What are the responsibilities and job description for the Credentialing Specialist position at tyreeanddangelo?
Job Title: Credentialing Specialist
Reporting to: VP of Revenue Cycle
Location: Chicago, IL
The Company: Premier Dentist Partners
Job Summary:
As Credentialing Specialist, you will play a pivotal role in ensuring smooth operations within the dental office by ensuring accurate and complete payer enrollment, participation and fee schedule management.
Responsibilities:
- Manage payer participation for all Premier partner dentists and locations
- Maintain accurate effective date tracker for submitted applications and provide follow-up to stake holders
- Maintain inventory of fee schedules, including annual updates, etc
- Ensure correct Fee schedule attachment by payers to providers
- Manage Fee Schedule assignments in PMS system
- Work with billing team to resolve claims related to credentialing issues
- Manage vendor relationships as required.
- Additional projects or initiatives as needed.
Qualifications
- Bachelors Degree or experience equivalent; healthcare administration, finance or related field is a plus.
- 3 years of experience in dental credentialing in a multi-state DSO.
- Experience with credentialing application software, DentalxChange preferred
- Proficiency in various practice management software, as well as Microsoft Office.
- Must be able to multi-task and meet agreed upon deadlines.
- Excellent verbal and written communication skills.
- Must work collaboratively with Operations and other RCM team members.
Compensation:
Highly competitive compensation consisting of base salary and performance bonus