Provider Enrollment Credentialing Specialist

5 days ago

Grafton, Wisconsin, United States DentaQuest Full time
Job Summary

We are seeking a highly skilled Credentialing and Provider Enrollment Specialist to join our team at DentaQuest. As a key member of our oral health company, you will be responsible for ensuring the accurate and timely enrollment of providers into our network.

Key Responsibilities
  • Enter and maintain provider applications, contracts, and updates into our system.
  • Verify potential and existing providers' licensure, liability insurance, and other credentialing criteria.
  • Perform ongoing research to correct data and prevent duplicate providers, locations, payees, and participations.
  • Review and maintain credentialing information, including reviewing the National Practitioners Data Bank for adverse charges.
  • Track contract applications status and ensure all files have a Welcome, Denial, or Term Letter as appropriate.
  • Meet required turnaround times and accuracy rates.
  • Maintain fee schedules by creating, reviewing, and auditing provider fees.
  • Keep up-to-date provider enrollment process and records and track provider participation levels.
Requirements
  • High School diploma or equivalent, Associate's degree preferred.
  • 1-2 years of experience in a business environment.
  • Previous experience working with files or the collection and coordination of data preferred.
  • Proficient in the use of Excel and general computer software (Word, Outlook).
  • Ability to learn new software programs quickly.
  • Good basic math skills.
  • Excellent customer service skills.
  • Excellent verbal and written communication skills.
  • Professional and effective interaction skills with co-workers, clients, providers, and vendors.
  • Proven ability to work well individually and as a team member.
  • Ability to prioritize and organize multiple tasks.
  • Ability to remain organized with multiple interruptions.
  • Ability to make independent decisions.
  • Strong attention to detail.
  • Strong business acumen.
  • Ability to adapt to a constantly changing environment.

We offer a stimulating, productive work environment, competitive salaries, and a great benefits package. If you're looking for a challenging work environment where you will be asked to continually develop your skills, you've found the right place. We are a growing, financially sound company with many advantages to offer to our employees. Work-life balance is a reality at DentaQuest, as is our commitment to our employees' career advancement. DentaQuest is an equal opportunity employer.

  • Provider Enrollment Credentialing Specialist

    2 weeks ago

    Grafton, Wisconsin, United States DentaQuest Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Provider Enrollment Credentialing Specialist to join our team at DentaQuest. As a key member of our oral health team, you will be responsible for ensuring the accurate and timely enrollment of healthcare providers into our network.Key ResponsibilitiesEnter and maintain provider applications,...

  • Provider Enrollment Credentialing Specialist

    2 weeks ago

    Grafton, Wisconsin, United States DentaQuest Full time

    Job SummaryWe are seeking a highly skilled Credentialing and Enrollment Specialist to join our team at DentaQuest. As a key member of our oral health company, you will play a critical role in ensuring the accuracy and timeliness of provider data, including applications, contracts, and updates.Key ResponsibilitiesEnter and maintain provider applications,...

  • Provider Enrollment and Credentialing Coordinator

    2 months ago

    Grafton, Wisconsin, United States DentaQuest Full time

    Position Overview:This role is essential in managing the lifecycle of provider applications, ensuring accurate and timely processing from initial receipt to directory inclusion. The responsibilities include maintaining up-to-date provider data, processing applications, and conducting necessary follow-ups to facilitate the credentialing process...

  • Veterinary Technician Specialist

    2 weeks ago

    Grafton, Wisconsin, United States Ethos Veterinary Health Full time

    About Ethos Veterinary HealthEthos Veterinary Health is a leading network of specialty and emergency hospitals across North America, dedicated to providing high-quality veterinary medical care to pets. As a Veterinary Technician Specialist, you will be part of a collaborative team of over 1,500 specialized doctors, utilizing state-of-the-art technology and...

  • Interventional Radiology Specialist

    2 weeks ago

    Grafton, Wisconsin, United States Aya Healthcare Full time

    Job Title: Interventional Radiology SpecialistJob Summary:Aya Healthcare is seeking an experienced Interventional Radiology Specialist to join our team in Grafton, WI. As a key member of our healthcare team, you will be responsible for performing a variety of diagnostic and interventional procedures using imaging technologies such as X-rays, CT scans, and...

  • Veterinary Technician Specialist

    4 days ago

    Grafton, Wisconsin, United States Ethos Veterinary Health Full time

    The Wisconsin Veterinary Referral Center is seeking a full-time ER/CCU Veterinary Technician Specialist to join our hospital team. As a Veterinary Technician Specialist, you will play a vital role in providing high-quality emergency and specialty veterinary medical care to our patients.Key Responsibilities:Provide exceptional patient care and support to our...

  • Nurse Specialist

    1 week ago

    Grafton, Wisconsin, United States TotalMed Staffing Full time

    About TotalMed StaffingTotalMed Staffing is a leading healthcare staffing agency that connects top talent with top healthcare facilities. We are currently seeking a skilled Nurse Specialist - Urology to join our team.Job DetailsThis is a 90-day contract opportunity with a $2,065.20/week salary. The successful candidate will work in a Urology setting,...

  • Pet Care Specialist

    4 days ago

    Grafton, Wisconsin, United States PetSmart Full time

    Pet Care SpecialistAbout Our TeamAt PetSmart, we're passionate about providing exceptional care for pets and their owners. As a Pet Care Specialist, you'll play a vital role in our team, teaching engaging classes to pet parents and helping pets thrive at every stage of their lives.About the RoleYou'll take part in our comprehensive training program, learning...

