Insurance Credentialing Specialist

Company Overview

Join SALT Dental Partners and be part of a dynamic team dedicated to revolutionizing the dental industry through innovative marketing strategies and exceptional patient experiences. Since our doors opened in 2019, we made it our mission to help dentists grow their businesses. SALT is creating a vast network of like-minded dentists throughout the country.  At SALT we provide all of the support services, so dentists can get back to being a dentist.

Position Summary

The Insurance Credentialing Specialist is responsible for quick and efficient credentialing/payor enrollment and recredentialing of our dental providers. They ensure full completion and accuracy of all incoming provider applications. Constantly collect and process verification and accreditation information and must constantly maintain and update accurate files for licensed professionals. This includes education, training, experience, and licensure. The Specialist tracks credentialing by payor, and recredentialing acting as liaison with payors, providers, and multi-departmental teams.

Essential Duties & Responsibilities

• Obtains all provider credentials and documentation from the Compliance team.
• Stores credentialing paperwork or electronic submissions for new providers and recertification of current providers within required timeframes. Ensures provider credentialing status with all approved payors for the location in which they work.
• Maintains and modifies a provider and location roster to share with payors during the enrollment process.
• Maintains accurate detailed records of all credentialing work in addition to emails and/ or conversations with third party payors, doctors, practice teams.
• Reviews credentialing-related issues with payors to resolution.
• Supports the credentialing function through all acquisitions to ensure efficient, accurate, and timely enrollment with insurance plans at PPO locations.
• Acts as liaison with third party payors to validate and/or correct entity and/or provider set-up in the third-party payors’ system.
• Builds strong relationships and communication bridges between Credentialing team and practice teams.
• Operates in compliance with all local, state, and Federal laws as well as Company policy and compliance standards.

Requirements

• 2-3 years of Dental or Medical Credentialing experience required (Dental preferred).
• High School Diploma or equivalent and directly applicable experience.
• Organization credentialing a plus.
• Knowledge of dental insurance credentialing, ADA recommendations, CAQH Proview, and NPPES preferred.
• Strong familiarity with common dental practice information technology systems such as Practice Management Systems, telephony systems, and Microsoft applications.
• Experience with Payor online and paper credentialing application processes.
• Experience auditing and maintaining detailed complex credentialing records.
• Detail oriented with a high level of organization, analytical, and problem-solving skills.
• Excellent multi-tasker with ability to remain calm in fast-paced environments.
• Ability to work autonomously and efficiently within designated timeframes or deadlines.
• Proficient with Word and Excel.
• Strong verbal and written communication skills required.

Benefits

• Health Care Plan (Medical, Dental & Vision)

• Retirement Plan (401k, IRA)

• Life Insurance (Basic, Voluntary & AD&D)

• Paid Time Off (Vacation, Sick & Public Holidays)

• Training and Development opportunities

SALT Dental Partners offers a competitive salary and benefits package, including health insurance, retirement plan, and paid time off in order to attract, develop, and retain our employees.

SALT Dental Partners offers equal employment opportunity without regard to race, color, gender, age, creed, sex, religion, national origin, disability (physical or mental), marital status, citizenship, ancestry, sexual orientation, gender identity, and gender expression, or any other legally protected status.

For more information on our career opportunities and benefits, please connect with us at recruiting@saltdentalpartners.com.

Recruiting firms may not submit candidate resumes via e-mail. Recruiters are director to contact one of our Talent Acquisition representatives at recruiting@saltdentalpartners.com regarding current vacancies.