Dental Credentialing Specialist - Growth & Benefits

Remote Jobs; Claxton (GA); Presencial; USD 42.000 - 64.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

401k plan

Health insurance

Dental insurance

Life insurance

Care.com membership

Employee Assistance Program

Descripción de la vacante

SGA Dental Partners is seeking a Credentialing Specialist to manage end-to-end credentialing and recredentialing for dental providers, ensuring accurate records and regulatory compliance.

The role requires maintaining provider data across systems, tracking license renewals, and communicating status updates to offices and management. You will support credentialing workflows, resolve plan discrepancies, and uphold HIPAA confidentiality while contributing to quality improvement.

Formación

• Associate degree preferred.
• 1-3 years medical/dental credentialing experience ideal.
• Strong understanding of insurance payor processes and provider data management preferred.

Responsabilidades

• Manage end-to-end credentialing and recredentialing of dentists/providers, including applications, follow-ups, and timely completion of all requirements.
• Maintain accurate provider and office records across credentialing databases, systems, and network participation listings.
• Track and manage expirations for licenses, certifications, and required documents; ensure timely renewals and compliance.

Conocimientos

English writing

Professionalism

Communication

Time management

Attention to detail

Team collaboration

Confidentiality

Instruction following

Educación

Associate degree preferred

1-3 years credentialing experience

Understanding of insurance payor processes

Herramientas

Microsoft Excel

Word

Practice Management software

Descripción del empleo

SGA Dental Partners is seeking a Credentialing Specialist to manage end-to-end credentialing and recredentialing for dental providers, ensuring accurate records and regulatory compliance.

The role requires maintaining provider data across systems, tracking license renewals, and communicating status updates to offices and management. You will support credentialing workflows, resolve plan discrepancies, and uphold HIPAA confidentiality while contributing to quality improvement.