  • Radiology Specialist

    4 days ago

    Grafton, Wisconsin, United States Aurora Medical Center Grafton Full time

    Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for experienced or first-time travelers.Aurora Medical Center Grafton is a top-rated healthcare facility seeking a skilled Radiology Specialist to join their team.Key responsibilities include:Providing high-quality...

  • Respiratory Therapist

    3 weeks ago

    Grafton, Wisconsin, United States Advocate Aurora Health Full time

    Job SummaryAdvocate Aurora Health is seeking a skilled Respiratory Therapist to join our team in Grafton, Wisconsin. As a Respiratory Therapist, you will play a critical role in providing high-quality patient care and contributing to the success of our healthcare organization.Key ResponsibilitiesPatient Care: Provide respiratory therapy services to patients,...

  • Diagnostic Medical Sonographer

    2 weeks ago

    Grafton, Wisconsin, United States Advocate Aurora Health Full time

    Job SummaryWe are seeking a highly skilled Diagnostic Medical Sonographer to join our team at Advocate Aurora Health. As a Diagnostic Medical Sonographer, you will be responsible for operating ultrasound equipment to perform general, vascular, and cardiac procedures/studies, accurately differentiating between normal and pathologic findings, and maintaining...

  • Urology Clinic Nurse Specialist

    1 week ago

    Grafton, Wisconsin, United States Aurora Medical Center Grafton Full time

    Job Title:Urology Clinic Nurse Specialist:Job Summary: We are seeking a skilled Registered Nurse to join our team at Aurora Medical Center Grafton. As a Urology Clinic Nurse Specialist, you will work in a dynamic clinic environment, providing high-quality patient care and collaborating with a multidisciplinary team.Responsibilities:Manage patients with...

  • Cardiovascular Services Supervisor

    3 weeks ago

    Grafton, Wisconsin, United States Advocate Health Full time

    Job SummaryWe are seeking a highly skilled and experienced Cardiovascular Services Supervisor to join our team at Advocate Health. This is a critical role that requires strong leadership and communication skills to oversee the daily activities of our staff in catheterization, electrophysiology, and interventional radiology.Key ResponsibilitiesProvide...

  • Delivery Specialist

    2 weeks ago

    Grafton, Wisconsin, United States O'Reilly Auto Parts Full time

    O'Reilly Automotive is seeking a skilled Delivery Specialist to join their team. As a key member of our delivery team, you will be responsible for safely delivering parts and products to customers using a company-provided vehicle. Your attention to detail and ability to work efficiently will ensure that orders are delivered on time and to the highest...

  • Veterinary Client Care Specialist

    4 weeks ago

    Grafton, Wisconsin, United States Ethos Veterinary Health Full time

    About the RoleEthos Veterinary Health is seeking a skilled Client Care Specialist to join our team at Wisconsin Veterinary Referral Center in Grafton, WI. As a Client Care Specialist, you will play a vital role in providing exceptional experiences for veterinarians, pets, and pet owners.ResponsibilitiesWelcome clients in a friendly, helpful, and...

  • Veterinary Client Care Specialist

    4 weeks ago

    Grafton, Wisconsin, United States Ethos Veterinary Health Full time

    About the RoleEthos Veterinary Health is seeking a highly skilled and compassionate Client Care Specialist to join our team. As a Client Care Specialist, you will be responsible for providing exceptional customer service to our clients and their pets. This is a unique opportunity to work with a dynamic and innovative company that is committed to...

  • Veterinary Client Care Specialist

    3 weeks ago

    Grafton, Wisconsin, United States Ethos Veterinary Health Full time

    About the RoleEthos Veterinary Health is seeking a highly skilled Client Care Specialist to join our team. As a Client Care Specialist, you will be responsible for providing exceptional customer service to our clients, ensuring their needs are met, and providing a positive experience.ResponsibilitiesProvide friendly, helpful, and compassionate service to...

  • Nurse Care Specialist

    5 days ago

    Grafton, Wisconsin, United States Ascension Full time

    Job SummaryWe are seeking a skilled Registered Nurse to join our team at Ascension Wisconsin. As a Registered Nurse, you will provide direct nursing care in a diverse healthcare environment in accordance with established policies, procedures, and protocols of the healthcare organization.ResponsibilitiesImplement and monitor patient care plans, monitoring,...

  • Medical Support Specialist

    1 week ago

    Grafton, Wisconsin, United States Ascension Full time

    At Ascension Living, we're dedicated to providing exceptional care and services to our seniors. As a Medical Support Specialist, you'll play a vital role in ensuring our residents receive the best possible care.Key Responsibilities:Administer prescribed medications to patients under the supervision of a Registered Nurse (RN) or Licensed Practical/Vocational...

  • Veterinary Client Care Specialist

    3 weeks ago

    Grafton, Wisconsin, United States Ethos Veterinary Health Full time

    About the RoleEthos Veterinary Health is seeking a highly skilled Client Care Specialist to join our team on second shift. As a Client Care Specialist, you will be responsible for providing exceptional customer service to our clients, processing appointments and emergencies, and ensuring the highest quality of care and satisfaction for our clients at all...