Temporary Coordinator, Credentialing

PDS Health; Irving (TX); On-site; USD 25,761 - 33,751; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Paid time off

Tuition Reimbursement

401K

Paid time to volunteer

Job summary

A health services provider in Irving, Texas, is looking for a Credentialing Administrator to manage the credentialing process for Dentists with dental insurance carriers. The role requires 1-2 years of related credentialing experience and a high school diploma or GED. You will be responsible for checking logs, processing paperwork, and ensuring compliance. This position offers a comprehensive benefits package, including medical insurance and paid time off, with an hourly compensation ranging from $18.70 to $24.50.

Qualifications

• 1-2 years of related State Business Credentialing experience.
• Equivalent to high school diploma or general education degree (GED).

Responsibilities

• Coordinate credentials for Dentists with various dental insurance carriers.
• Check Deal Log by-weekly for new offices opening dates.
• Maintain Insurance Provider Status Report and Provider Files.

Skills

Business Credentialing Experience

Effective Communication

Attention to Detail

Education

High school diploma or GED

Job description

Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!

As a Credentialing Administrator at PDS Health you will be coordinating credentials for Dentists with various dental insurance carriers. Being a part of the Contracts Department which is responsible for credentialing General Dentists and Specialists to ensure they possess the appropriate professional licenses and credentials to participate in the Dental Plans as required by the Insurance companies.

Responsibilities

• Check Deal Log by-weekly for new offices opening dates.
• Obtain IRS Confirmation from Development Department.
• Confirm with VP of Operations who’s the Owner/Billing Provider.
• Verify copies of current credentials on file for Owner/Billing Provider.
• Request NPI Type 2 (Billing Entity NPI).
• Complete applications and contracts for Billing Provider and submit for signatures.
• Review signed contracts for accuracy.
• Submit the paperwork within 24 hours to the applicable plans for approval and acceptance into their networks.
• Update credentialing process on Pending Log.
• Follow up with Dental Plans.
• Process billing changes (ownership changes, pc changes, TIN changes).
• Credentialing, Owners, associates and specialist as required.
• Maintain Insurance Provider Status Report and Provider Files with Current Credentials.
• Check, open, and send inbound / outbound mail.
• Filing and Scanning.
• Communicate issues and suggestions to improve processes.
• Ensure compliance with Company policies, as well as State, Federal and other regulatory bodies.

Required

• Equivalent to high school diploma or general education degree (GED).
• 1-2 Years of related State Business Credentialing experience.

Benefits

• Medical, dental, and vision insurance
• Paid time off
• Tuition Reimbursement
• 401K
• Paid time to volunteer in your local community

Compensation Information

$18.70-$24.50 / Hourly

PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.