Dental Credentialing & EFT Specialist (Remote)

Ideal-Dental; Dallas (TX); On-site; USD 36,000 - 39,000; Full time

Benefits offered by this job

Remote work option

Job summary

Ideal-Dental is seeking a Dental Credentialing Specialist to manage the full credentialing and recredentialing lifecycle for providers across multiple payers. You will oversee NPI registrations for new locations and enrollment in EFT programs, ensuring timely submissions and compliance with NCQA, CMS, and payer rules.

The role supports remote work from states of operation and requires 5+ years of credentialing experience, including familiarity with CAQH, NPPES, PECOS, and delegated

Qualifications

• 5+ years of healthcare or dental credentialing experience.
• Familiarity with Delegated, CAQH, NPPES, PECOS and payer portals.
• Experience submitting and maintaining NPI records (Type 1 and Type 2).
• Working knowledge of dental insurance plans (PPO, DHMO, Medicare Advantage).
• Proficient with Microsoft Office and credentialing systems.
• Remote work allowed from US states of operation.

Responsibilities

• Manage initial credentialing and recredentialing with commercial and government payers.
• Maintain credentialing database and accuracy of provider data.
• Track submitted applications and ensure timely approvals.
• Respond to payer inquiries and supply needed documents.
• Serve as liaison with DECA’s CVO partner.
• Facilitate NPI registrations for new locations (Type 2).
• Coordinate EFT enrollment and banking information submission.
• Ensure compliance with NCQA, CMS and payer guidelines.
• Collaborate with Operations, HR, Revenue Cycle and IT.
• Provide regular credentialing and EFT status reports to leadership.

Skills

Attention to detail

Organizational skills

Communication skills

Remote work readiness

Education

High school diploma or equivalent

Tools

Denticon

Credentialing software

Microsoft Office

Job description

Ideal-Dental is seeking a Dental Credentialing Specialist to manage the full credentialing and recredentialing lifecycle for providers across multiple payers. You will oversee NPI registrations for new locations and enrollment in EFT programs, ensuring timely submissions and compliance with NCQA, CMS, and payer rules.

The role supports remote work from states of operation and requires 5+ years of credentialing experience, including familiarity with CAQH, NPPES, PECOS, and delegated