Remote Dental Credentialing Coordinator

Managed Care Staffers; Lombard (IL); Remote; USD 45,000 - 70,000; Full time

Job summary

An innovative insurance company in Lombard, Illinois, is seeking a Remote Credentialing Coordinator to ensure high-quality care for its members. This role involves managing provider data, ensuring compliance with regulations, and collaborating with various teams to enhance the credentialing process. Ideal candidates will have extensive experience in credentialing and strong communication skills. Join a forward-thinking organization that values integrity and quality in healthcare. This temporary position offers the opportunity for potential temp-to-hire, making it an exciting chance to advance your career in the healthcare industry.

Qualifications

• 5+ years of credentialing or health provider relations experience.
• Strong customer service and communication skills required.
• Proficiency in Microsoft Office and database management.

Responsibilities

• Ensure accuracy and compliance of provider applications.
• Maintain and update provider data in the credentialing database.
• Participate in process improvements for the credentialing system.

Skills

Credentialing Experience

Customer Service Skills

Communication Skills

Research Skills

Database Management

Microsoft Word

Microsoft Excel

Education

Bachelor's Degree

Tools

Credentialing Database

Job description

Job Description

Remote Dental Credentialing Coordinators Needed for Insurance Company

Our client, a growing Insurance Company located in Lombard, Illinois, is looking to hire a temporary (until the end of the year), possibly temp-to-hire Remote Credentialing Coordinator. The Credentialing Coordinator ensures the delivery of high-quality care to the client's members by monitoring and maintaining the integrity of dental provider data in compliance with industry standards and regulatory requirements. You will work with the Credentialing and Clinical Review teams to ensure provider audits are completed accurately and in a timely manner.

Essential Functions:

• Collect required data for reviews of licensures, certifications, background searches, & training records.
• Ensure potential new provider applications meet credentialing standards.
• Ensure accurate entry and maintenance of data utilizing various resources.
• Review initial & recredentialing applications for completeness, accuracy, and compliance with regulations, guidelines, policies, & NCQA standards.
• Identify discrepancies & communicate issues to Credentialing Manager.
• Enter, update, and maintain data from provider applications into the credentialing database.
• Prepare & follow up on verifications of applications in accordance with standards and timelines.
• Participate in developing and implementing process improvements for the credentialing system.
• Comply with HIPAA, Diversity Principles, Corporate Integrity, and other applicable policies.

Job Requirements and Skills:

• Bachelor's degree preferred.
• At least 5 years of credentialing, health provider relations, or related experience.
• Strong customer service and communication skills.
• Research skills and knowledge of dental provider credentialing principles.
• Ability to maintain confidentiality and discretion.
• Proficiency in Microsoft Word, Excel, and database management.

If you or someone you know is interested, qualified, and available, please send your resume for immediate consideration.

Company Description

We are employment specialists with over 25 years of experience in the healthcare and managed care industries. We staff temporary, temp-to-hire, and direct hire placements.

Additional Details:

• Seniority level: Mid-Senior level
• Employment type: Temporary
• Job function: Healthcare Provider
• Industries: Hospitals and Healthcare