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Credentialing Specialist
Smile Brands Costa Mesa, CA
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$45k-57k (estimate)
Other 2 Months Ago
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Smile Brands is Hiring a Credentialing Specialist Near Costa Mesa, CA

Overview:

Smile Brands is a dominant player in the dental space and we are seeking a Credentialing specialist to join our team. In this role your focus and responsibilities include maintaining and verifying provider files along, monitoring license and credential expiration dates, and advising providers of required renew by dates. This is a Hybrid role, your time will be split between working from our Costa Mesa Business Support Center, and working remotely.

Schedule (days/hours):
Monday - Friday

Responsibilities:
  • Process initial credentialing and re-credentialing applications
  • Screen practitioners applications and supporting documentation to ascertain their eligibility
  • Capture primary source documentation in computer databases
  • Respond to dental plan provider inquiries
  • Ensure compliance with applicable laws, regulations, procedures, and policies
Qualifications:
  • Knowledge of provider credentialing and privileging procedures and standards
  • Proficient in Microsoft Office Word and Excel
  • Strong attention to detail and accuracy
  • Effective communication skills, both verbal and written, ability to communicate professionally providers, colleagues, etc.
Preferred Qualifications:
  • 1 years of credentialing experience
  • Previous experience in healthcare credentialing, provider enrollment, or related administrative roles
  • Computer literate with proficiency in web-based products and ability to learn new applications easily
About:

What we'll offer you:

  • The compensation for this role is $18.00 - $24.00 per hour
  • Hybrid Role
  • Benefits and perks for you, your family and even your pets! (Medical, Dental, Vision, and paid time off)
  • Unparalleled support to grow your career
  • A culture that celebrates success and diversity

Smile Brands supports nearly 700 affiliated dental offices across 29 states all focused on a single mission of delivering Smiles For Everyone! Smiles for patients, providers, employees, and community partners. Everyone. Our entire culture is designed to promote WIN-WIN relationships by treating people with respect and pursuing business process excellence that makes it easier to provide great patient care. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.

Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at careers@smilebrands.com

Job Summary

JOB TYPE

Full Time

SALARY

$47k-59k (estimate)

POST DATE

04/22/2024

EXPIRATION DATE

05/10/2024

WEBSITE

smilebrands.com

HEADQUARTERS

ORLANDO, FL

SIZE

3,000 - 7,500

FOUNDED

1998

CEO

DIANA ROBERTSON

REVENUE

$200M - $500M

INDUSTRY

Ambulatory Healthcare Services

Related Companies
About Smile Brands

Smile Brands Inc. is one of the largest dental service organizations in the United States. We provide comprehensive business support services to our affiliated dental groups throughout the nation, so dentists can spend more time caring for their patients and less time on the administrative, marketing and financial aspects of operating a practice. At Smile Brands which includes the Bright Now! Dental, Castle Dental, Monarch Dental, Newport Dental, A+ Dental Care, OneSmile Dental, and Johnson Family Dental brands every employee and affiliated dental provider shares a common vision: Delivering ... Smiles for Everyone! More
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The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.

If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Specialist job description and responsibilities

A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.

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A credentialing specialist can have certificates that will prove useful to their field.

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Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

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Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.

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Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Specialist jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

01/25/2022: Kingsport, TN

Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.

03/01/2022: Parkersburg, WV

While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.

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Make Use Of Advanced Software For Monitoring.

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Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.

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Step 3: View the best colleges and universities for Credentialing Specialist.

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