What are the responsibilities and job description for the Credentialing Specialist position at BizTek People, Inc.?
We are seeking an experienced Credentialing Specialist to support our client in Evansville, IN!
Job Title: Credentialing Specialist (Dental Network) – Contract
Job Type: 13-Week Contract | Onsite
Schedule:
- Day Shift – 5x8s
- 8:00 AM – 4:30 PM
- No on-call or weekends
Overview:
This role manages provider data, verifies documentation, and ensures compliance with credentialing standards and regulatory requirements. The position also supports provider directory maintenance and network reporting.
Key Responsibilities:
- Coordinate initial credentialing and re-credentialing for network dentists
- Verify credentials through primary sources including CAQH and NPDB
- Maintain accurate provider records including licensure, DEA, malpractice coverage, and claims history
- Track credentialing documentation and maintain audit trails
- Prepare credentialing documentation for leadership approval
- Manage provider contracts and fee schedules
- Maintain and update Commercial and Medicare provider directories
- Upload updated directories to health plans monthly
- Run provider adequacy and accessibility reports
- Process provider updates and notify providers upon completion
- Support accounting with TIN verification as needed
- Assist with provider termination notifications to members
- Serve as a point of contact for provider offices and leased network partners
Qualifications:
- 3 years of provider credentialing experience required
- Experience with credentialing platforms (CAQH, NPDB or similar)
- Strong Excel and technical skills
- Knowledge of insurance industry terminology
- High School Diploma or GED required
Additional Details:
- Business casual dress code (back-office setting)
- Free parking
- Assignment may extend depending on coverage needs
- Potential for temp-to-perm, though not guaranteed
Health Requirements:
- COVID-19 vaccination required (medical/religious exemptions accepted)
- Flu vaccination required (medical/religious exemptions accepted)
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Pay: $20.00 - $25.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Work Location: In person
Salary : $20 - $25