Credentialing Associate

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $16 - $23 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Delta Dental of Arkansas

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

🍽️ Food & Beverage

📦 Logistics

Healthcare • Food & Beverage • Logistics

Delta Dental of Arkansas is a provider of dental and vision insurance plans. The company offers a range of insurance products for individuals, families, small businesses, and large enterprises, including dental and vision insurance plans. Delta Dental of Arkansas is part of the national Delta Dental Plans Association, which provides dental coverage in all 50 states, Puerto Rico, and other U. S. territories. They focus on creating healthy smiles and also extend their services to cover hearing discounts. Delta Dental of Arkansas is committed to giving back to the community through the Delta Dental of Arkansas Foundation, which provides funding opportunities and donations. They support oral health through various programs and resources available to members and dental providers.

📋 Description

• Update and maintain provider file databases with submitted documentation • Prepare incoming change-request documents from dentists and dental offices for credentialing and contract processing • Request missing documentation as needed • Answer and assist with incoming calls and voice messages • Provide customer service to internal and external callers • Monitor inboxes and distribute documents appropriately • Assist the Provider Relations team with projects, reports, and related functions • Intake and review returned W9 and 1099 forms, verify office information, and forward documents to appropriate personnel • Maintain quality and quantity standards • Create and maintain electronic records of provider information, credentialing documentation, network status, contracts, license and certification expirations, filed fees, and contact updates • Identify and promptly update provider demographic corrections • Maintain the credentialing process for network dentists according to MA, Medicare, and DDPA standards • Enter initial contracts and verify all required documentation and provider and office information before entry • Verify the flow of updated information • Prepare and send correspondence regarding network status, compliance requirements, dentist terminations, and welcome letters • Respond to dental office inquiries regarding provider contracts, credentialing, and network participation

🎯 Requirements

• High school diploma or equivalent • 1–3 years of related experience, including clinical dental office experience and/or dental insurance/claims experience and customer service • Strong data entry skills • Superior customer service and communication skills • Proficiency with Microsoft Office and PDF/Adobe • Strong attention to detail and organizational skills • Ability to work independently • Consistently meet quality and quantity performance standards • Obtain appropriate documentation in a timely manner for contract preparation and credentialing • Submit credentialing instances to appropriate personnel • Accurately update provider information, including BODEX, General Anesthesia, DEA, Malpractice Insurance, Credentialing, and Provider profile • Assist with assigned projects and meet deadlines • Must verify identity and eligibility to work in the United States and complete the required employment eligibility verification form upon hire

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401(k) • Student loan assistance • Six weeks of paid parental leave • Volunteer PTO • Collaborative, service-oriented, integrity-driven, and inclusive work culture