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Credentialing Liaison
3 months ago
- Working directly with new MB2 dentists on gathering and updating their credentials to support the initial credentialing and insurance enrollment processes.
- Interfacing with Directors of Operations to streamline communication towards completion of priorities related to credentialing and provider payer set-up.
- Acts as a resource for Operations and Credentialing to strengthen the partnership between departments.
- Providing support in the onboarding of new* MB2 dentists, including:
- Procuring new MB2 dentist credentialing documents required for onboarding, including:
- Application (assisting providers with the online completion)
- licensure
- prescription writing privileges
- professional liability insurance
- education and work history
- Track progress of completion of each provider’s credentialing packet in a designated Credentialing Liaison Credential’s Tracker.
- Obtaining specific location/insurance enrollment guidance from Operations.
- White glove service helping providers enter their background and credentialing data into credentialing software:
- demographics
- office assignment
- credentials
- education/specialty training
- work history
- Notify Credentialing when the Credential Stream record is ready for enrollment to begin.
- Credentialing will assign to the appropriate Enrollment Coordinator.
- Monitors progress of enrollments for Operations using insurance turn-around-time frame estimation reports.
- Procuring new MB2 dentist credentialing documents required for onboarding, including:
- Facilitates the tracking and communication of Credentialing-related needs for Operations:
- Acts as an interface between Credentialing and the Directors of Operations.
- Front-line resource for Operations and Credentialing for communication and tracking the status and resolution of identified priorities or issues without an immediate resolution.
- Additional tasks or projects based on business needs may be assigned.
- High school diploma or equivalent.
- 2+ years' experience is preferred:
- Dental or Health experience is a plus, but not required.
- Dental or Health insurance (PPO/HMO/Medicaid, EPO, Discount Plans, etc) enrollment/credentialing experience preferred, but not required.
- Strong background in customer service required, whether externally or internally facing.
- Trouble-shooting strong attention to detail and follow-through.
- Proficient with Microsoft Office (Word, Excel & Email – Outlook), Adobe Pro and an ability to learn new computer applications.
- Verity Stream credentialing software experience a plus, but not required.
- Monday Board software experience a plus, but not required.
- Strong administrative and data entry skills.
- Great verbal & written communication.