Dental Credentialing Specialist — Compliance & Data Leader

SGA Dental Partners

United States

Remote

USD 52,000 - 78,000

Full time

6 days ago
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Benefits offered by this job

Paid Holidays
PTO
401(k) Retirement Plan
Health and Vision Insurance
Employer-Paid Dental Insurance
Life Insurance
Care.com Membership
Employee Assistance Program
Disability Coverage
Critical Illness Coverage
Accident Coverage
Career Growth and Development

Job summary

SGA Dental Partners seeks a Credentialing Specialist to manage end-to-end credentialing and recredentialing for dental providers, ensuring accurate records and regulatory compliance. You will maintain provider data and support network participation while tracking license expirations and documenting materials.

Ideal candidates have an Associate degree (or equivalent), 1–3 years credentialing experience, and familiarity with payor processes and credentialing standards.

Qualifications

  • Associate degree preferred.
  • 1–3 years credentialing experience ideal.
  • Strong understanding of insurance payor processes and credentialing standards.
  • Ability to maintain confidentiality and work with sensitive data.

Responsibilities

  • Manage end-to-end credentialing and recredentialing of dentists/providers.
  • Maintain accurate provider records across credentialing databases and networks.
  • Track license, certification, and document expirations; ensure renewals.
  • Prepare and organize credentialing documentation and materials.
  • Monitor timelines and communicate status to offices and management.
  • Support credentialing and network participation operations.

Skills

MS Excel
Practice Management software
Communication skills
Confidentiality
HIPAA compliance
Time management

Education

Associate degree preferred
1-3 years credentialing experience

Tools

MS Word
Credentialing databases

Job description

SGA Dental Partners seeks a Credentialing Specialist to manage end-to-end credentialing and recredentialing for dental providers, ensuring accurate records and regulatory compliance. You will maintain provider data and support network participation while tracking license expirations and documenting materials.

Ideal candidates have an Associate degree (or equivalent), 1–3 years credentialing experience, and familiarity with payor processes and credentialing standards.

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