What are the responsibilities and job description for the Sr. Recruiting/Credentialing Coordinator position at Delta Dental of Rhode Island?
POSITION SUMMARY: Provides administrative support for the recruitment and professional relations functions including; coordinating all administrative aspects of credentialing/re-credentialing providers, maintaining provider databases, answering and researching calls from dentists and internal areas and coordinating provider mailings.
Essential Functions:
- Coordinates credentialing and re-credentialing process including sending and receiving data from the National Provider Data Bank
- Maintain provider databases and produce provider directories
- Create and maintain departmental filing system
- Respond to dentist’s questions regarding participation in network products
- Provides clerical support for network recruiters and professional relations reps
- Researches and resolves questions/inquiries from other departments
- Schedule and handles administrative aspects of credentialing committee meetings
- Produces departmental reports utilizing databases
- Assistance processing claim errors
- Other duties as assigned
Requirements:
- HS Diploma required; Associate’s Degree preferred
- Working knowledge of dental terminology
- Excellent organizational and communication skills
- Experience with MS Office and database software, especially MS Excel
Work Environment / Physical Demands:
- Typical office environment