Credentialing Services Supervisor

Job not on LinkedIn

🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $67.7k - $93.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Delta Dental of Arkansas

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Non-profit

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

• Oversee day-to-day operations of a team consisting of all elements of the Credentialing process. • Assist in ensuring the coordination of initial and ongoing compliance with National Committee for Quality Assurance (NCQA) and Delta Dental Plans Association standards. • Ensures development and execution of Credentialing and other provider onboarding functions in accordance with applicable department policies and procedures. • Work directly with provider services associates, providers and external clients to ensure satisfaction and timeliness. • Generate performance measures and set goals while monitoring performance against them. • Coordinate directly with the Director of Compliance to ensure alignment with all departmental and company initiatives. • Monitor key performance indicators and metrics to assess provider enrollment & credentialing effectiveness, efficiency, and compliance. • Responsible for continuous process improvement in provider enrollment and credentialing processes. • Maintain all providers’ contractual credentialing information for all Networks including Medicare Advantage and Medicaid. • Run regularly scheduled reports to identify and address any outstanding applications, issues, and expiring information. • Assist in development, implementation and maintenance of processes that support department and organization goals.

🎯 Requirements

• Bachelor’s degree from an accredited college or university or equivalent experience. • Experience in the dental field preferred. • Supervisory experience preferred. • Working knowledge of state and federal insurance regulations, ERISA, and ASO agreements. • Working knowledge of credentialing standards and processes. • Understanding of dental insurance products and industry trends. • Proven customer service and relationship building skills. • Solid analytical and problem-solving skills. • Excellent verbal and written communication skills. • Proficiency in Microsoft Word, Excel, Outlook, and PowerPoint. • Process and project management experience required. • Ability to coach and support a cohesive team.

🏖️ Benefits

• medical • dental • vision • 401(k) • student loan assistance • six weeks of paid parental leave • volunteer PTO