Dental Credentialing Specialist - Remote

Overview

The Dental Credentialing Specialist is responsible for managing the complete credentialing and recredentialing lifecycle for dental providers across multiple insurance payers, ensuring timely submission and maintenance of provider records.

In Short

• Manage credentialing and recredentialing applications for dental providers.
• Maintain an organized credentialing database.
• Track and follow up on submitted applications.
• Respond to credentialing-related inquiries.
• Facilitate creation of Type 2 NPIs for new locations.
• Initiate EFT enrollment for providers.
• Ensure compliance with NCQA and CMS guidelines.
• Act as a liaison between the organization and insurance payers.
• Provide updates on credentialing and NPI status.
• Work in a standard office environment with potential remote options.

Requirements

• High school diploma or equivalent.
• 2+ years of experience in healthcare or dental credentialing.
• Familiarity with CAQH and payer-specific portals.
• Experience with NPI records submission.
• Knowledge of dental insurance plans.
• Strong attention to detail and organizational skills.
• Proficiency in Microsoft Office.

Benefits

• Remote or hybrid work arrangements may be available.
• Standard office environment.
• Supportive team environment.
• Opportunities for professional development.