, licenses, and credentials to ensure NCQA and regulatory compliance.

Responsibilities include primary source verification, compiling dentist packets, updating credentialing grids, and communicating findings to improve processes. GED and 1-2 years credentialing experience required; benefits include medical, dental, vision, 401K, PTO, tuition

Qualifications

• GED or equivalent required.
• 1-2 years of credentialing experience preferred.
• Experience with NCQA or regulatory credentialing standards is a plus.

Responsibilities

• Verify licenses, credentials, and education as part of delegated credentialing.
• Prepare and submit dentist packets to insurance plans within required timelines.
• Maintain credentialing records and ensure regulatory compliance across states.
• Update credentialing grids and track provider effective dates.
• Identify and address missing or outdated credentials.

Skills

Credentialing

Regulatory compliance

Attention to detail

Education

GED

Job description

PDS Health in Irving, TX is seeking a Credentialing Specialist to join our delegated credentialing team. The role focuses on verifying dentists' records, licenses, and credentials to ensure NCQA and regulatory compliance.

Responsibilities include primary source verification, compiling dentist packets, updating credentialing grids, and communicating findings to improve processes. GED and 1-2 years credentialing experience required; benefits include medical, dental, vision, 401K, PTO, tuition