Dental Credentialing & Provider Enrollment Specialist

Great Expressions; Southfield (MI); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Great Expressions is seeking a Credentialing Specialist at our corporate office in Southfield, MI. The role focuses on collecting provider documentation to enroll providers in dental plans we contract with and ensuring accuracy of credentialing and enrollment data.

You will prepare enrollment applications, submit them, follow up with payors, and maintain provider records in our practice management system, while collaborating with regional teams and ensuring timely processing.

Qualifications

• Associates degree or equivalent credentialing experience required.
• Prior experience with dental/health credentialing & provider enrollment preferred.
• CPCS or CPMSM certification a plus.
• Proficiency in Microsoft Outlook and Excel.
• Excellent communication skills and customer focus.
• Analytical and problem solving skills with a passion for detail and accuracy.
• Reliability and flexibility with time commitments.
• Excellent organizational and time management ability.

Responsibilities

• Collect provider documentation to enroll the provider in dental plans we contract with.
• Submit initial enrollment applications and follow up on those applications.
• Verify accuracy of all submitted credentialing and enrollment information.
• Prepare enrollment applications for new and established providers within a region.
• Ensure applications are complete, accurate, and sent promptly.
• Organize credentialing files and verify required documents supplied by providers.
• Follow up with payors on pending applications and track submission dates.

Skills

Excellent communication

Analytical and problem solving

Time management

Organizational skills

Reliability and flexibility

Attention to detail

Education

Associates degree or equivalent credentialing experience

Tools

Microsoft Outlook

Excel

Job description

Great Expressions is seeking a Credentialing Specialist at our corporate office in Southfield, MI. The role focuses on collecting provider documentation to enroll providers in dental plans we contract with and ensuring accuracy of credentialing and enrollment data.

You will prepare enrollment applications, submit them, follow up with payors, and maintain provider records in our practice management system, while collaborating with regional teams and ensuring timely processing.