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Credentialing Coordinator

Posted: March 12, 2024
Salary:US$18 - US$23 per hour
Job type: Contract
Discipline:Revenue Cycle
Work Location:On-site

Job description

One of the fastest growing Dental Support Organizations is looking for fulltime, experienced Credentialing Cooridinators to join their team in Carrollton! Apply if experienced and interested!

-On-site/In Office position; 5 month contract to hire role

-Healthcare Credentialing/Compliance experience required; Dental experience a plus!

-Opportunity for hybrid with 9+ months tenure at the company


Responsible for providing administrative support for the process of enrolling dentist with insurance companies.

  • Provider Enrollment (New/Add/Re-credentialing)
  • Processes credentialing and re-credentialing applications for client offices and providers - including but not limited to enrollment, and tracking of submission and effective status
  • Assist with maintaining copies of office/dentist agreements
  • Responsible for monitoring and managing credentialing/re-credentialing requirements and to ensure the collection of all required renewal certifications are on file within the required time frame.
  • Provide consistent and timely follow-up on all outstanding credentialing/re-credentialing files.
  • Maintain the credentialing database (Credentialing Stream) and ensure up-to-date information is always obtained.
  • Entering doctors into the office Practice Management System (PMS)
  • Answer questions from offices regarding insurances
  • Perform other related duties as assigned by management.
  • Knowledge of Medicaid and PPO/HMO dental insurance plans and networks
  • Knowledge of reading a pre-certification and EOB
  • Fee schedule maintenance
  • Support and educate both client and internal office staff relative to insurance related matters
  • Support Director and senior management
  • Partner with other departments

SHIFT: Monday through Friday 8 AM to 5 PM or 7 AM to 4 PM

DRESS CODE: Business Casual