Insurance and Credentialing Supervisor

2 weeks ago


Brockton, Massachusetts, United States Dental365 Full time
Position Overview

Note: This is a full-time, on-site role. We are looking for a skilled and committed Insurance and Credentialing Supervisor to become a vital part of our dental support organization within the Revenue Cycle department.

KEY RESPONSIBILITIES:

  • Leadership: Report directly to the Chief Insurance Officer, overseeing team responsibilities and setting a standard for best practices.
  • Credentialing Management: Supervise the credentialing process for all providers, ensuring adherence to insurance regulations and maintaining accurate records.
  • Audit Oversight: Perform regular audits of clinical and billing operations to guarantee compliance with industry standards, implementing corrective measures as necessary.
  • Billing Supervision: Manage the billing cycle, ensuring prompt and precise claim submissions while collaborating with clinical teams for accurate documentation.
  • Regulatory Compliance: Ensure all billing practices align with applicable state and federal laws, including HIPAA, and stay informed on regulatory changes.
  • Accounts Receivable Management: Oversee insurance and patient accounts receivable, monitoring outstanding claims and implementing strategies for timely collections.
  • Claims Processing & Appeals: Direct the claims process from submission to payment, addressing denials and appeals to secure appropriate reimbursements.

QUALIFICATIONS:

  • At least 4 years of relevant experience in insurance management within a healthcare or dental environment.
  • In-depth knowledge of credentialing, dental billing, and accounts receivable processes.
  • Experience in auditing clinical and billing practices for compliance and accuracy.
  • Excellent verbal and written communication skills.
  • Proven ability to foster relationships with colleagues and mentor staff.
  • Highly organized, detail-oriented, and capable of managing multiple priorities.

EMPLOYEE BENEFITS:

  • Flexible Health and Vision Insurance Plans: Customized options for you and your family.
  • 401(K) Retirement Plan with Matching: Secure your financial future with our employer-matched plan.
  • Generous Paid-Time Off: Accrue up to 3 weeks, plus an annual self-care day.
  • Exclusive In-house Dental Program: Enjoy heavily discounted services for you and your immediate family.
  • Additional Perks: Access to ongoing benefits and perks for our dedicated teams.
  • Supportive Work Environment: Join a team of skilled professionals with opportunities for significant growth.

Salary Range: $90,000 - $110,000

Diversity Commitment: Dental365 is an equal opportunity employer, celebrating diversity and providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression.



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